International Journal on Science and Technology

E-ISSN: 2229-7677     Impact Factor: 9.88

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

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Leveraging Business Intelligence for HEDIS Compliance and Value-Based Care Excellence

Author(s) Satya Manesh Veerapaneni
Country United States
Abstract This article explores how business intelligence (BI) solutions are transforming healthcare compliancetracking in the era of value-based care. As healthcare organizations face mounting pressure to demonstratequality through HEDIS measures and CMS Star Ratings, traditional manual approaches to compliance havebecome increasingly burdensome and ineffective. BI technologies address these challenges throughautomated data integration, real-time gap analysis, centralized performance dashboards, and streamlinedpayer-provider data exchange. The implementation of these solutions requires careful consideration of datagovernance frameworks, measure specification management, clinical workflow integration, cross-functional team involvement, and validation protocols. Organizations that successfully implement BI-driven compliance automation experience significant improvements in administrative efficiency, qualityperformance, financial outcomes, and provider engagement, positioning themselves for sustainable successin value-based care arrangements.
Keywords Business Intelligence, Compliance Automation, Data Governance, Hedis Measures, Value-Based care
Field Computer
Published In Volume 16, Issue 1, January-March 2025
Published On 2025-03-28
Cite This Leveraging Business Intelligence for HEDIS Compliance and Value-Based Care Excellence - Satya Manesh Veerapaneni - IJSAT Volume 16, Issue 1, January-March 2025. DOI 10.71097/IJSAT.v16.i1.2783
DOI https://doi.org/10.71097/IJSAT.v16.i1.2783
Short DOI https://doi.org/g896f3

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