HILCORP Electronic Data Exchange Network HEDIS reporting initiative

Description
The goal of this pilot is to assist managed Medicaid and managed Medicare plans to improve patient care and improve STAR reporting.  Key outcomes are:
A.    Improve your STAR ratings using our proven technology and process 
B.    Increase revenues using STAR scores, RAPS and HCC score improvements.
C.    Healthier patient population 

The system collects electronic patient chart information in meaningful use formats (CCCD, CCD, CCR, etc.) from the IPA's  participating provider sites  using a multitude of technologies, including secure messaging and client programs with end points defined. The information collected is converted to managed care plan STAR reporting formats to help achieve the defined outcomes.
Start Date
11/01/2015
Projected End Date
02/29/2016
Project Tags
  • C-CDA
  • CCDA
  • CMS
  • eCQM
Project Point of Contact: vasupersremove@removemedaz.net
Project Results
Successfully collected information from more than 6 different electronic health record products. IPA scores for managed medicare went up from 2.2 to 3.2 on completion(3 STAR rating for community doctors). Managed Medicaid scores went up from 2.68 to 3.52 (4-star rating for community doctors)