Optum HEDIS Reporting: Improve Quality With A Comprehensive, Innovative Approach To Managing HEDIS Performance

Optum HEDIS® reporting
Improve quality with a comprehensive, innovative approach to

From our cloud-based HEDIS reporting
managing HEDIS® performance.
system to medical record review support,
Rising medical costs, affordability pressure, new reimbursement models, audit management and performance
increased regulatory requirements and public reporting tend to drive assessment, Optum is committed
to helping you maximize data and
health plans to increase the focus given to quality metrics. By enhancing
processes to increase HEDIS scores and
clinical quality performance, health plans can improve health outcomes overall performance.
and reduce the cost of care. This helps position them as preferred
health plans for both public sector enrollment as well as members and
employers during annual coverage decisions.
Consider how the Optum® HEDIS reporting system can benefit your health plan:
• Do you want to improve your HEDIS rates?
• What value do you see in streamlining all HEDIS activity to one vendor to help
ensure successful NCQA/CMS/state submissions?
• Do you need to increase your health plan ranking?
• Do you want to consolidate disparate systems utilized for various quality initiatives
into one integrated system that can support your quality needs across domains
such as HEDIS, Stars, P4P, PQA, ACO, etc.?
• Have you ever wondered how you can harness the power of “big data” to improve
your performance?
• How important are security standards to you?
• Would it be valuable for you to work with an NCQA beta partner who has early
access to new HEDIS rules and coding updates?
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
optum.com
Optum HEDIS reporting
Reporting system highlights

A comprehensive solution
Using multiple vendors can be costly and time-consuming. By partnering with Optum to
leverage our comprehensive HEDIS reporting solution, you can minimize data transfer,
expedite the audit process and streamline all HEDIS activity to maximize efficiency.
Big data platform

Big data can unlock significant value by making information transparent and reducing
cycle time. Our HEDIS reporting product utilizes this concept to provide massive parallel
processing of data, to deliver a more robust solution to the market.
Through the use of a big data platform, we are able to achieve unparalleled
processing speeds, which provide a significant advantage to our clients both on
retrospective projects as well as on prospective projects. For example, near-real-time
processing enabled by our platform provides a competitive advantage to our clients
when performing interventions.
Convenient, cloud-based environment

The Optum HEDIS reporting solution offers easy, immediate access within a secure,
web-based environment. As a flexible online solution, our software does not require
special installation, configuration or updates, which means there will be minimal
interruptions during the busy HEDIS season.
Dynamic reporting
Our reporting functionality gives you the ability to:
• Provide reports, charts and graphs depicting HEDIS scores
• Manage and track reviewer progress
• Compare results between measurement periods, reporting populations, etc.
• Monitor key performance indicators at a plan level
• Drill down to the provider, reviewer, member and qualifying event levels for
detailed research
In addition, our software can create dynamic, custom reports to fill internal and other
reporting needs.
optum.com Page 2
Optum HEDIS reporting
“Best in Class” recognition

In a recently published Gartner report, the
Optum HEDIS Reporting Dashboard was
selected to demonstrate best practices in
dashboard design for HEDIS reporting. Gartner noted that, “Thoughtful
design is an essential element of usability; but across industry verticals, it is
often undervalued and unsupported in analytic applications.”
Monitor and improve HEDIS reporting

Optum has the knowledge and resources your health plan needs to build and maintain
higher quality ratings. We deliver a combination of expert consulting, comprehensive
services and leading technology that provide insight into quality metrics that can be
leveraged to improve your scores and create targeted plans of action.
Through our integrated suite of solutions, we enable health plans to track, monitor and
improve HEDIS compliance, develop and measure required quality metrics, and facilitate
NCQA® (National Committee for Quality Assurance), CMS (Centers for Medicaid and
Medicare Services) and state submissions.
Certified measures capabilities
Optum HEDIS reporting is fully certified by NCQA, which enables your health plan to
measure, run and submit all administrative and hybrid HEDIS measures. This insightful
solution also has the ability to design state-specific and internal custom measures.
Efficient submissions
Optum HEDIS reporting easily prepares patient-level detail (PLD) and Interactive Data
Submission System (IDSS) files for submission to NCQA and CMS. Additionally, it
enables you to create custom submission files to meet state-specific submission needs.
To date we have achieved 100 percent audit success.
Customizable and prospective reporting

Optum HEDIS reporting intuitively supports standard HEDIS deliverables with the
flexibility for custom needs. Create custom measures, custom reports and prospectively
measure rates at the member, provider, provider group and employer levels. These
functions allow for the monitoring of state-specific measures and internal measures,
and can track measures on a prospective basis.
Leverage the power of an industry-leading HEDIS reporting solution. Contact Optum to learn
more today.
Call: 1-800-765-6807
Optum is proud to be an NCQA beta partner, giving us
Email: empower@optum.com
early and unique insights on HEDIS measures and ratings.
Visit: optum.com
optum.com
11000 Optum Circle, Eden Prairie, MN 55344
Optum® is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions. All other brand or
product names are the property of their respective owners. Because we are continuously improving our
products and services, Optum reserves the right to change specifications without prior notice. Optum is
an equal opportunity employer.
© 2017 Optum, Inc. All rights reserved. WF316303 02/17

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Optum HEDIS® reporting

Improve quality with a comprehensive, innovative approach to

Reporting system highlights

Big data platform

Convenient, cloud-based environment

“Best in Class” recognition

Monitor and improve HEDIS reporting

Certified measures capabilities

To date we have achieved 100 percent audit success.

Customizable and prospective reporting

11000 Optum Circle, Eden Prairie, MN 55344

© 2017 Optum, Inc. All rights reserved. WF316303 02/17

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