Achieve year-round visibility into HEDIS performance and prepare for digital quality measures with usable,
insights-ready data.
Abacus’ HEDIS Accelerator data solution helps health plans execute year-round continuous quality improvement with a data first approach that starts with automated mapping and configuration of your data to your NCQA certified vendor specifications. Post processed HEDIS data is enriched to facilitate targeted quality improvement for all business use cases, including Medicare Stars and Value Based Contract reconciliation.
NCQA and CMS are accelerating the shift to digital quality measures (dQMs), requiring FHIR-based, interoperable data.
Manual mapping and frequent spec changes strain IT teams, creating rework and delays in interventions.
Limited year-round visibility into performance delays outreach and impacts Stars, Medicaid, Accreditation, and member outcomes.
Limited expertise and resource constraints increase administrative burden and hinder preparedness for year-round HEDIS runs.
Health plans that start preparing for the shift to digital quality measures (dQMs) today will be better prepared for the NCQA mandated shift in 2030:
Key Milestones in the Digital Transition
The evolution from manual to digital quality measurement represents more than a compliance requirement. It is an opportunity to fundamentally improve how health plans understand and enhance member care. Organizations that embrace this transformation early will gain competitive advantages in operational efficiency, clinical insights, and member outcomes
Question?
Already working with NCQA vendors? – Abacus automates mapping and reduces maintenance effort while accelerating HEDIS vendor processed file use
Still relying on manual data wrangling? – Our prebuilt mappings expedite implementation and free up teams for higher-value work
Planning for dQMs? – Our FHIR-ready data foundation streamlines digital-first reporting, minimizing conversion and rework
Flexible Deployment – Run in Abacus’ environment or your own
Industry-Leading Security – HITRUST and SOC 2 certified for five years running , meeting rigorous payer compliance requirements
Enables compliance with the Centers for Medicare and Medicaid Services’ requirements for interoperability for patient access
Unifies and delivers timely data for effective risk adjustment of government-sponsored plans to optimize care for high-needs members
Integrates clinical, administrative, and health equity data into longitudinal member and patient records to provide a holistic view of the care journey
Supports performance measurement and scaling of complex value-based and fee-for-service arrangements by providing current, complete, and accurate data
Delivers insights-ready™ data for accelerating the best interventions for improving quality, outcomes and Star Ratings
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