Turn your data into deliverables like better NCQA Star Ratings, improved patient outcomes, and healthier reimbursement levels.


Is your data buried in a sea of spreadsheets? Let’s improve patient care and achieve enhanced reimbursement levels by peeling out that data on an easy-to-understand dashboard.

Rely on the Valiant Health team.

The Medicare Advantage Plan Solution

Healthcare Reform ties your NCQA star rating to your reimbursement level, which means that your ability to effectively compete will be in danger if you don’t maximize your plan’s HEDIS, HOS and CAHPS measures performance. Unfortunately, these measures are largely beyond your direct control, leaving you dependent on members and their providers to do the right thing.

Valiant Health can provide software solutions and customized services that allow you to:

  • Know
    • Sophisticated analytics on your current NCQA/HEDIS measures
    • Measure how well your care/case management function is supporting your measure results
    • Measure how successful your providers are in directing the care of your members
    • Quickly target which members are in need of additional services or direction to satisfy care measures
  • Improve
    • Determine which measures you can most successfully impact
    • Devise and test programs and campaigns which will be used to improve your future results
    • Establish incentives for members, providers, and care management staff
    • Calculate potential ROI of various available courses of action
  • Act
    • Put your improvement strategies into action by integrating the proActive Management platform with your existing care/case management, claims processing, CRM or HIE/EMR systems
    • Push tasks, alerts, and messages into these integrated systems

The Medicaid & Commercial Solution

You are under increasing pressure to deliver better coordinated, more cost-effective healthcare.

Rely on the combination of Valiant Health software tools and healthcare expertise to help you:

  • Know
    • Quickly understand how your enterprise is managing the care of your Medicaid members
    • Sophisticated analytics on your current NCQA/HEDIS, Pay-For-Performance or other custom measures
    • Measure how well your care/case management function is supporting your measure results
    • Measure how successful your providers are in directing the care of your members
    • Quickly target which members are in need of additional services or direction to satisfy care measures
  • Improve
    • Determine which measures you can most successfully impact
    • Devise and test programs and campaigns which will be used to improve your future results
    • Establish incentives for members, providers, and care management staff
    • Calculate potential ROI of various available courses of action
  • Act
    • Put your improvement strategies into action by integrating the proActive Management platform with your existing care/case management, claims processing, CRM or HIE/EMR systems
    • Push tasks, alerts, and messages into these integrated systems

The Exchange Plan Solution

You have a mandate to deliver better care management. In today’s healthcare environment, that’s a big challenge.

What if you could access all the key measurable data you needed to determine which resources were offering the best care for your dollar? What if you didn’t have to rely on “apples to oranges” comparisons? What if you knew which healthcare partners were striking the best balance between care excellence and business efficiency? What if you then had the help you needed to turn all that data into better results?

You can have all that with one call to Valiant Health.

Start with our software systems, which let you:

  • Compare the plans within your program
    • Analyze the relative quality of different agencies/organizations
    • Review quality of care star ratings, NCQA’s HEDIS and the IHI Triple Aim ratings and more
    • Compare the benefits of fee for service (FFS) vs. managed care

The Integrated Health System Solution

Like every member of the healthcare delivery network, you are under increasing pressure to deliver better care for less money. The first step is data. The next step is strategy.

Valiant Health’s combination of proven software tools and healthcare expertise delivers the resources you need to:

  • Incorporate HEDIS and IHI Triple Aim initiatives into your long-term strategy
    • Use the proActive Management platform as your base for building a robust care quality and measurement initiative
    • Integrate industry standard measures into your program
  • Improve levels of case management and delivery
    • Determine which measures you should focus on to drive care quality improvements
    • Provide robust tools to enable case managers to do their job better
  • Enhance reimbursement levels and market image
    • Improved care quality measures are important to improving (or protecting) reimbursement levels
    • Be seen as the most pro-active care organization in your market space

The Government Solution

You have a mandate to deliver better care management. In today’s healthcare environment, that’s a big challenge.

But what if you could access all the key measurable data you needed to determine which resources were offering the best care for your dollar? Didn’t have to rely on “apples to oranges” comparisons? Knew which healthcare partners were striking the best balance between care excellence and business efficiency? And then had the help you needed to turn all that data into better results?

You can have all that with one call to Valiant Health.

Start with our software systems, which let you:

  • Compare the plans within your program
    • Analyze the relative quality of different agencies/organizations
    • Review quality of care star ratings, NCQA’s HEDIS and the IHI Triple Aim ratings and more
    • Compare the benefits of fee for service (FFS) vs. managed care

The Custom Development Solution

After more than 40 years in the healthcare industry, the team at Valiant Health has a wealth of experience and expertise to offer – whether you need a customized software system, consultation services, or help implementing a healthcare initiative.

Valiant Health can help with:

  • NCQA/HEDIS program counseling
    • Assist with the creation or improvement of your current NCQA Five-Star/HEDIS measurement process
    • Source data analysis to make sure you are getting proper credit for your current level of care
    • Help you identify where you can improve and what the ROI of that improvement might look like
  • Custom metrics development
    • Need measurements outside the standard measure sets available today? We can help you build the data architecture and process needed to gather and accurately report these custom measures
    • We can help drive these measurements into the proActive Management platform
  • Custom analytics development
    • Want to better understand a particular facet of your performance? We can assist you with the creation of analytics that will get you the answers you are looking for
    • Experienced business intelligence professionals who can help integrate your measure data with your general corporate data warehouse