Empowering Healthcare with Data-Informed Insights
At Health Data Decisions, we harness the power of precise data analysis to empower healthcare providers with actionable insights that drive superior patient care and operational excellence.
At a Glance
Transforming Healthcare with Data-Driven Insights
Discover the future of healthcare analytics with Health Data Decisions. Specializing in strategic data solutions, we empower health plans, providers, and vendors to navigate the complexities of data management, medical economics, risk adjustment, HEDIS®, CMS 5-Star®, and more.
At HDD, we are dedicated to enhancing healthcare through data-informed insights. Our meticulous data collection, synthesis, validation, and analysis deliver actionable strategies for healthcare payers, providers, and vendors. With a commitment to precision and excellence, we optimize operations, elevate patient care, and achieve superior health outcomes. Partner with us to transform data into impactful health solutions and lead the way in healthcare innovation.
Our Solutions Include:
-
HEDIS® and CMS 5-Star® Optimization: Elevate your quality ratings and reimbursement with expert-driven performance enhancement strategies.
-
Medicare Advantage Revenue Optimization: Maximize revenue with precision in risk adjustment and data accuracy.
-
Advanced Analytics and Predictive Modeling: Unlock actionable insights and drive informed decision-making with cutting-edge analytics.
-
Clinical Outcomes and Program Evaluation: Assess and elevate the effectiveness of your healthcare programs and interventions.
-
Patient-Centered Medical Home (PCMH) Programs: Revolutionize care coordination with support in developing and implementing PCMH models.
-
Behavioral Health System Development: Create robust systems for managing and analyzing behavioral health data with comprehensive solutions.
-
Clinical Registry Data Standards: Set the standard with database application design and data standards for clinical registries.
-
Health Risk Assessment (HRA) Implementation: Assess health risks and depression severity with the implementation of HRA and PHQ9 tools.
-
Integration of Clinical Grouping Tools: Integrating tools like ETG, DCG, ACG, CRG, and DRG enhances patient grouping and analysis.
-
Data Governance and Best Practices: Safeguard the integrity and security of your healthcare data with governance and best practice solutions.
At HDD, we're not just about data; we're about driving meaningful improvements in healthcare quality, patient outcomes, and operational efficiency. Partner with us and embark on a journey to transform your organization with data-driven success.
Services
Medicare Advantage Risk Score Verification
Service ensures the accuracy and integrity of risk scores. By thoroughly validating and verifying risk adjustment data, this service helps Medicare Advantage plans maintain compliance and optimize financial performance. It provides detailed insights into data quality, identifies discrepancies, and supports corrective actions to enhance overall program effectiveness.
Rapid Risk Adjustment Assessment
Service offers a swift and comprehensive evaluation of risk adjustment processes. This service identifies areas for improvement, ensuring accurate and compliant risk scores. It provides actionable insights to optimize risk adjustment strategies, enhance data quality, and improve overall financial performance.
Prospective Risk Adjustment Suspecting
Service helps organizations proactively identify and address risk adjustment opportunities. This service uses advanced analytics to pinpoint potential risk factors, enabling early intervention and accurate documentation. By focusing on prospective data, it supports effective risk adjustment strategies and enhances overall program performance.
FHIR Drill Acceleration Program
Helps organizations navigate the complexities of FHIR adoption, enabling them to start small and scale efficiently. It offers support in data extraction, validation, integration, and ROI evaluation, all while ensuring minimal technical overhead. This service guides organizations through their first bulk data requests and simplifies the use of CQL and SNOMED codes for quality improvement and risk adjustment.
Risk Score Accuracy
This service ensures the precision and reliability of risk scores used in risk adjustment programs. It thoroughly validates and audits risk adjustment data identifies discrepancies and implements corrective measures. By maintaining high data accuracy, it supports compliance and optimizes financial outcomes for health plans.
OIG Audit Exposure Accelerator
Program helps organizations proactively manage and mitigate risks related to Office of Inspector General (OIG) audits. This service offers a thorough assessment of audit readiness, identifies potential vulnerabilities, and provides actionable strategies to ensure compliance and minimize audit exposure. By leveraging expert insights, organizations can strengthen their risk management processes and safeguard against regulatory challenges.