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The following article by Verscend President and CEO Dr. Emad Rizk was originally published by the HFM blog, a publication of the Healthcare Financial Management Association.
As payments become more closely aligned with quality metrics in preparation for a value-based healthcare system, quality measurement and reporting will take on greater importance for healthcare organizations. What used to be an annual check-the-box process for health plans has evolved into a year-round strategic initiative. Meanwhile, providers are being asked to master a new skillset: reporting on quality metrics across their patient panels.
Health plans achieve five-star ratings because they excel at delivering the experience their members deserve and desire—something that providers know well. As healthcare continues to evolve, the best quality improvement approaches will be those based on informed collaboration and best practices learned from both sides of the healthcare equation.
Interested in a deep look at how one health plan works with providers to improve quality year-round? Check out our case study on planting the seeds for measurable quality improvement across CareOregon’s population.