QPH 5.0 is a healthcare consulting company of leading professionals in providing proven strategies that have achieved top-tier HEDIS Rates in the State and the Top 25 Nationally using the Member Report Card for Care or Service Gaps©.
We have expert NCQA Accreditation Consulting in the following area:
We have expert NCQA Accreditation Consulting in the following area:
- Health Plan Accreditation
- Managed Behavioral Healthcare Organization Accreditation
- Health Equity Accreditation
- Patient-Centered Medical Home Accreditation
- Structuring your Quality Dept.
- Retention Strategies for Quality Staff
- Training Programs for Quality Staff
- NCQA/HEDIS Mock Auditing
- • STAR/CMS Mock Auditing
- STAR/CMS Mock Auditing
- Data Optimization
- Population Health Strategies and proven interventions that close care gaps via direct
- Member and Provider Engagement
- Guidance on the development of key reports that drive outreach and outcomes
- Quality Documents Review
About Us
A healthcare consulting firm that can help you build a quality department from A-Z, to include recruitment of staff, training, retention of staff which all result in a healthy community, HEDIS rates that you can be proud of, and increased revenue as a result of improved HEDIS/STAR Ratings with a goal of 4 STAR or higher for NCQA and CMS.
Protect your life
We're here for look even you from start to finish.
Call experts
+92 (003) 68-0900
Find a local insurance agent
Jessica Brown
Consultant
Yoni Albert
Consultant
Christine Eve
Consultant
David Hardson
Consultant
Fred Andrew
Consultant
Sarah Rose
Consultant
About Us
QPH 5.0 Healthcare Consulting Group, LLC ™ is a company of leading professionals in providing:
- Proven strategies that have achieved top-tier operational excellence, including but not limited to >$10K in grant opportunities annually, HEDIS ™ Rates in the State and the Top 25 Nationally using the Member Report Card for Care or Service Gaps©, etc. We have expert operations, accreditation, and transportation consulting services
- Expert Guidance on Business Operations and Structure
- Expert Guidance on Grant Opportunities to further your Company’s Mission/Vision
- Expert Scrum Project Management Support
- Health Plan Accreditation
- Managed Behavioral Healthcare Organization Accreditation
- Health Equity Accreditation
- Patient-Centered Medical Home Accreditation
- Expert Guidance on Closing Care Gaps for your population
- Training and Education on Medicaid, Medicare, Commercial, and Marketplace Exchange
- Medical Equipment Transportation
QPH 5.0 Healthcare Consulting Group, LLC ™ is also a company of leading professionals that support:
- Community Enhancement: Enhancing local communities to improve the quality of life for underserved individuals and families in the local service area.
- Diversity, Equity, and Inclusion: Promoting relationships and fostering understanding among diverse groups within the local service area.
- Educational Empowerment: Offering after-school enrichment, tutoring, or vocational training opportunities to empower low-income individuals and families in the local service area.
- Environmental Stewardship: Initiating waste reduction, recycling programs, and other initiatives to enhance the local environment.
- Health and Human Welfare: Providing medical screenings, treatment, social support, and shelters to uplift low-income individuals and families within the local service area.
- Strengthening Public Safety: Supporting public safety programs through training and equipment provision in the local service area.
- Enriching Quality of Life: Expanding access to recreational, artistic, and cultural experiences to benefit low-income individuals and families in the local service area.
- “Efficiently” Closing Healthcare Gaps – 20+ years of experience
- Extraction of medical records – 20+ years of experience
- Quality Operations of Information Systems – 20+ years of experience
- Enhancing your HEDIS™ reporting procedure – 20+ years of experience
- Trilogy Document Preparation using Six Sigma with 100% on NCQA Audits
- Best Method to Focus on State, CMS, and NCQA Measures Concurrently
- Initiatives for Quality Improvement – 20+ years of experience
- NCQA Accreditation – 20+ years of experience
- Quality Department Structuring Models – 20+ years of experience
- Quality Department Project Management of internal audits – 20+ years of experience
- Medicaid, Medicare, Commercial and Marketplace Exchange Training and Education – 20+ years of experience
- Equipment/Materials Transportation – Bonded for $1M
- Improving Member Health Status
- Increasing Member Gap Closure Rates and Satisfaction based on science (i.e., Proven Motivation Theories such as the Economics Motivation Theory and Maslow’s Hierarchy of Needs Motivation Theory)
- Closing Member Gaps by 4th Quarterly Annually
- HEDIS Blitz Programs
- Decreasing Member Abrasion
- Quality Department Leaders at any of the organizations below:
- Federal Healthcare Organizations
- State Health Departments
- Provider Offices & Leaders
- Patient-Centered Medical Home & Leaders
- Upstart Managed Care Organizations & Leaders
- Accountable Care Organizations & Leaders
- Provider Owned Organizations & Leaders
- Insurance Companies spanning Medical, Auto, etc.
- For Profit and Not for Profit Organizations
- Consultative Services
- Leasing the Annual Member Report Card©
- So, how “exactly” does each department in the organization contribute? Every function we coordinate and manage in the Quality Department impacts all departments within the Company. Therefore, every department plays a role in the accreditation and regulatory audit processes, the HEDIS process, the Member Satisfaction (CAHPS) process, the Member Safety Processes, the Data Processes and Reports, and/or the Quality Project Management processes.
