Digital Quality Dispatch: May
Astrata, Inc
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News and Awards
Astrata named as recipient of the KLAS Payer/Provider Points of Light Award
Astrata?has been named a recipient of the?KLAS Payer/Provider Points of Light Award?in collaboration with AmeriHealth Caritas, ELLKAY and Prospect Medical Holdings, Inc for its work in Closing Care Gaps for Healthcare Effectiveness Data and Information Set(HEDIS)Measures through Natural Language Processing (NLP).
The Points of Light Awards celebrate success stories—or Points of Light—from payers, providers and healthcare technology companies that work collaboratively to align care delivery with health plan sponsor initiatives to reduce inefficiencies and improve the patient experience.
“We are delighted that KLAS Research honored Astrata with this award, recognizing our success in the payer/provider initiative to support health plans’ quality programs.” said President of Astrata,?Rebecca Jacobson, “We continue to enable organizations to move to continuous prospective HEDIS by increasing efficiency in identifying care gaps, allowing for fewer cases that need to be manually reviewed and providing better patient/member care.”
Astrata offers a proven, HITRUST certified solution to impact payers’ quality reporting, reducing provider abrasion and improving patient care and outcomes. This acknowledgment from KLAS is a testament to the value that Astrata is delivering to healthcare quality as it continues to focus on accelerating value-based care.
This program was the result of Prospect Medical Holdings and AmeriHealth Caritas collaborating to “ensure that patient compliance with Medicaid measures was accurately measured, recorded, and reported to the state. Provider and payer organizations need accurate measurements to improve patient/member care, reduce the provider administrative burden, and produce more accurate data for HEDIS reporting. Standard industry practices rely primarily on claims data to close HEDIS gaps. However, because clinicians often use free-text clinical notes to document compliance, structured claims data alone does not provide a complete picture of a member population’s compliance with Medicaid measures. As National Committee for Quality Assurance (NCQA) moves toward digital measures, payer and provider organizations are at risk of significantly underestimating their HEDIS compliance.” as noted in the case study.
Key outcomes from the collaboration include:
Astrata and AmeriHealth Caritas are continuing to work together to review opportunities to expand the program.
Vandna Bhrany, VP HEDIS Strategy & Analytics at AmeriHealth Caritas stated, “Moving to a year-round HEDIS program is a fundamental shift that supports better population health and helps us achieve value-based care goals. An underlying NLP platform is an essential element of scaling the work.?We are delighted to receive this Points of Light award with our collaborators from Prospect Medical Holdings, Astrata, and ELLKAY.”
Patricia Warble, Senior Director at Prospect Medical Holdings, went on to say,?“This collaborative effort generated increased opportunities for quality improvements by providing a more complete picture of compliance.? Reducing burden for our providers is a key goal of this project.”
The recognition of Astrata with a 2024 KLAS Points of Light Award highlights the transformative potential of collaboration. ?Solutions that enable providers and payers to have clear insight into care gaps can drive greater improvements in patient outcomes. Additional value is found in the reduction in redocumentation efforts for closing care gaps and manual record requests from health plans. Astrata’s innovative approach empowers organizations to move from a retrospective HEDIS approach to a prospective HEDIS strategy. This allows for payers, providers, and patients to work in concert to identify and close gaps in care that affect patient outcomes within the measurement year.
Astrata named winner of KLAS Research K2 Peak Award
Astrata, Inc in partnership with AmeriHealth Caritas, Prospect Medical Holdings, Inc. and ELLKAY have won a KLAS Research K2 Peak Award for their successful payer-provider collaboration. The team was selected out of 16 other Points of Light collaborations by the participants at KLAS’ K2 Summit.
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“I congratulate the newest winners of the K2 Peak Award for outstanding payer-provider collaboration. This recognition serves as a testament to the remarkable possibilities that emerge when healthcare executives and their partners unite with a shared goal of enhancing healthcare outcomes while driving efficiency. We are honored to acknowledge their accomplishments and anticipate that their pioneering efforts will motivate others to emulate their success.” – Adam Gale, CEO of KLAS.
Meet the team at RISE Qualipalooza
We will be sponsoring RISE Qualipalooza next week and look forward to connecting with all of our quality friends there! Come by booth #214 to learn more about our most recent product advances.
We are pleased to also be sponsoring a networking event from 6:30 to 9:00 on Monday, June 3 at STATS Brewpub. Get out and join us for a cold one and some tasty eats after a day at the conference. Registration encouraged: RSVP here
Chalk Talk Returns in June
Keep an eye out for the return of Chalk Talk. Knowing that all of our quality folks were heads down through HEDIS season we took a bit of a break so you wouldn't miss out on our content. But now that the season is wrapping up we have been back in the studio producing the next video in the series. While you wait for new episodes you can watch (or rewatch) previous episodes on YouTube or Vimeo
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