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Quality Focused Visits

A new approach to HEDIS® & CMS Star Ratings performance

Man having his blood pressure taken.

Supporting your quality performance goals

To better support your quality performance goals, Signify Health has further enhanced its offerings to include in-home visits focusing on quality gap closure to successfully impact 58% of HEDIS measures, 12 CMS Star Ratings measures and key components that influence CAHPS® outcomes.

View the measures

A flexible, scalable and cost-effective solution

Quality Focused Visits are a flexible, cost-effective in-home service that enables health plans to efficiently close high-priority quality gaps, improve key quality measures and enhance member satisfaction.

 

A flexible, cost-effective in-home service that enables health plans to efficiently close high-priority quality gaps, improve key quality measures, and enhance member satisfaction.
Core quality servicesCore_Quality
BMI, height, weight Alcohol use, smoking
REaL (race, ethnicity,
language)		 DME dependency
Vitals Immunization history
Blood pressure Women’s health
Blood glucose capture PCP record and
scheduling
Social Determinants of Health Case management
referrals
Mental health screening  
NOTE: No clinical documentation improvement and coding for conditions
Diagnostic labs and preventive servicesDiagnostic_Labs
(Contracted at the IHE add-on rate)
Diabetic eye exam (DEE)
Fecal immunochemical test (FIT)
Hemoglobin A1c (HbA1c)
Urine albumin-to-creatinine (uACR) / Estimated glomerular riltration rate (eGFR)
Providing a member experience consistent with our In-Home Health Evaluation (IHE) and its 74 post-IHE net promoter score*

Closing quality gaps with high rates of return*

97%
DEE completion rate

23%
A1c abnormal rate

40%
DEE abnormal results

 43%
Post-IHE FIT kit return rate

*Signify Health. Data on file.

Signify Health can help your health plan overcome the challenges that come with closing quality and care gaps.

 

Member engagement and access

Data gaps and interoperability

Provider alignment and workflow

Member attrition and churn

Complexity of measures and regulations

Resource constraints

Addressing key barriers to quality performance

Closing gaps in care is challenging for health plans due to several factors. Fragmented data, often siloed across various providers and systems, hinders a complete view of a member's care. Effective, personalized outreach and quality improvement programs require engaging members with diverse health literacy levels and respecting their communication preferences. Furthermore, continuously adapting to evolving quality measures like HEDIS and Star Ratings demands ongoing investment.

Member turnover is a significant obstacle. With nearly 17% of Medicare Advantage members switching plans annually, health plans lose nearly one in five members before long-term care plans can be fully implemented or quality gains realized. 

This churn disrupts care coordination, fragments data and drives up acquisition and administrative costs, potentially negating months of quality improvement efforts.

SH_IconSet_2color_20251021_Outlined_Physician Home

In-home visits allow the time to provide education, close gaps and coordinate appropriate care.

  • Empowering members conveniently in their home to engage their health care
  • Supplementing providers relationship with health plan members
  • Supporting health plans member engagement and provider alignment strategies

Built to improve health plan performance on HEDIS and CMS Star Ratings

Expanded reach and eligibility

Comprehensive quality services offering allows for broader member eligibility, enabling you to reach more members for critical quality interventions.

SH_IconSet_2color_20251021_Outlined_Adaptive Strategy

Flexible and modular

Choose the service engagement that best aligns with your quality goals and budget

SH_IconSet_2color_20251021_Outlined_Quality

Direct impact on quality metrics

Designed to improve your HEDIS and CMS Star Ratings by efficiently identifying and closing key quality gaps.

SH_IconSet_2color_20251021_Outlined_Clinician 2

Enhanced member experience and engagement

Tailored services are administered conveniently in the member's home, which helps reduce member abrasion while delivering a positive, comprehensive and engaging health care experience.

SH_IconSet_2color_20251021_Outlined_Physician Home

Driving members back to primary care

Connecting your members to a PCP, facilitating continuity of care and proactive health management.

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