Astrata Blog Posts
Take Prospective HEDIS to the next level with an effective leads program
For those Health Plans that are already implementing a prospective, measurement-year program to close HEDIS gaps across your populations – know that you are taking one of the most important first steps towards Digital Quality, by realigning your workforce to a...
Six Reasons to Start Your Digital Transformation with Prospective HEDIS® Review
Navigating the transition to Digital Quality is like crossing a fast-moving stream. You want to get across without falling in and getting washed away! You may not know how long it will take to get across, but you don’t want to be stuck on the shore when the water...
Tackling Prospective HEDIS Review – Tips and Tricks
Many payers are either experimenting with or fully implementing a prospective HEDIS review process. If you're looking for strategies to optimize your prospective review, these ten tips and tricks will help you derive maximal value. Many payers are either experimenting...
Unstructured Data and Health Care Transformation
Last year ChatGPT exploded on to the scene, kicking off a flurry of technology development with impact across many industries. The technology underlying ChatGPT (known as large language models or LLMs) has actually been around and evolving for several years. And these...
Why NLP should be part of the Digital Quality transformation
This month's blog talks about the importance of unstructured data to achieving digital quality. Unstructured data is clinically valuable and likely here to stay, and NLP can help us embrace it to improve quality. The journey to digital quality is first and foremost a...
Why 2023 will be the watershed year for Health Plan Quality teams transitioning to Digital Quality
This month we are going to discuss what it takes to stand up a digital quality program. Most health plans are somewhere on this transformative journey, either in the planning stages or starting to experiment with potential models. If you are one of these health plans,...
Data Quality Primer
In this installment of our monthly series, we’ll dig into the problem of data quality. It’s not all doom and gloom. With some planning, you can get the most out of your NLP vendor while paving a path to higher-quality data across your entire organization. This blog...
Astrata’s First Patent: Abstracting Information from Patient Medical Records
Last month, the US Patent Office granted Astrata's first patent, Abstracting Information from Patient Medical Records, US 11,315,668 B2. This patent describes the Natural Language Processing innovations that power Astrata's Chart Review. This NLP technology surfaces...
Why your Risk Adjustment NLP engine won’t cut it for Quality Measurement
One NLP engine to rule them all? Astrata's president explains why it's not that simple, how an NLP engine optimized for Risk Adjustment can let Quality gaps slip through the system, and why we need robust new technologies that can make Quality an equal player in...
Real World NLP Validation for Quality Measurement
NLP is gaining traction in both payer and provider markets because it can markedly reduce the extraordinary labor costs associated with measuring healthcare quality. I’m often asked about how we validate our NLP systems for measuring quality for programs like HEDIS®...
Catch a Falling Star
From Astrata's Data Science DeskMany health plans could lose Star ratings soon due to a new cutoff-point calculation method. Find out if your plan is at risk, and how you can adapt.Starting with data from measurement year 2022, a proposed change to the way CMS...
Transforming your Quality operations with clinical data
Astrata's Quality consulting services can help guide your organization through the strategy development process.It all begins with data. If you’re a Health Plan on the journey to quality measurement and intervention across your entire population, the first hill you’ll...
Empower Your Providers, Raise Your Rates
What if you could automatically read every member’s chart and pinpoint gaps that are truly open, where providers need to intervene? Astrata's NLP technology can!Empowering your providers to raise their clinical quality rates is an important step in the journey to...
Faster and Better Intervention for OMW and Similar Measures
Every HEDIS measure is different. And in a subset of HEDIS measures, we know that time is of the essence. For example, the Osteoporosis Measure in Women (OMW) has been a particularly difficult measure for most health plans to improve on. Astrata's Monitor product can...
Proving It: How Astrata Evaluates and Improves NLP Accuracy
If you’re evaluating NLP vendors, you’ll want to ask how your vendor evaluates and improves NLP accuracy. With over a decade of experience developing NLP systems for clinical environments, Astrata's NLP teams understand that the value of NLP to your Quality operations...
Year Round Prospective HEDIS® With Astrata
Instead of spending most of their time reviewing thousands of negative cases, your abstractors can spend almost all of their time closing gaps.Is your organization contemplating the move to prospective, year-round HEDIS on hybrid measures during the off-season? If so,...
Six Capabilities that Make Astrata NLP Different
If your healthcare organization is looking at Natural Language Processing (NLP) vendors to help you transform your HEDIS operations, you’ll want to benchmark them against these six NLP capabilities that will make or break your HEDIS transformation. How well does your...
