Your Patients AreInvisible 99% of the Time

Event-Driven Data Quality finds care gaps in seconds, not months

$0B
Preventable Waste Annually
0
Days Between Doctor Visits
0%
Time Saved with Automation

Trusted by health plans, hospital systems, and ACOs nationwide

HIPAA CompliantSOC 2 Type IINCQA Certified

Platform Capabilities

Enterprise-grade healthcare quality measurement and analytics

FHIR API Gateway

2-12 week go-live

Rapid FHIR integration. Zero complexity.

STAR Ratings Engine

95% accuracy

Predict STAR ratings 6 months ahead.

Care Gap Management

Patient-level insights

Real-time care gap identification and closure.

All 65+ Quality Measures

100% coverage

All HEDIS + STAR + MIPS measures included.

AI-Powered Insights

Predictive analytics

AI recommendations for quality improvement.

Enterprise Security

SOC 2 certified

HIPAA-compliant with enterprise security.

Complete Healthcare Quality Platform

65+
Quality Measures
2-12wk
Go-Live Time
3-6mo
ROI Timeline
Real-Time
Analytics

Why Traditional Approaches Fail

Healthcare quality measurement needs a fundamental upgrade from batch processing to real-time, event-driven architecture

Event-Driven Architecture

Patient Event
Real-Time
Processing
Instant (<5 seconds)
Action
Immediate

✓ Close care gaps while patients are still engaged

The Traditional Approach

Why It Fails

  • Batch Processing
    Quality measures calculated quarterly or annually
  • Manual Workflows
    Spreadsheets, manual chart reviews, staff burnout
  • Siloed Data
    EHR, claims, labs all disconnected
  • Reactive Care
    Find problems months after they occur
  • Compliance Focus
    Checking boxes vs. improving outcomes

Cost of the Old Way:

  • • 40+ hours/month on manual reporting
  • • Lost quality bonuses ($450K-$2.1M annually)
  • • Staff burnout from repetitive tasks

Our Solution

Event-Driven Data Quality

  • Real-time Quality Measurement
    Patient status updated within seconds, not months
  • Event-Driven Architecture
    Patient event → instant update → immediate action
  • FHIR-First Integration
    Works with any EHR. 2-12 week go-live vs. 6-12 months
  • Complete Coverage
    65+ measures across HEDIS, STAR, MIPS for all populations

What You Get:

  • • 92% time savings (7 hrs/month vs 85 hrs/month)
  • • $450K-$2.1M in captured quality bonuses
  • • 60% faster care gap closure

Ready to move from reactive to proactive care?

See How It Works
🚀 ENTERPRISE LAUNCH: Q2 2026

Full Enterprise Deployment Coming Q2 2026

Multi-customer automation, on-premise security, HITRUST + SOC 2 certified.

How It Works

From legacy manual processes to real-time automated healthcare quality analytics

1

Connect Your EHR

Native FHIR R4/R5 integration with Epic, Cerner, Meditech, and 200+ healthcare systems. Secure, bidirectional data sync.

2-12 week go-live
2

Platform Analyzes

Real-time HEDIS calculations, AI-powered care gap detection, predictive STAR ratings modeling—all automated.

Results in < 200ms
3

Take Action

Dashboards show exactly what to do: which patients to call, which gaps to close, which measures to improve.

Save 40+ hours/month

Legacy Approach

  • Manual Excel spreadsheets for HEDIS tracking
  • Quarterly batch reporting (6-month delay)
  • Manual chart reviews taking 200+ hours/month
  • No visibility until CMS STAR ratings announced

Our Platform

  • Real-time HEDIS calculations from live EHR data
  • Instant updates after every patient encounter
  • Automated FHIR-based chart abstraction
  • 6-month advance STAR ratings prediction (95% accuracy)
65+
Quality Measures
HEDIS, STAR, MIPS
97%
Test Coverage
356 Tests Passing
Real-Time
Data Updates
< 200ms
FHIR R4
Compliant
CQL Engine
3
Deployment Options
On-Premise, VPN, Cloud
Instant ROI Preview

See Your Potential Savings

Government-validated ROI calculations based on your organization type

ROI calculations based on:
CMS DataSEC FilingsPeer Studies
$15.4B
Industry Quality Costs
95%
Prediction Accuracy
2hrs
vs 6 months
100+
Validated Sources

Our ROI Claims Are Backed By Research

Every claim validated with government sources, peer-reviewed studies, and real-world financial impact data

Government Sources

Official federal documentation and regulatory authorities

  • CMS 2025 STAR Payment Tables
  • Federal Register MIPS Final Rule
  • MedPAC Reports to Congress
  • NCQA HEDIS Standards

Every dollar amount cited comes from official CMS payment schedules

Peer-Reviewed Research

Academic studies and independent analysis

  • Health Affairs 2016: $15.4B Quality Cost Study
  • Brown University STAR Ratings Research
  • Kaiser Family Foundation MA Analysis
  • Additional Peer-Reviewed Publications

All methodologies validated through peer-review process

Real-World Proof

Documented financial impact from public companies

  • Elevance: $375M loss (SEC filing)
  • Humana: $1-3B projected impact
  • 2024 Industry: $800M across 69 contracts
  • Public SEC filings and lawsuits

Federal securities law requires accuracy in public filings

100+ Validated Sources

View Complete Citation List

All ROI calculations can be verified directly with CMS at CMS.gov

Trusted by Healthcare Leaders

Join health plans, hospital systems, ACOs, and academic medical centers nationwide who trust HEDIS LIVE for mission-critical quality measurement

HIPAA

HIPAA Compliant

Full Business Associate Agreement

SOC 2

SOC 2 Type II

Security & Compliance Certified

NCQA

NCQA Certified

Quality Measure Standards

CMS

CMS Approved

Medicare Advantage Compliant

Enterprise-Grade Security

Data Encryption

AES-256 encryption at rest, TLS 1.3 in transit

Access Controls

Role-based access, MFA required, comprehensive audit logs

Deployment Options

Air-gapped on-premise, VPN-connected, or cloud SaaS

Your Data Security is Our Top Priority

We maintain the highest standards for data protection, privacy, and regulatory compliance. Annual third-party penetration testing, 99.9% uptime SLA, and comprehensive business continuity planning ensure your data is always safe and accessible.

Data Residency: Choose your region (US, EU, Canada, Australia)

Backup & Recovery: Real-time replication, <4 hour RTO, 99.9% uptime guarantee

Ready to See Government-Validated ROI?

Join healthcare organizations using the only platform with SEC-backed, peer-reviewed ROI claims

Schedule a Demo