As we celebrate Breast Cancer Awareness Month, health plans have a unique opportunity to not only raise awareness but also take concrete steps to improve the quality of care for their members. By leveraging clinical insights in conjunction with BSC-E, health plans can make a significant impact on their Star Ratings and overall population health. Here's how Reveleer's powerful platform can help:

Integrate Clinical Data and Quality Efforts

Reveleer's platform seamlessly integrates clinical data with quality improvement initiatives, allowing health plans to identify members with clinical indicators suggesting increased breast cancer risk. By prioritizing outreach to these members, plans can ensure that people with higher risk factors receive the preventive care needed to meet the parameters of the BSC-E measure.

Harness the Power of Predictive Analytics

Reveleer's advanced analytics capabilities enable health plans to uncover correlations between specific clinical indicators and breast cancer screening compliance. By developing predictive models, plans can proactively identify members most likely to be non-compliant based on their clinical profile, allowing for early intervention and gap closure.

Target Member Outreach with Precision

With Reveleer's Clinical Intelligence solution, health plans can build a comprehensive view of each member's health records, including relevant clinical history and mammogram status. This information allows health plans to create highly targeted outreach campaigns, focusing on members with clinical factors indicating higher breast cancer risk who are overdue for their screenings.

Empower Providers at the Point of Care

Reveleer's Prospective Risk solution delivers actionable insights directly to providers within their EHR workflow. By combining clinical insights with breast cancer screening reminders, providers can provide care while addressing quality measure compliance during patient encounters, reducing abrasion.

Monitor and Improve Continuously

With Reveleer's year-round quality solution, health plans can continuously monitor clinical data accuracy and breast cancer screening rates. By identifying and addressing gaps throughout the year, plans can maintain a steady focus on quality improvement and avoid the last-minute rush to close gaps.

Demonstrate Impact with Comprehensive Reporting

Reveleer's platform generates reports that combine clinical insights with breast cancer screening compliance rates, providing health plans with valuable insights into the impact of their integrated clinical and quality initiatives. These reports can be used to showcase program effectiveness and their commitment to value-based care.

By leveraging Reveleer's capabilities to align clinical insights with the NCQA Breast Cancer Screening measure, health plans can create a more holistic approach to member care. This strategy ensures that members at higher risk for breast cancer receive the preventive care they need, which can lead to better health outcomes, improved Star Ratings and more accurate risk adjustment.

At Reveleer, we're passionate about empowering health plans with solutions and insights to make a real difference in their members' lives. This Breast Cancer Awareness Month, let's work together to turn awareness into action, one mammogram at a time.

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