Converged Quality

Converged Quality is a comprehensive HEDIS® quality measurement software designed for health plans to enhance their quality measurement, reporting, and improvement initiatives. Trusted by the top 15 health plans, it enables users to achieve higher CMS Star Ratings, with customers seeing an 11% improvement over those using other solutions.

This cloud-based software provides certified quality measurement and reporting capabilities, offering access to validated national and state data extracts. Users can choose the level of in-house support that best fits their needs, ensuring flexibility and adaptability.

With data-driven analysis, Converged Quality leverages predictive analytics and benchmarking to assess performance, set goals, and define strategies for success. It includes forecasting tools that help avoid CMS Star rating drops by providing more accurate cut point measurements than previous estimates.

Benefits

• Track quality performance and identify care gaps.
• Benchmark against industry standards.
• Receive monthly insights to drive better ratings and ensure compliance.
• Focus team efforts where they matter most.

The software extends team capabilities with expert support, reducing stress during HEDIS season. It stays current with evolving federal, state, and Medicaid measures, as well as regulatory changes, ensuring users are never caught off guard.

Converged Quality's predictive quality analytics allow users to spot care gaps early and act quickly to protect their scores. The software processes data 3-5 times faster than other solutions, with a forecasting accuracy of over 97% against CMS Ratings.

Designed to provide clarity and confidence, Converged Quality ensures reliable analytics and responsive support, helping health plans maintain high performance and revenue linked to HEDIS and Star Ratings.