Can your platform support multiple payer contracts with different quality measure sets?

Yes. We tailor quality reporting to each health plan contract, automatically surfacing the relevant quality measures and ensuring alignment with payer-specific benchmarks and formats.

What performance measures do you support (e.g., HEDIS, ACO, CMS, custom)?

We support several quality measure sets, including HEDIS, PQA, CMS (eCQMs, MIPS, ACO), commerical payer contracts, and custom performance metrics.

How does your solution reduce the reporting burden for clinical and administrative teams?

By automating data aggregation, gap identification, and submission processes, we significantly reduce manual effort and ensure quality reporting is accurate and timely.

Can this solution help us qualify for value-based incentives or shared savings programs?

Absolutely. By simplifying quality reporting and improving quality measure performance, we help accelerate access to incentive payments and boost overall program success.

Quality Measures

Quality Measures For ACOs

Track performance, close care gaps, and ensure accurate reporting across all payers.

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What are Quality Measures in Value-Based Care?

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Quality measures are standardized metrics used to evaluate clinical performance, patient outcomes, and care processes across a population. In MSSP programs, ACOs report quality performance using methods such as eCQM, MIPS CQM, and MCQM. They directly impact financial performance, shared savings, and compliance.
For commercial payers, ACOs are rewarded based on their performance on contracted HEDIS measures.
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For ACOs, accurate tracking and reporting of quality measures is essential. Without clear visibility into performance and gaps, organizations risk missed opportunities, lower scores, and reduced shared savings.

Proactively Manage Quality Measures Across Data Sources

Integrate EHR, claims, and health plan data into a unified data aggregation layer to track quality performance across all relevant measures.

Drill into care gaps by provider group, provider, and patient to support targeted outreach and intervention.

Use performance trend reporting to identify gaps, prioritize action, and improve quality outcomes ahead of reporting deadlines.

Screenshot of one of Koan Health's products.

Integrate EHR, claims, and health plan data into a unified data aggregation layer to track quality performance across all relevant measures.

Drill into care gaps by provider group, provider, and patient to support targeted outreach and intervention.

Use performance trend reporting to identify gaps, prioritize action, and improve quality outcomes ahead of reporting deadlines.

Navigate CMS quality reporting Confidently

Manage the requirements for CMS reporting options, including Medicare CQM, MIPS CQM, and eCQM.

Leverage Koan Health’s designation as a Qualified Registry with the Centers for Medicare & Medicaid Services to ensure compliant, accurate submission.

Track attributed lives against CMS quarterly reporting files to stay aligned with evolving requirements and understand denominator populations.

Streamline the full reporting process—from data aggregation and normalization to submission—using integrated EHR and claims data.

A screenshot of one of the pages of Koan Health's dashboard.

Manage the requirements for CMS reporting options, including Medicare CQM, MIPS CQM, and eCQM.

Leverage Koan Health’s designation as a Qualified Registry with the Centers for Medicare & Medicaid Services to ensure compliant, accurate submission.

Track attributed lives against CMS quarterly reporting files to stay aligned with evolving requirements and understand denominator populations.

Streamline the full reporting process—from data aggregation and normalization to submission—using integrated EHR and claims data.

Empower Providers to Close Quality Measure gaps

Deliver actionable gap lists — so providers see care gaps at the point of care, not after the visit.

Surface patient-level insights by measure and risk level, enabling targeted outreach and timely intervention before reporting deadlines.

Embed intuitive tools that fit how providers already work, reducing friction and driving consistent, repeatable gap closure.

Deliver actionable gap lists — so providers see care gaps at the point of care, not after the visit.

Surface patient-level insights by measure and risk level, enabling targeted outreach and timely intervention before reporting deadlines.

Embed intuitive tools that fit how providers already work, reducing friction and driving consistent, repeatable gap closure.

Streamline Quality Measures Submission And Maximize Value-Based Performance

Streamline data collection and submission with reporting tools tailored to each payer’s quality measure requirements.

Reduce administrative burden by automating performance tracking and surfacing the most relevant measures for each contract.

Improve reporting speed and accuracy to support timely incentive payments and stronger contract performance.

Partner with Koan Health for hands-on support—from data collection through submission—with ongoing guidance and compliance expertise.

Streamline data collection and submission with reporting tools tailored to each payer’s quality measure requirements.

Reduce administrative burden by automating performance tracking and surfacing the most relevant measures for each contract.

Improve reporting speed and accuracy to support timely incentive payments and stronger contract performance.

Partner with Koan Health for hands-on support—from data collection through submission—with ongoing guidance and compliance expertise.

Manage quality measure reporting Across all Payers.

Certified as a CMS Qualified Registry, and by NCQA for HEDIS® Measures, and NCQA as a Certified Data Partner for Data Aggregator Validation.

Ensure accurate quality reporting across all payers and contracted measure sets.

Leverage deep expertise in quality reporting to ensure accurate and complete submission across ACO programs.

Improve accuracy and hold payers accountable for reflecting true performance results.

Certified as a CMS Qualified Registry, and by NCQA for HEDIS® Measures, and NCQA as a Certified Data Partner for Data Aggregator Validation.

Ensure accurate quality reporting across all payers and contracted measure sets.

Leverage deep expertise in quality reporting to ensure accurate and complete submission across ACO programs.

Improve accuracy and hold payers accountable for reflecting true performance results.

Koan’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, Manager, Performance Analytics, Signature Partners, Inova Health

Frequently Asked Questions About Value-based Care Quality Measures

Why is accurate quality measure reporting critical for ACOs?

Accurate quality measure reporting is critical for ACOs because it determines both financial outcomes and how performance is evaluated in value-based care programs. Small inaccuracies can lead to lower scores, missed shared savings, and misalignment between reported and actual performance. Ensuring accuracy and completeness allows ACOs to confidently reflect the care they deliver, strengthen program results, and maximize revenue opportunities.

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How can ACOs improve quality measure performance?

ACOs can improve performance by identifying care gaps, ensuring data accuracy, enabling timely provider intervention, and tracking progress throughout the reporting period. Proactive management is essential to improving scores before submission deadlines.

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How do ACOs report quality measures?

ACOs report quality measures within programs such as MSSP using methods like eCQM, MIPS CQM, and MCQM. For all payers, this process involves aggregating clinical and claims data, calculating performance metrics, and submitting results to CMS or payers in the required format.

What is the difference between eCQM, MIPS, and MCQM?

eCQMs(electronic Clinical Quality Measures) are derived from EHR data, MIPS measures are part of the Merit-based Incentive Payment System, and MCQMs are Medicare Clinical Quality Measures used in MSSP reporting. Each reporting method has different data requirements and submission methods. ACOs choose one of these quality reporting options.

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Importance of Reporting Accuracy for ACO Quality Measures

Take Control of Quality Measure Reporting

Ensure accurate reporting, close care gaps, and improve performance across all payers—with confidence.

Talk to a Quality Reporting Expert