HEDIS Season is here. Is your plan ready for 4+ Stars? Book a strategy call today.

Stop the Scramble. Secure the 4+ Star Rating Your Plan Deserves

HEDIS Season is Here. Is Your Data Audit-Ready?

Don't let disorganized medical record reviews or data gaps derail your Star ratings. With 20 years of managed care expertise and a proven track record of driving 4+ Star results in Medicaid and Marketplace, we provide the veteran leadership you need to navigate this season with confidence.

Why Now?

The Stakes are Higher Than Ever. HEDIS isn't just a reporting requirement—it’s the heartbeat of your plan’s reputation and financial health. Whether you are struggling with provider engagement, hybrid measure optimization, or the sheer volume of medical record abstraction, Hayhoe Consulting Group steps in to provide:

  • Precision Gap Analysis: Finding the "missed opportunities" before the reporting window closes.

  • Veteran Project Leadership: 15 years of leading HEDIS projects from kickoff to final submission.

  • Audit-Ready Integrity: We apply the same meticulous standards to your clinical data that we do to financial ledgers—ensuring everything is GAAP-level accurate and NCQA-compliant.

About Your Lead Consultant
  • Project Oversight: We manage the vendors, the abstractors, and the timelines so your internal team can stay focused on core operations.

  • Medicaid & Marketplace Strategy: Specific expertise in the unique challenges of public-sector populations and Star-rating benchmarks.

  • Provider Outreach & Education: Building the workflows that help providers help you close gaps in care.

The "Clean-Up" Advantage

  • Catch-Up Projects: Behind on your data intake or medical record reviews? We specialize in high-speed, high-accuracy clean-up projects to get your submission back on track.

HEDIS Star Rating

Led by Heather Hayhoe, A Dual-Lens Expert in Quality & Finance. With two decades in the industry, I’ve seen the same pattern: plans lose ratings not because they lack quality care, but because they lack quality data. I bring an audit-ready mindset to every project. Whether I am lead-consulting on a 4+ Star HEDIS roadmap or performing emergency financial clean-ups for healthcare businesses, I focus on the precision that drives profitability.

HEDIS Rescue & Support

Ready to secure your 4+ Star Rating? Don't wait until the mid-season panic. Let’s identify your gaps and build a roadmap to success today.

Need Financial Precision, Too? We offer specialized bookkeeping clean-up and catch-up services for healthcare-adjacent businesses. Get 30% off your first month when you book a HEDIS consultation.