Quality Optimization
Turn data into better quality performance.
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~99%
Client retention
Overview
Building a bridge to better quality.
For many health plans, the clinical data needed to close gaps, support providers, and document performance is scattered across disconnected systems and manual workflows. The result is missed opportunities, provider abrasion, avoidable costs, and incomplete visibility into member needs.
How It Works
From scattered data
to quality-driven action.
Centauri connects clinical data, event monitoring, provider workflows, and supporting documentation so plans can identify quality opportunities earlier, act while they matter, and follow them through to resolution.
Quality improvement starts with focused 360-degree member view with timely data, coordinated action, provider engagement, and member support, working together before opportunities are missed. Our solutions help plans move from retrospective review to proactive quality optimization.
Centauri brings together the capabilities health plans need to identify, act on, and document quality opportunities with the connected data foundation plans need to support better quality.
Monitor admissions, discharges, transfers, emergency department visits, and other high-risk events so care teams and providers can respond when intervention matters most.
Retrieve medical records electronically from provider EMRs, HIEs, HIOs, and other connected data sources to support HEDIS®, Stars, care management, and value-based care programs. Support closed-loop data exchange between plans and providers, including care gap information, clinical documentation, event notifications, and returned results.
Traditional quality workflows often rely on manual chart chasing, disconnected provider communications, and retrospective reporting. Centauri helps health plans simplify that process with a connected workflow that supports action from signal to closure.
Why Centauri
Take quality to the next level.
- Real-time, bi-directional data exchange and intelligent event processing. Connectivity
- Closed-loop provider engagement and audit-ready data provenance. Traceability
- Leverages established flows for monitoring admission/discharge data, querying for patient charts and integrating into the health plan enterprise systems. Compatibility
- Drives measurable financial impact by improving Stars and HEDIS scores, closing care gaps, and reducing avoidable utilization. Quality
- Seamless integration across major interoperability frameworks. Integration
- Reduces medical costs through earlier intervention and minimizes duplicative testing while elevating member outcomes. Efficiency
- Enhances risk and quality accuracy with real-time data capture. Accuracy