For Health Plans
Close care gaps before they cost you
Medicare Advantage, Commercial, Medicaid managed care
HEDIS 2026 Season: Measurement year is underway — align your quality program now.Get started →
Built for every role on your team
From clinical leadership to IT — solutions for the problems that matter most.
CMO / Medical Director
The Problem
HEDIS scores stagnating while quality bonuses slip away. No visibility into real-time measure performance.
The Solution
Real-time dashboards showing measure performance across your population. Custom measure creation for proprietary quality programs.
Quality Director
The Problem
Manual HEDIS calculations consuming 40-60% of your team's time. Specs change, you start over.
The Solution
HEDIS measures auto-evaluated in <2 seconds (10 implemented, expanding to the full library). Care gap detection triggers same-day interventions.
CFO / Finance
The Problem
$500K-2M revenue loss per 1% HEDIS compliance gap. Revenue cycle and quality on separate platforms.
The Solution
$722K annual savings. Integrated revenue cycle (claims, remittance, price transparency) on the same platform.
IT / CTO
The Problem
EHR integrations taking 18-24 months. Security compliance is a manual process.
The Solution
90-day deployment via FHIR R4. CVE-remediated, ZAP-scanned, HIPAA engineered — not bolted on.
Modeled estimates. Calculate your own ROI →
Live Portal
See what your team sees
Role-specific views from our live Clinical Portal — not mockups.
CMO Dashboard
Executive Dashboard
Real-time quality KPIs and measure performance
Quality Measures
HEDIS measure library with compliance tracking
Quality Analyst
Measure Evaluation
One-click HEDIS measure evaluation
Evaluation Results
Pass/fail compliance scoring with drilldowns
Data Analyst
Risk Stratification
Population-level risk scoring and cohort analysis
Quality Constellation
Multi-dimensional measure visualization
Capabilities for health plans
The platform features most relevant to your organization.
Quality Measure Engine
10 HEDIS measures implemented, expanding to the full HEDIS 2026 library, with real-time CQL evaluation
Direct CQL execution on FHIR R4 resources. Under 2-second evaluation per patient. Population-level batch processing with 10 concurrent threads.
Care Gap Detection
Automated identification and closure workflows
Real-time detection as clinical events occur. Closure workflows for clinical teams. Patient engagement integration.
Revenue Cycle
Wave-1Claims, remittance, price transparency
Wave-1: claims processing, remittance reconciliation (ERA/835), price transparency APIs, ADT event handling.
Custom Measure Builder
NewCreate and deploy custom quality measures via UI
Health plans can build proprietary measures without engineering. 7 configurable metadata fields.
CMO Onboarding
NewDashboard workflows and acceptance playbooks
Structured evaluation-to-adoption path for health plan CMOs. Validation hooks at each milestone.
Return on Investment
Estimated financial impact for health plans.
Impact
$500K-2M per 1% HEDIS gap
Savings
$722K annual savings
Payback
22-day payback
Result
Estimated ROI
How we work together
From first call to production in 90 days.
30-minute call
Discovery
We learn your quality program, data landscape, and goals.
48 hours
Fit Assessment
Technical review of integration points and measure coverage.
Live deployment
90-Day Pilot
Production deployment with dedicated success team and weekly check-ins.
Ongoing
Partnership
Full platform access, priority support, and custom measure development.
Ready to get started?
See HDIM evaluated against your own data in a 30-minute live demo.
Schedule a Demo