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The Great Unbundling: Why Point Solutions for Risk and Quality Are Failing

Published on 2025-10-283 min read

For the past decade, the conventional wisdom in healthcare IT was to buy the "best-of-breed" solution for each specific problem. You bought one tool for risk adjustment, another for quality measure tracking, and a third for clinical documentation improvement. The result? A patchwork of fragmented systems that don't talk to each other, forcing your teams to work in silos and review the same patient chart multiple times for different purposes.

This unbundled approach is failing. In a world where value is measured holistically, you cannot separate a patient's risk profile from the quality of their care. The data is the same; the clinical story is the same. The insights you need are all in the same chart. Why are you using different, disconnected tools to find them?

The future is a single, intelligent platform that analyzes a patient's record once and provides a comprehensive picture of both risk and quality.

Announcing a Unified Vision: HEDIS® Measures in MedChartScan

We built MedChartScan on a core belief: our AI's strength is its deep, contextual understanding of clinical data. We proved this by helping organizations find the most accurate HCCs in complex, unstructured notes. Today, we're extending that power to a new frontier: HEDIS® Compliance Measures.

Our platform now uses the same trusted, transparent AI engine to help you:

  • Identify Gaps in Care: Surface evidence of required screenings, like diabetic eye exams (DEP) or blood sugar control (A1c), that are documented in notes but not in structured fields.
  • Validate Quality Measures: Just like with HCCs, our AI highlights the exact evidence in the source document needed to close a HEDIS gap, creating a fast, defensible workflow for your quality team.
  • Streamline Chart Reviews: Eliminate redundant work. A single chart review in MedChartScan now yields insights for both your risk adjustment and quality improvement initiatives, dramatically improving operational efficiency.

The Platform Advantage: Why This Changes Everything

This isn't just a new feature; it's a new philosophy. Unlike legacy platforms or point solutions that require you to buy and integrate separate modules, our approach is different.

  • One Engine, Total Insight: We use the same core AI that powers our HCC accuracy to analyze for HEDIS measures. There are no data silos and no disjointed workflows.
  • Efficiency at Scale: Your team reviews a chart once. The AI does the work of flagging every potential opportunity, whether it's a missed diagnosis or a gap in care. This is how you break free from the manual labor that leads to coder burnout.
  • Future-Proof Your Investment: As the lines between risk and quality continue to blur, a unified platform is the only way to stay ahead.

Stop paying for redundant reviews and fragmented data. It's time to embrace a unified approach that reflects the reality of modern value-based care.

*See the future of integrated analytics. Schedule a demo to explore how MedChartScan unifies Risk Adjustment and HEDIS._

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