Decoding Digital HEDIS^®: An Interview with Rob Reynolds

By 2030, digital quality and HEDIS^® reporting will not be optional. This NCQA-led shift to Digital HEDIS is just one of several major transformations reshaping healthcare technology. Today US Payers are being asked to do more with less. They are navigating limited technical resources, tight budgets, regulatory mandates, and growing demands like the push towards value-based care, technical requirements of the CMS 0057-F Final Rule and the Prior Authorization pledge.

Approaching healthcare modernization in a fragmented way, leads to continually siloed systems that are expensive and inefficient. An intelligent solution strategy starts with a single FHIR^® and CQL (open standards) based data engine that powers the technical ecosystem.

With it, what feels like competing priorities: mega-volume data ingestion, quality measurement, prior authorization, care gaps analytics, compliance, use the same unified, high-quality trusted data repository. As such solving one problem, accelerates progress on the others. 

Many Payers have asked us why they should start phased implementations for Digital HEDIS today, and not wait a few years.

In this interview our Director of Healthcare Standards, Rob Reynolds lays out the tangible benefits of implementing a unified FHIR + CQL engine, so that Payers can act early to realize the benefits of intelligent high quality data sooner, while also addressing other requirements.