QUALITY MANAGEMENT

Ensuring tangible improvement in quality of care for members

Building next-gen quality improvement programs

Quality-mgmt

REPORT

Unveiling industry insights - Analyzing trends within 2025 Star Ratings  

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REPORT

CitiusTech Named a Leader and a Star Performer in Everest Group’s Payer Digital Services PEAK Matrix® Assessment 2023

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NEWS

Santa Clara Family Health Plan Selects CitiusTech’s SCORE+ Platform for HEDIS 2020 Submission

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REPORT

Unveiling industry insights: Analysing trends within 2024 Stars Ratings

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QUALITY MANAGEMENT

Improving quality of care by collating, interpreting, and influencing quality measures

Tackle the rising cost of care by enabling precise performance measurement and quality establishment. Leverage CitiusTech’s PERFORM+ Suite to integrate data from diverse sources and efficiently manage it with a modern architecture. Design quality measures and create actionable insights, enhancing decision-making for members and Payers.

Data strategy

Data
strategy

Measure engine

HEDIS measure engine
(NCQA certified)

Quality analytics

Quality analytics with actionable insights

Integration with Providers and external entities

Integration with Providers and external entities

CONNECT WITH US

Ready to accelerate quality tracking and reporting?

Payer

features

Establishing impeccable quality backed by data

STAR ratings

Maximize HEDIS®/ STAR ratings

Establish cloud-enabled data architecture for diverse clinical data sources, enhancing quality measurement with robust supplemental pipelines and efficient governance mechanisms. 

Achieve Faster go-live

Achieve Faster go-live

Extract quality measurements on-demand with intuitive workflows and an NCQA-certified HEDIS measure engine (PERFORM+) with pre-built measures. 

Activate Comprehensive business intelligence

Activate Comprehensive business intelligence

Enable actionable insights through quality analytics, presenting data trends across defined parameters. Drill down to Provider/member levels to uncover gaps and drive actions for improved quality. 

Seamless integration

Seamless integration

Exchange member care gaps in real time with Providers and external entities to drive behavior change and influence gap closures. 

SUCCESS STORIES

Solving some of the greatest challenges in Healthcare

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Case Study

Implemented real-time HEDIS® engine to enhance Star ratings and improve care gaps

Implemented real-time HEDIS® engine on Azure cloud for a large Blue Plan from West to cater to various Quality and VBC programs for 1 MN people.

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PARTNERS

Creating an ecosystem of limitless possibilities

SERVICES

Shaping Healthcare possibilities with our expertise

Insights

Practical thought leadership on healthcare and technology

Unveiling industry insights: Analysing trends within 2024 Stars Ratings

Unveiling industry insights: Analysing trends within 2024 Stars Ratings

Unveiling industry insights - Analyzing trends within 2025 Star Ratings

Unveiling industry insights - Analyzing trends within 2025 Star Ratings