Pregio Healthcare Solutions is a proud provider of consulting services for Health and Quality Management Department of Blue Cross and Blue Shield of Louisiana (BCBSLA) in the area of HEDIS Gap Closure Estimates and Assessment. Our experts are dedicated to build a better business case for the health plans in addressing HEDIS measure improvements for their clients.

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Pregio Healthcare Solutions compiled evidence and reviewed literature from across the nation to support a comprehensive Quality Management Initiative (QMI) for health plans that is similar to CMS's Five-Star Quality Rating System. Pregio’s QMI includes the followings:

• Review health plan’s current performance in select HEDIS measures 

• Develop 3- to 5-year goals for improvement on each key HEDIS measure, and

• Provide measure-specific recommendations for health plan’s clients allowing direct financial impact on claims reimbursed by health plan.

Pregio Healthcare solutions also delivers the followings:

• Economic analysis of on key HEDIS measures

• Prepare supporting evidence for Value Based Purchasing Contracts by health plans in the areas of select HEDIS measures.

• Assess economic Implications of VBP Contracts on patients, providers, and health plans

Our economic analysis and evaluation conform to the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) and the Quality of Health Economic Studies instrument standards recommended for cost-effectiveness analyses of U.S. guidelines.