End-to-end quality improvement
Our HIPAA-compliant AI models are trained on billions of proprietary clinical data points & are purpose-built for the unique demands of quality improvement.
Platform capabilities
End manual chart abstraction for supplemental data submissions
Stop losing thousands of FTE hours to manual chart abstraction for supplemental data submissions. Our AI agents automatically ingest complex measure specifications (MIPS, HEDIS) and parse both structured and unstructured EMR data - eliminating the manual hunt through dense PDFs.
- ✓ Automated MIPS & HEDIS data ingestion
- ✓ Structured & unstructured EMR parsing
- ✓ Seamless supplemental data submissions
- ✓ Frees staff for proactive care, not data entry
Epic · eCW · Athena ·
Faxes · Notes · PDFs
Payer · Clearinghouse
Identify rising-risk patients before they hit the ER
Lower the Total Cost of Care by identifying “rising-risk” patients early and use longitudinal tracking to prevent costly patient leakage and unnecessary high-acuity utilization.
- ✓ Predictive no-show & scheduling optimization
- ✓ Rising-risk patient identification
- ✓ Longitudinal care pathway tracking
- ✓ Total Cost of Care reduction modeling
Turn quality documentation
into captured P&L
Underreported measures and missed documentation silently leak 6–12% of eligible value-based revenue each year. Quality Health processes the full specification of every MIPS and HEDIS measure against your unstructured clinical record — converting earned-but-unreported performance into captured revenue, without adding FTEs or retroactive chart chases.
- ✓ Quality bonus & shared savings revenue recovery
- ✓ Reduction in chart abstraction & QA labor hours
- ✓ Audit-ready evidence trail for every measure numerator
- ✓ Accelerated payback on MSSP & MA Stars contracts
Move from retrospective reporting to real-time action
Our AI continuously analyzes clinical notes and operational data against established guidelines, instantly surfacing root causes so your staff can ensure no patient falls through the cracks. We multiply your team’s output, empowering them to focus on proactive care gap closure rather than retrospective data entry.
- ✓ Real-time HEDIS & MIPS gap monitoring
- ✓ NLP extraction from unstructured clinical notes
- ✓ Automated staff workflow triggers
- ✓ Evidence-of-care detection in existing records