Achieving Excellence in Healthcare Management
Empowering Health Plans In
Today’s Healthcare Landscape
Hexplora’s analytics platform empowers health plans to navigate the complexities of modern healthcare. We prioritize member well-being through cost-effective care models, ensure regulatory compliance, and facilitate targeted interventions for improved outcomes. Our solution fosters collaboration with providers, promotes accountable care, and enhances member engagement for better health outcomes and satisfaction.
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Key Capabilities
Hexplora At A Glance
Being officially HEDIS certified, Hexplora is a trusted advisor for health plans on the accuracy
of quality measure rates and care gaps. Our experts work hand-in-hand with health plans to ensure
integrity and engage providers in compliance with quality measures.
of quality measure rates and care gaps. Our experts work hand-in-hand with health plans to ensure
integrity and engage providers in compliance with quality measures.
Our quality reporting solution allows health plans to track performance measurement of Quality
Measures across Commercial, Medicare, and Medicaid lines of business, including HEDIS, STARs,
and state-specific Medicaid measures.
Measures across Commercial, Medicare, and Medicaid lines of business, including HEDIS, STARs,
and state-specific Medicaid measures.
HEX enterprise data warehouse (EDW)
This robust data repository integrates information across all healthcare domains, ensuring a comprehensive and standardized foundation for analysis. A detailed data dictionary further enhances accessibility and understanding.
HEX population health management (PHM)
HEX PHM empowers you to actively manage specific diseases within your population. Its customizable attributes allow for targeted interventions and program optimization, leading to improved population health outcomes.
HEX quality analytics
Gain a complete view (360°) of quality metrics down to the member level. HEX quality analytics helps identify care gaps and streamlines workflows to improve quality measure performance.
HEX predictive analytics
Leveraging the power of the medicare HCC model, HEX predictive analytics provides disease identification, stratification, and trend analysis. Additionally, it offers risk scores, expenditure forecasts, and more, enabling proactive healthcare planning.
HEX care management
Optimize clinical outcomes for value-based care with HEX care management. This module empowers physicians and care managers to address patient-specific intervention opportunities, care gaps, and quality gaps, ensuring optimal patient care.
HEX provider engagement
Foster collaboration and transparency with HEX provider engagement. This solution facilitates individual physician engagement with provider-specific interventions, while also providing visibility into overall healthcare cost and utilization metrics.
