Transcript

Health plans typically reimburse providers based on the service provided. This misses out on the quality of care and services that a member receives. To mitigate this, National Committee of Quality Assurance has come up with a set of metrics called HEDIS measures. These measures focus on the quality of care that a member receives. Perform Plus is a proprietary tool created by CTS Tech that enables health plans to submit these HEDIS measures annually to NCQA. These measures focus on the quality of care. That is received by a member. Perform Plus OAS has about 475 prebuilt measures that can be customized by a health plan based on their requirements. I am responsible for governing all the Perform Plus engagements across the HDHP market. To summarize. Heat is measures are crucial for a health plan since they are reimbursed by government agencies like Medicare and Medicaid based on the quality of care that is provided to members. These also help health plans to attract and retain new members and also to ensure that they are. Competitively better than other plants in the market.