HEDIS Measurement for Quality Improvement
Improve payer and provider quality performance, close care gaps, and deliver better outcomes through data-driven HEDIS strategies.
quality Improvement Footprint
NCQA IDSS Submissions
Medicare Advantage Clients
Enrolled Members
Quality in Action. Stars in Reach.
Health plans need more than retrospective HEDIS reporting. They need the ability to identify performance risks earlier, prioritize the right opportunities, engage members and providers, close care gaps, and continuously measure the impact of every intervention.
Sagility’s capabilities have expanded to support end-to-end quality of care services, from analytics and insights to managing clinical outcomes, with the acquisition of Careseed capabilities.
Through Sagility’s acquisition of CareSeed, health plans can:
- Integrate a HEDIS and Stars solution that combines NCQA-certified quality measurement technology
- Access healthcare-native analytics, clinical expertise, engagement, and scalable operational execution.
Strengthen Quality Performance
The addition Forecast and Harvest platforms provide a secure, cloud-based foundation for HEDIS measurement, medical record review, and data processing. Robust analytics support the closure of care gaps.
Forecast™: Quality Measures & Predictive Reporting
- Prospective analysis, year-round measurement, and NCQA-certified reporting
- Calculates HEDIS®, P4P, CMS Stars, and QHP performance
- Integrates claims, supplemental data, and FHIR resources
Harvest™: Medical Record Review & Abstraction
- Manages chart review assignments, scheduling, and tracking
- Improves accuracy and efficiency with automated validation
- Supports the full HEDIS hybrid lifecycle, from collection through reporting
Care Gap Closure Powered by Member 360 Analytics
- Identifies and prioritizes care gaps and provider opportunities
- Enables population segmentation, risk stratification, and health equity insights
- Supports medication adherence, wellness visits, outreach, care transitions, and appeals optimization
Continuous HEDIS Support: From Insight to Intervention
Our end-to-end quality model combines HEDIS and Stars expertise, clinical insight, and operational scale to help health plans close gaps, improve performance, and drive continuous quality improvement year-round. Move from fragmented, seasonal HEDIS activity to an integrated and consistent quality improvement program.
End-to-end lifecycle of improvement includes:
Measure
performance accurately across the enterprise
Predict
performance through forecasting, modeling, and gap-to-goal analysis
Prioritize
measures with the greatest opportunity
Engage
via a range of digital outreach options
Intervene
through care gap closure, clinical coaching, and care coordination
Execute
at scale through clinical teams, operations, and medical record review
Improve
continuously through real-time monitoring, governance, and ROI validation
Our Accreditations
Industry-recognized certifications that demonstrate our commitment to quality, security, and excellence.
Straight from the Source
We’re more than a vendor, we’re a partner. Here’s what our clients have to say:
Sagility brings deep operational and process expertise and pivots quickly in response to emerging needs. The team is highly receptive to feedback and takes action with minimal direction.
Associate Director, Payment Integrity,
National Health Plan
Sagility is a team I can count on to give their best effort and work diligently to complete any assigned task. They make excellent use of available resources to deliver work efficiently, effectively, and accurately.
Operations Specialist, Implementation, and Strategic Projects,
Regional Health Plan
Their strength lies in their flexibility and adaptability — stepping in to support any situation and responding quickly to issues. The Sagility team in Bangalore is a tremendous asset to the organization. The office environment and team culture make it feel as though you are walking into a client facility when on site.
Vice President, Operations,
Healthcare Financial Services Company
Case Studies
See how we’ve helped payers unlock millions in savings and streamline operations:
Insights & Resources
Stay informed with the latest thinking on healthcare payer operations:
Ready to Work Smarter with Sagility?
Let’s explore innovative solutions tailored to your needs—and get more done, together.