Digital Quality Measures: Health Plan Readiness Guide

2030 is the deadline. 2026 is the window.

CMS and NCQA have set a course toward a fully digital quality future. The plans that start pulling clinical data now (not in 2029) are the ones who won’t be scrambling when the requirement lands.

Six pages. One framework.
Zero last-minute scrambles in 2030.

Inside you will find:

  • Why platform investment alone can’t fix a data completeness problem
  • How EHR-neutral data access closes the long-tail EHR gap
  • A stage-by-stage view of what 2026–2030 actually requires

Get the full 2026 readiness guide

From Planning to Execution: A 2026 Guide to Digital Quality Readiness for Health Plans.

Readiness isn't a switch. It's a build-up.

Data connections, measure validation, and internal alignment take years to mature, which is what makes 2026 the year to operationalize.

2024–2025: Planning & pilots

Early evaluation of digital quality platforms and approach.

2026: Operationalization window

Establish data connections, validate measures, align teams. This is where the guide picks up.

You are here.

2027–2028: Scale & optimization

Expand connections across the provider network and refine measure logic.

2029–2030: Digital-only requirements

Traditional measurement approaches are phased out.

Streamlining Clinical Data Exchange

Smarter data, better outcomes

Discover how Moxe’s Best in KLAS Payer-Provider Data Exchange is revolutionizing healthcare by tackling administrative waste and transforming clinical data exchange. We unite payers, providers, and partners with smarter interoperability for better outcomes and reduced costs.

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