Over 90% of health plans use HEDIS data to measure plan quality and clinical performance. It’s the most important tool plans have that measures clinical performance and plan quality. HEDIS scores influence not only plan accreditation, but also Star Ratings.
Health education influences measures in six of eight domains where HEDIS collects data annually.
This white paper discusses how health education can be delivered more effectively through Krames programs and delivery tools that proactively motivate members in their health journeys. These can be used by health plans to improve scores at all risk levels via member and family-centric programs such as 1:1 care management and member experience.