Close HEDIS® care gaps with complete clinical data. Direct from the EHR.
Moxe’s HEDIS solution goes beyond supplemental data
We help your plan modernize its entire quality data strategy as you make the transition to digital quality measures (dQM)
See how Moxe’s full HEDIS offering, including CCDAs, supplemental data, and normalization, positions your plan for both today’s hybrid measures and tomorrow’s fully digital quality landscape.
Build a HEDIS strategy to face today’s challenges and prepare for digital quality measures tomorrow
Retrospective HEDIS strategies are running out of runway. Claims data can’t close numerator gaps, EHR records are fragmented and inconsistent across vendors, and dQM is raising the cost of staying reactive. Moxe fixes this at the source by retrieving CCDAs and clinical data directly from the EHR, so your plan gets the structured data it needs, in the format it needs, without the burdensome manual chart chase.
Challenge:
Claims data isn't closing the gap
HEDIS measures require clinical evidence. Claims are transactional records. They were never built to prove a colonoscopy happened or a HbA1c was checked.
How Moxe can help
Moxe retrieves CCDAs and clinical documentation directly from the EHR source of truth, providing the evidence your analytics engine actually needs.
Challenge:
Member data is scattered across EHRs
Crucial member clinical records remain completely fragmented and buried across a vast, disconnected web of multi-vendor EHR platforms.
How Moxe can help
Moxe utilizes direct EHR source connections that expand far beyond your plan’s standard, custom-approved network connections.
Challenge:
Retrospective chase is a losing bet
Manual chart retrieval is slow, expensive, and happens after the measurement year is already closing. DQM only shortens that runway.
How Moxe can help
Moxe streamlines clinical data acquisition so you receive the precise data you need year-round.
Moxe’s HEDIS data aggregation workflow
A five-step process that transforms raw clinical records into analytics-ready datasets for HEDIS programs.
Payer submits chase list
Health plan provides member roster with HEDIS measure targets and open care gaps for the measurement year.
Moxe locates patients
Members are matched across Moxe’s EHR network, including Epic, Oracle, MEDITECH, and Greenway.
Charts and CCDs retrieved
Clinical documents retrieved directly from source EHR systems including encounter notes, CCDs, lab results, and unstructured records.
Data extracted & normalized
Key clinical elements extracted & standardized: CPT codes, ICD-10 diagnosis, LOINC tab values, dates of service, & patient demographics
Clean CSV delivered to payer
A structured, analytics-ready flat file is delivered directly into the payer’s existing HEDIS platform. No integration burden on the plan.
Equip your strategy: Explore our HEDIS insights
Explore our dedicated quality resources to see exactly how Moxe’s proactive, structured data solutions seamlessly enhance your existing analytics platforms.
Whitepaper
Stop the Retrospective HEDIS Scramble. Move to Real-Time Performance.
Discover how automated, EHR-sourced supplemental data closes care gaps year-round.
KLAS POINT OF LIGHT
Case Study: Proven strategies for boosting quality metrics.
How AmeriHealth saw a 2%-7% improvement in care-gap closure rates over 9 months.
Ready for more on Moxe?
Speak with one of our team members to learn more about how you can focus on driving better outcomes, not paperwork.
Schedule a Meeting