Case Study
Quality Measures & Reporting Software
Quality Measures for ACOs
Track quality performance, streamline reporting, and ensure accurate quality measure submission across CMS and commercial value-based care programs.
Quality measure performance isn’t just about insight—it’s Requires execution. In value-based care programs Such As MSSP, quality performance directly Influences Quality Scores, shared savings and financial outcomes.
Koan Health enables ACOs to manage quality measures from performance Monitoring to Accurate Reporting and submission Across CMS and Commercial programs.
What Are Quality Measures in Value-Based Care?
Quality measures are standardized metrics used to evaluate healthcare performance and outcomes. In value-based care programs such as the Medicare Shared Savings Program (MSSP), Accountable Care Organizations (ACOs) use these measures to assess performance, improve patient outcomes, and satisfy program requirements.
Common reporting methods include Electronic Clinical Quality Measures (eCQM), MIPS Clinical Quality Measures (MIPS CQM), Medicare Clinical Quality Measures (MCQM), and Healthcare Effectiveness Data and Information Set (HEDIS).
Why Quality Measures Matter for ACOs
Trust your data to drive confident interventions and better outcomes.
Improve patient outcomes
Identify care opportunities across preventive and chronic care.
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Increase quality scores
Monitor performance and address issues before reporting deadlines.
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Strengthen reporting accuracy
Ensure complete, accurate quality measure reporting.
Maximize shared savings
Track performance against quality benchmarks.
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Make informed decisions
Use trusted, transparent data.
Quality Measure Management
And Reporting Capabilities
Managing quality performance requires timely insight, coordinated workflows, and efficient reporting.
Unify Quality Data Across Data Sources
Integrate EHR, claims, and payer data into a unified quality data layer.
Analyze quality performance by provider, practice, and patient to prioritize intervention.
Monitor performance trends to prioritize action before reporting deadlines.
Simplify CMS Quality Reporting
Manage reporting across Medicare CQM, MIPS CQM, and eCQM.
Engage a CMS Qualified Registry for compliant, accurate submission.
Track attributed lives against CMS reporting files to validate denominator populations.
Streamline from data aggregation through submission using integrated EHR and claims data
Empower Providers to
Close Quality Measure Gaps
Deliver actionable gap lists to help providers prioritize patient outreach.
Support provider decision-making with intuitive quality management tools.
Provide transparent scorecards and measure-level reporting tied to performance incentives.
Surface patient-level insights by measure and risk level, to prioritize outreach before reporting deadlines
Streamline Quality Measure
Submission
Streamline data collection and submission with reporting tools tailored to each payer’s quality measure requirements.
Reduce administrative burden through automated performance tracking.
Improve reporting speed and accuracy to support timely incentive payments.
Leverage CMS Qualified Registry expertise throughout the submission process.
Improve reporting accuracy with transparent, auditable performance data.
Manage Quality Measure
Reporting Across All Payers
Certified as a CMS Qualified Registry and by NCQA for HEDIS® Measures and Data Aggregator Validation (DAV)
Ensure accurate quality reporting across all payers.
Apply proven quality reporting across multiple programs and measure sets.
Improve accuracy and hold payers accountable for reflecting true performance results.
Why ACOs Trust Koan Health for Quality Measure Reporting
Reliable submission
With Koan Health, your quality measures are complete, accurate, and aligned with CMS and payer requirements—reducing the risk of missed savings or reporting errors.
Proven quality reporting expertise
Koan Health is a CMS Qualified Registry and NCQA-certified partner, bringing deep experience in managing complex quality reporting requirements.
Consistency across payers and programs
Koan Health helps eliminate discrepancies and maintain alignment across MSSP requirements and reporting methods such as MIPS, eCQM, and MCQM.
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Support you can rely on
With Koan Health, your team is supported from data validation through submission—so nothing is left to chance.
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How to Choose a Quality
Measures Reporting and
Performance Solution
Not all quality reporting solutions provide the expertise, operational support, and reporting accuracy required for value-based care.
When evaluating options, look beyond dashboards to the capabilities that improve reporting, provider performance, and quality outcomes.
Reporting credentialing and compliance expertise
Can you trust the data and understand how metrics are calculated? Look for a platform that makes its methodology visible, not just its dashboards. Koan Health is built on a foundation of data integrity and transparency, so your team always knows what’s behind the numbers.
End-to-end gap closure, not just reporting
Does the platform bring together clinical, claims, and operational data into a single view? Fragmented data leads to inadequate decisions. Koan Health unifies your data sources into one trusted foundation.
Support across every reporting method
Does it help you identify opportunities and support real-world interventions? Look for insights that enable action, not just analysis. Koan Health surfaces the cost, utilization, and quality insights your team needs to act.
Hands-on submission support
Does it measure performance across cost, quality, and utilization in a meaningful way? Koan Health is purpose-built for ACOs and value-based care organizations, ensuring your analytics align with the goals that drive performance.
Koan Health’s quality measures payer comparison tool enables us to quickly identify inappropriate payer gaps and submit supplemental data to our payers, ensuring we achieve our payer quality measures benchmarks.Ashley Fitzpatrick, Director, Clinical Analytics & OutcomesInova Care Partners
Frequently Asked Questions About Quality Measures and Reporting
Why is accurate quality measure reporting critical for ACOs?
Accurate quality measure reporting directly affects quality scores, shared savings, and financial performance in value-based care programs. Complete, accurate submissions help ensure that reported results reflect actual performance and support compliance with CMS and payer requirements.
How can ACOs improve quality measure performance?
ACOs improve quality measure performance by identifying care opportunities, ensuring data accuracy, enabling timely provider intervention, and monitoring progress throughout the reporting period. Proactive management helps improve performance before submission deadlines.
How do ACOs report quality measures?
ACOs report quality measures within programs such as MSSP using methods like eCQM, MIPS CQM, and MCQM. This process combines clinical and claims data to calculate performance and submit results in the required format to the contracted payer.
What is the difference between eCQM, MIPS, and MCQM?
eCQMs use electronic health record (EHR) data to calculate quality measures. MIPS CQMs support reporting within the Merit-based Incentive Payment System, while MCQMs are Medicare Clinical Quality Measures used in MSSP reporting. Each has distinct reporting requirements.
What is a CMS Qualified Registry and why does it matter?
A CMS Qualified Registry is an organization authorized to collect and submit quality measure data on behalf of providers and ACOs.Working with a Qualified Registry helps support accurate reporting, CMS compliance, and a more efficient submission process.
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Take Control of Quality Measure Reporting
Discover how Koan Health helps ACOs simplify quality measure management, streamline reporting, and support accurate submission across CMS and commercial programs.
