qrcQuality®Our highly optimized quality measure application suite offers comprehensive calculation, analysis, and reporting capabilities for critical quality measure performance metrics. Seamlessly integrating with diverse data sources like EHRs, claims databases, and lab systems, our quality measure solution provides real-time insights into clinical quality, patient outcomes, and operational efficiency. By supporting certified industry-standard quality measure programs such as HEDIS and AMP, alongside customizable measures, the qrcQuality® product suite ensures compliance with ever-evolving specifications and facilitates data-driven decision-making. In the value-based care model, where reimbursement is tied to quality and patient outcomes rather than volume, our application enables healthcare providers to identify gaps, implement improvements, and ultimately enhance care delivery and patient satisfaction, leading to better health outcomes and optimized resource utilization.
qrcRisk®Our qrcRisk® CMS-HCC and HHS-HCC product suite of analytical tools is designed to optimize risk adjustment and ensure compliance by focusing on the accurate recapture of Hierarchical Condition Category (HCC) codes. Targeted for organizations either transitioning to value-based care or already taking on risk, qrcRisk® integrates seamlessly with existing EHRs and claims databases to calculate Hierarchical Condition Category (HCC) scores and apply analytics to critical Key Performance Indicators such as missed opportunities, recapture rates, Annual Wellness visit rates, and potential compliance issues. By identifying high-risk patients and predicting future healthcare needs, it enables providers to tailor interventions, optimize resource allocation, and improve care coordination. As value-based care models emphasize outcomes and cost-efficiency, the CMS-HCC risk application suite is crucial for aligning care strategies with financial incentives, enhancing patient care quality, reducing unnecessary expenditures, and ensuring compliance with regulatory requirements, ultimately driving better health outcomes and financial performance.
qrcCareGaps®Our gaps-in-care application suite is a comprehensive solution designed to optimize care delivery in the value-based care landscape. By identifying gaps in care, such as missed screenings or unmanaged chronic conditions, it enables proactive intervention and targeted care management. This is crucial for value-based care, where reimbursement is tied to health outcomes and cost efficiency. The suite empowers providers to improve patient outcomes, enhance care coordination, reduce healthcare costs, and ensure compliance with regulatory standards, driving the successful adoption of value-based care models.
qrcCore®Our highly-optimized clinical data repository consolidates and organizes patient data from various sources, such as EHRs, lab results, and claims streams. It allows clients to efficiently and effectively collect data from various sources and transform it into useful information to drive strategic population health management goals.
- Highly configurable and capable of processing millions of lives within minutes.
- Highly optimized design allowing for rapid calculation of complex measures and patient risk adjustment factors (i.e., CMS HCC).
- High-performance capabilities support proactive, predictive, and prospective reporting for management decisions.
- Well-defined application data interfaces allow for rapid implementations involving disparate technology systems.
In the transition to value-based care, the qrcCore® clinical data repository is essential as it provides the foundation for tracking quality measures, identifying care gaps, and performing advanced analytics. By offering a holistic view of patient health and facilitating data-driven insights, it empowers healthcare providers to deliver more effective, efficient, and personalized care, ultimately improving patient outcomes and aligning with value-based care objectives.
Interested in learning more about our products?
Explore our healthcare analytics products to see how they transform data into actionable insights, empowering organizations to optimize care, manage risks, and drive informed decision-making.
