HEDIS & Gaps in Care

Health Plans are leveraging HEDIS measures and gaps in care to monitor and manage performance to improve quality, care and the member experience.

Enable your clinical and quality management teams to proactively engage providers and members in a meaningful way to identify and take action on preventive measures and gaps in care.

HEDIS Management Dashboard

HEDIS Management Dashboard

The QualMetrix HEDIS Measures and Gaps in Care solution is a management tool that incorporates HEDIS guidelines across commercial, Medicare and Medicaid lines of business to:

  • Aggregate HEDIS measures by entity, group, PCP, or member
  • Identify the number of members that are eligible for HEDIS measures
  • Show PCPs group performance by visualizing the total number of eligible measures, measures performed, and completion percentage
  • Find and take action on gaps in care at the PCP and member level to drive appropriate and effective care