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About us

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About us

About The Company

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:
  • Health Plan Accreditation
  • Managed Behavioral Healthcare Organization Accreditation
  • Health Equity Accreditation
  • Patient-Centered Medical Home Accreditation
A doctor is using his laptop while sitting at the desk.
About us

About The Company

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:
  • Health Plan Accreditation
  • Managed Behavioral Healthcare Organization Accreditation
  • Health Equity Accreditation
  • Patient-Centered Medical Home Accreditation
A doctor is using his laptop while sitting at the desk.

Quality Department Governance:

  • 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 The Company

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About Us

A doctor is using his laptop while sitting at the desk.
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About us

About The Company

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.
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Providing the best insurance to customers

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Our Services

QPH 5.0 Healthcare Consulting Group, LLC ™ specializes in healthcare consulting services, 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 offer NCQA Accreditation Consulting in various areas such as Health Plan Accreditation, Managed Behavioral Healthcare Organization Accreditation, Health Equity Accreditation, and Patient-Centered Medical Home Accreditation. Our Quality Department Governance services include structuring your Quality Dept., retention strategies for Quality Staff, training programs for Quality Staff, NCQA/HEDIS ™ Mock Auditing, STAR/CMS Mock Auditing, how to score 100% on NCQA Standards, data optimization, population health strategies, and proven interventions that close care gaps via direct Member and Provider Engagement. We also provide guidance on the development of key reports that drive outreach and outcomes, Quality Documents Review, Quality Trilogy Set Templates using Six Sigma Methodology, and other services as needed. At QPH 5.0 Healthcare Consulting Group, LLC, ™ we pride ourselves on our expertise and ability to deliver effective solutions that meet the unique needs of our clients. Our goal is to help healthcare organizations improve their quality of care, increase member satisfaction, and achieve accreditation while maximizing their resources and financial outcomes.

Member Report Card for Care and Service Gaps

Annual Member Report Card Template for Care Gap or Service Gaps by Jamie McPherson docx