Increasingly, Health Plans are reliant on data to better identify high-risk members, manage their care and improve member satisfaction and outcomes.
We are the largest public health information exchange (HIE) in the nation, maintaining data of over 17 million patients in New York City and Long Island.
We deliver actionable patient data, in real time, to help:
Healthix delivers clinical event notifications for admisions and discharges at emergency rooms, hospital inpatient units and nursing facilities – as well as incarceration and release from the New York City Correctional Health Services.
By adding a members’ clinical data to the health risk assessment or claim history, Healthix will deliver a more complete picture of new members who may require care management.
Healthix delivers current and historical patient data:
Healthix supports compliance with HEDIS and New York State’s Quality Assurance Reporting Requirements (QARR) since it is a repository for data metrics received from hundreds of health systems, hospitals and providers. Results from HEDIS data collection serve as measurements for quality improvement processes and preventive care programs and may qualify for incentives.
Labor-intensive manual chart reviews used to be a necessity for compliance. We help lighten the load by delivering timely documentation of lab tests, diagnoses and other procedures and treatments required for HEDIS and QARR reporting.
Healthix helps Health Plans obtain better documentation of tests and treatments to enhance HEDIS and QARR measures and support accurate risk scores.
We are a member of SHIEC, the Strategic Health Information Exchange Collaborative, a not-for-profit industry trade association that includes 34 state and regional HIEs, spanning the nation from Vermont to California, that maintain health data of over 110 million people SHIEC seeks to partner with Health Plans to provide consistent access to data and reduce the number of connections needed to access data across HIEs.