Quality teams don’t struggle because data isn’t exchanged—they struggle because it isn’t usable for NCQA HEDIS® measurement. This session shows how embedding measure aligned validation into provider workflows transforms quality reporting from retrospective cleanup to proactive execution. Through Humana’s shift from paper-based processes to digital quality validation, attendees will learn how provider centric workflows improve documentation quality, reduce administrative burden, and support scalable NCQA aligned reporting.

Key Takeaways:

• Embed NCQA aligned quality requirements into provider facing workflows.
• Improve HEDIS® documentation quality without adding provider burden.
• Increase provider participation through streamlined, multi payer digital experiences.
• Support audit ready, scalable quality reporting through workflow design—not manual abstraction.