Health Data Decisions

Health Data Decisions is a Massachusetts-based health analytics firm founded in 2008. We offer strategic data solutions for health plans and vendors, bringing broad expertise in data management and analytics, medical economics, risk adjustment, HEDIS, CMS 5-Star®, regulatory reporting, and systems strategy. Our principal consultants have an average of 15 years of health care data analytics and management experience. Our core competencies include:

- HEDIS and CMS 5-Star® optimization

- Medicare Advantage revenue optimization

- Advanced analytic services and predictive modeling

- ICD-10 implementation

- Clinical outcomes and program evaluation

- Patient centered medical home (PCMH) programs

- Behavioral health system development, reporting and analysis

- Clinical registry data standards and database application design

- Multistate all-payer database design and implementation

- Health risk assessment (HRA) and PHQ9 implementation

- Integration of clinical grouping tools (ETG, DCG, ACG, CRG, DRG)

- Data governance and best practices