Digital Quality

Why does HEDIS still depend on chart chase after all this data investment?

Health plans have spent years building data infrastructure. But quality measurement still runs on manual abstraction, delayed reporting, and incomplete supplemental data. OnyxOS closes that gap — automating HEDIS computation end-to-end so Stars performance reflects what your data actually shows.

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The Problem

Manual chart chase is costing you Stars ratings and quality bonus revenue.

HEDIS measurement should be a data problem by now. Instead, it's still a labor problem for most plans — clinical teams manually chasing charts, supplemental data arriving too late to act on, and measure scores that lag behind the clinical reality. Every missed gap is a missed Star. Every delayed abstraction is deferred revenue. The plans winning on quality aren't working harder. They've automated the workflow
How OnyxOS Enables This

HEDIS computation automated. Stars performance continuously tracked.

OnyxOS aggregates supplemental data from EHR, HIE, and claims sources into a unified member record, then runs HEDIS computation continuously — not as a year-end event. Care gaps link directly to measure impact. Member stratification tells your teams who to reach first. And real-time Stars dashboards mean no one is surprised at reporting time.

What It Does

KEY CAPABILITIES

HEDIS Computation

Automated, continuously updated measure calculation across your full membership — built to stay current as new clinical and claims data arrives.

Supplemental Data Ingestion

Aggregates data from EHR, HIE, lab, and pharmacy sources to ensure every relevant clinical event is captured before the measure window closes.

Care Gap-to-Measure Linkage

Connects individual care gaps directly to their measure impact, so outreach and closure efforts are always tied to Stars consequences.

Member Stratification & Prioritization

Ranks members by gap burden, closure likelihood, and measure weight — so care teams spend time where it moves the needle.

Real-time Stars Dashboards

Live visibility into measure performance, gap status, and Stars trajectory across your population — updated continuously, not quarterly.

What Clients See

KEY OUTCOMES

Improved Stars performance

measure scores that reflect your actual clinical investment, not what manual abstraction captured.

01

Reduced extraction costs

clinical data aggregated automatically, eliminating the overhead of chart chase at scale.

02

Faster measure completion

gaps identified and acted on continuously throughout the year, not in a year-end sprint.

03

Continuous actionable information

real-time visibility so quality teams are always working from current data.

04
Powered by OnyxOS

Quality intelligence that runs on connected data.

Stars performance is a downstream outcome of data quality. OnyxOS builds the foundation — connecting claims, clinical, and supplemental data into a unified record that powers automated quality measurement at scale.

Explore the OnyxOS platform
In Practice

How a regional payer achieved a 20% lift in Medicare Advantage Star Ratings.

Disparate claims, clinical, and pharmacy data made accurate HEDIS scoring nearly impossible. Delayed reporting was directly impacting Star Ratings and value-based contract performance. Onyx built a cloud-based HEDIS computation platform with integrated claims, clinical, and pharmacy data — and deployed population health dashboards that surfaced high-risk members and care gaps in real time.

Read the full case study
20%
Increase in Medicare Advantage Star Ratings
30%
More accurate HEDIS scores across measures
60%
Reduction in compliance risk exposure

Ready to stop chasing charts and start closing gaps?

Talk to an Onyx expert about automating quality measurement across your full membership.