Healthcare quality matters. But fragmented data is holding you back from achieving top HEDIS and Star ratings.
Quality of care should be measured in near real-time so improvements can be made well in advance of audits or measures that impact scores and ultimately, your bottom line. Coperor’s healthcare-specific platform unites your data silos – members, providers, claims – giving you the insight you need to deliver better patient care, drive measurable results, and maximize your organization’s financial performance.
Introducing Coperor Health Data Management Platform (HDMP). Your path to achieving top HEDIS and Star ratings begins with trustworthy data. Coperor’s HDMP revolutionizes healthcare data management, delivering unparalleled quality and interoperability.
Beyond FHIR: Coperor’s Common Data Model (CDM) goes far beyond the limitations of HL7 FHIR, harmonizing ALL your data sources—administrative, transactional, and clinical—into a unified, actionable resource. This comprehensive approach is essential for accurate quality measurement and improvement initiatives.
Big-Picture Performance Measures: Before you can effectively measure performance, you need to ensure it’s accurate and complete. Coperor combines all relevant data in a single unified location, cleanses and enriches your data, and structures it for flexible analysis. To share real-time big-picture insights that drive better care and superior outcomes, you’ll need real-time big picture data.
Integrated Analytics:
Coperor strikes the perfect balance between centralized governance and system-level autonomy. Connected systems subscribe to relevant data without sacrificing control, while Coperor maintains a comprehensive audit trail of every update and action. This makes it possible for measures in analytics platforms, such as Patient Risk Scores, to be stored with the patient record inside the Coperor platform and appropriately surfaced to any system inside your organization.
By prioritizing data quality and extending beyond traditional clinical interoperability standards, Coperor empowers healthcare organizations to achieve their HEDIS and Star rating goals, improve patient care, and drive operational efficiency by connecting all their health data onto a single platform.
Accurate risk adjustment is crucial for fair reimbursement and quality reporting in Medicare Advantage plans. Coperor can help ensure accurate risk adjustment factor (RAF) scores by consolidating and cleansing patient data from disparate sources, identifying gaps and inconsistencies, and facilitating timely submission of risk adjustment data.
Effective care management programs are essential for improving patient outcomes, reducing costs, and achieving better HEDIS and Star ratings. Coperor can support care management efforts by providing a unified view of patient data, identifying high-risk patients, and facilitating communication and collaboration among care team members.
The healthcare industry is shifting towards value-based reimbursement models that reward providers for delivering high-quality, cost-effective care. Coperor can help organizations succeed in this new regulatory shift by tracking quality metrics, identifying opportunities for improvement, and enabling data-driven decision-making.
Widespread electronic health record (EHR) adoption and interoperability offer better approaches to Suspect and Risk Adjustment Analytics, overcoming traditional inefficiencies. However, several data challenges persist.
Improving these scores involves enhancing outreach to patients, leveraging data scattered inside and outside your organization, and addressing data quality issues. The stakes are high, as even small improvements impact financial incentives and overall quality of care.
Quality Management Solution Framework
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