Advantmed Launches Pay for Quality HEDIS Abstraction Solution

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Advantmed, a leading provider of healthcare quality and risk adjustment solutions, has announced the launch of its new "Pay for Quality" solution, which the company claims is the industry's first HEDIS abstraction offering. The new solution is designed to help health plans improve their quality metrics and increase reimbursement by automating the HEDIS data abstraction process.

Why it matters

HEDIS (Healthcare Effectiveness Data and Information Set) is a widely used set of performance measures in the healthcare industry that evaluate a health plan's clinical quality and service. By automating the HEDIS data abstraction process, Advantmed's new solution aims to help health plans streamline their quality reporting and maximize their reimbursement from government and commercial payers.

The details

Advantmed's Pay for Quality solution leverages artificial intelligence and machine learning to extract HEDIS data from medical records, reducing the manual effort required. The company says this can lead to improved accuracy, faster turnaround times, and lower costs for health plans. The solution also provides analytics and reporting capabilities to help plans identify areas for improvement and track their performance over time.

• Advantmed announced the launch of the Pay for Quality solution on March 5, 2026.

What’s next

Advantmed plans to showcase the Pay for Quality solution at upcoming industry events and conferences to promote its benefits to health plans.