ELEVATE! Quality Insights®

Advantmed’s cloud-based software containing NCQA-certified HEDIS® measures

The quality optimization process begins when ELEVATE! Quality Insights® calculates all HEDIS® administrative measures as well as systematic hybrid samples for all hybrid-eligible measures included in NCQA’s Technical Specifications.

ELEVATE! Quality Insights also identifies service gaps for all product lines, including Medicare, Medicaid and Health Insurance Exchange plans. Uniquely, our ELEVATE! Healthcare™ platform builds off of the information produced by our HEDIS measures or output from other HEDIS reporting tools.

Advantmed incorporates ELEVATE! Quality Insights into our ELEVATE! Healthcare platform providing ongoing insights to understand the drivers of quality. ELEVATE! Quality Insights also provides the ability to take action through an optimal combination of services such as medical record retrieval, HEDIS abstraction by clinical reviewers, identification of documentation/service gaps as well as member and provider engagement services to close gaps.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

ELEVATE! Quality Insights Features and Benefits:

Easy to Trust

ELEVATE! Quality Insights has been NCQA-certified every year since 2007.

Easy to See

ELEVATE! Quality Insights provides reports, charts and graphs depicting HEDIS scores and measure ratings, population selection, as well as member positive/negative numerators, denominators and exclusions.

Easy to Research

ELEVATE! Quality Insights presents drill-down functionality to any of the provider, reviewer, member and qualifying event levels, providing insights into the drivers of results and key information to support quality improvement activities.

Easy to Monitor

ELEVATE! Quality Insights handles everything necessary for annual submission of HEDIS/QRS results, but the product is also run monthly to monitor the progress of quality improvement activities.

Easy to Integrate

ELEVATE! Quality Insights, which is integrated into Advantmed’s ELEVATE! health information management platform to provide transparency into the status and progress of all quality measurement and improvement activities, presents drill-down functionality to any of the provider, whether statistical sampling for hybrid-eligible measures or member engagement focused on closing service gaps.

In addition, during the review process, ELEVATE! Quality Insights® allows management to track reviewer progress, compare results between reviewers and measures, as well as monitor the changes to the HEDIS numerators, denominators and exclusions through review…all in real-time, as review happens.

Easy to Report

ELEVATE! Quality Insights handles all of the preparation for submitting patient-level and summary-level data to NCQA’s Interactive Data Submission System (IDSS).

Easy to Afford

ELEVATE! Quality Insights prices at or below the majority of HEDIS products and services offered by the competition.

Summary of ELEVATE! Quality, Advantmed's end-to-end quality measurement and improvement solution

  • Fully managed import of all key health plan data
  • Produce all HEDIS measures
  • Produce statistical samples for hybrid-eligible measures
  • Specify chase logic for prioritization of medical record retrieval
  • Record retrieval services
  • Medical record review services
  • Support submission of IDSS
  • Substantiate MRRV
  • Identify service gaps from selected measures
  • Monitor progress of HEDIS project and quality improvement activities through monthly runs
  • Member engagement services to close gaps
  • Continuous Quality Optimization programs
  • Clinical abstraction service

Download our ELEVATE! Quality Insights® brochure