Case Studies
Improved ACO HEDIS performance by 200% from 2023 to 2024 bringing in over $5 million dollars in earned incentive dollars.
A Medicaid-focused Accountable Care Organization set goals to develop a tar geted quality strategy to benefit their members and improve their HEDIS measure performance. Working closely with the client, Sage Health Strategy provided strategic leadership to create a HEDIS strategic plan, support negotiations on a P4P contract, develop a structure to support quality improvement efforts, engage medical home quality staff and improve data accessibility and usability.
200% year over year
improvement in
HEDIS performance
All 16 medical
homes earned P4P incentives in 2023
125+ staff
attended HEDIS training
The Sage Difference
- Experienced consultants with proven track records of success
- Use behavioral economics to improve engagement with stakeholders
- Improve data quality and usability
- Create a roadmap for success
- Identify and remove barriers by asking the right questions
Key Improvment Activites
- Initiated monthly care gap reports to medical homes.
- Increased sharing of best practices across medical homes.
- Proposed and led a Quality Innovation Summit and HEDIS Training.
- Conducted standing meetings with medical homes’ quality staff to review data, identify opportunities for improvement and prioritize work.
Woman-Owned Business (BEP-WBE) Certification Information
Sage Health Strategy is certified as a woman-owned business by the State of Illinois and County of Cook. Sage regularly partners with prime vendors in competitive government procurements within Illinois and around the country. Our prime vendor partners have ranged from privately held professional services firms to publicly traded companies. For more information on our work in this area, please contact us.
