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 and Predictive Reporting
- Helps health plans manage quality performance through prospective analysis, year-round measurement, and NCQA-certified reporting
- Empowers health plans to deliver the best results through their tech-enabled solution that calculates: HEDIS, P4P, CMS Stars, QHP
- Import data, including supplemental data plus FHIR resources
Harvest: Medical Record Review and Abstraction
- Supports medical record review projects, including assignments, scheduling, and tracking status and accountability
- Streamlines workflows with advanced software for scoring, and validating efficiency and accuracy.
- Supports the full lifecycle of HEDIS hybrid projects, from chart collection to abstraction and reporting.
Care Gap Closure Powered by Member 360 Analytics
- Establishes gap identification, prioritization, and analytics of provider opportunities
- Enables population segmentation, risk stratification, health equity opportunity identification, and root-cause AI/analytics
- Assesses medication adherence, annual wellness visit scheduling, CAHPS outreach, integrated clinical outreach and coaching, care transitions, and appeals optimization
Continuous HEDIS Reporting
Our end-to-end quality performance model connects data, measurement, analytics, engagement, clinical intervention, execution, and continuous improvement. We are also ensuring Digital Quality Measurement readiness.
An End-to-End HEDIS and Stars Performance Continuum
Clinical quality — from insight to intervention
Unbeatable integration: HEDIS and Stars intelligence combined with our clinical expertise and operational scale helps health plans measure performance, identify priority gaps, execute interventions, and improve quality outcomes continuously.
- The shift is from a fragmented, seasonal HEDIS activity to a coordinated, year-round quality improvement program.
- CareSeed identifies where action is needed; Sagility helps execute that action and close the loop from quality insight to measurable member and Stars outcomes.
The combined model supports the full continuum from data and measurement through clinical intervention and ongoing performance optimization.
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
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