Digital Quality Measures (dQMs) are coming fast—but most health plan IT teams still live in a hybrid world. You’re responsible for supporting current HEDIS® and CMS STARS engines while preparing for FHIR®, CQL, and the next generation of measurement.
This doesn’t have to be an either/or problem.
With CareEvolution®, IT teams can clean and enrich existing data pipelines to boost current STARS performance—and build the foundation for a scalable, standards-based digital quality future.
The challenge: Dirty data, disconnected systems, and digital pressure
Legacy quality programs often rely on fragmented data, patchwork ingestion, and extensive manual abstraction. This leads to:
- Gaps in care that don’t close fast enough
- Poor data quality feeding CMS STARS engines
- Inaccurate or incomplete HEDIS submissions
- Limited visibility for clinical or member outreach teams
- Paralysis around when and how to start adopting dQMs
You need a way to improve today’s data and prepare for tomorrow’s standards—without overhauling everything at once.
The CareEvolution approach: Clean, enrich, and enable
CareEvolution helps IT teams modernize quality infrastructure by providing a platform that can run in parallel with existing programs. It lets you clean and enrich the data you already have—while enabling a standards-based architecture for digital quality measures.
Real-world benefits for IT teams
- Fix dirty data now: Improve the quality and completeness of the data feeding your existing CMS STARS engine.
- Prepare for dQMs without replacing your infrastructure: CareEvolution works alongside what you already have.
- Power real-time interventions: Support your quality team’s member outreach and provider alignment efforts.
- Own your migration timeline: Test and deploy dQMs in parallel while continuing to meet regulatory and performance requirements.
Final thought: Quality is a data problem first
You don’t need to rip and replace. You need to clean and connect.
CareEvolution gives IT teams the tools to modernize data pipelines, enrich clinical content, and enable the transition to dQMs—while boosting performance in the programs you’re accountable for right now.
The best time to fix your data was last year.
The second-best time is before the next measurement period.