Quality teams face challenges not because data isn’t shared, but because it's not 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.

Learning Objectives:

• Explain why digitally transmitted data often fail NCQA HEDIS® usability requirements.
• Describe how digital provider workflows can enforce measure-aligned documentation at the point of care.
• Understand how to reduce reliance on retrospective chart review by shifting validation earlier in the process.
• Assess the impact of workflow-embedded validation on provider engagement and quality operations.