Perform+ Regulatory
Streamlines healthcare compliance with automated workflows, enhancing provider engagement and improving HEDIS scores.
Overview
Perform+ Regulatory is designed to streamline quality reporting and compliance for healthcare organizations. It enhances provider engagement and aims to improve HEDIS scores through the use of advanced analytics, real-time compliance updates, and highly configurable automated workflows.
This platform empowers quality and care management teams by enabling them to prioritize gap closure, streamline processes, and optimize performance across various regulatory programs. The solution offers a range of features including a measure engine, medical record review, submission capabilities, and analytics and reporting tools.
In a case study, Perform+ Regulatory helped a leading health plan to modernize their member portal, serving over 3 million members with 100% automation of API testing and addressing over 800 incidents annually. This resulted in a patient-centric ecosystem.
The platform also provides insights into navigating changes in healthcare regulations, such as the proposed new measures and retirements for MY 2026. It leverages advanced analytics and AI/ML to drive quality scores across various healthcare programs, offering innovative solutions for healthcare transformation.
Additional offerings include Perform+ RealSight for comprehensive data and analytics, Perform+ Contracts for contract management and compliance, Perform+ Stars for boosting CMS Star ratings, and Perform+ DataScale for building a robust, scalable data strategy.
