HEDIS & Gaps In Care

Organizations are leveraging HEDIS measures and gaps in care to monitor and manage performance to improve quality of care.

Enable your clinical and quality management teams to proactively engage providers and members in a meaningful way to identify and take action on preventive measures and gaps in care.

The Clinigence Health HEDIS Measures and Gaps in Care solution is a management tool that incorporates detailed HEDIS measures across commercial, Medicare, and Medicaid lines of business to:

  • Aggregate detailed HEDIS measures by entity, group, PCP, or patient/member
  • Identify the number of patients/members that are eligible for HEDIS measures based on general prevention, gender, age, and disease 
  • Find and take action on gaps in care at the PCP and patient/member level to drive appropriate and effective care