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Population Health Analytics for Payers
Population Health Analytics
PQS's Population Health Analytics platform unifies your clinical, claims, and demographic data. It powers EQUIPP®, providing health plans with tailored dashboards and reports that reveal actionable insights.
 
With advanced analytics and robust benchmarking, you can identify and close care gaps, boost your Star Ratings, and benchmark against your peers.
KEY FEATURES
Unified Data Platform
Hosts and links member data from prescription, claims, EHRs, and social determinants (via an interoperable data model). This ensures a longitudinal 360° view of patients, enabling consolidated analytics (versus siloed reports).
Predictive Analytics
EQUIPP models forecast members at risk (e.g., non-adherence, disease exacerbation) so plans can proactively intervene. Predictive insights power programs like targeted medication management and outreach to close gaps before they widen.
Standard Dashboards & Reporting
The EQUIPP platform displays key metrics (e.g., Star and HEDIS measures) and trends. Custom reports and visualizations help payers segment performance by geography, pharmacy network, and patient cohorts. Users can easily track year-over-year progress on quality and cost measures and get alerts for emerging gaps.
EQUIPP Benchmarking & Peer Comparisons
Integrated network benchmarking (leveraging data from PQS’s pharmacy network) shows how pharmacies of a health plan’s member base compare to national benchmarks and peer groups. These elements highlight outliers and best practices in medication management and identify underperforming areas needing attention.
Aligning Care with Outcomes
Supporting Value-Based Care
EQUIPP directly supports value-based care models by aligning incentives with outcomes. Benchmarked reporting and gap analysis ensures that care teams know where to intervene for maximum impact on population health. PQS enables smarter, faster decisions powered by unified data, robust insights, and payer-first design, helping health plans meet regulatory mandates (Star/ HEDIS) and value-based contracts with higher quality scores and lower costs.
Benefits
Close Quality Gaps Proactively
By reducing waste (non-preferred drugs, non-adherence) and steering patients to cost-effective therapies, plans see a direct reduction in pharmacy spend. Insights from the Cost of Care analytics help plans identify cost drivers, improve care quality, and optimize value-based care performance, ensuring financial sustainability.
Improve Star Ratings
Timely insights into medication adherence, immunizations, and disease management help plans focus on the high-impact measures that drive Star ratings and quality improvement goals. Analytics reveal patterns (e.g., demographic or geographic drivers of low performance), so quality teams can refine programs to raise performance.
Data-Driven Decisions
Standardized data hosting and reporting eliminate manual data wrangling. Stakeholders spend less time crunching numbers and more time acting on insights.
Financial Performance
With cost and quality metrics in one place, plans can link member outcomes to financial impact. Payers can track the total cost of care per gap closed in order to demonstrate return on investment. Analytics also identify opportunities to shift care from high-cost medications (e.g., encouraging pharmacy interventions to avoid ER visits) to lower-cost therapeutic alternatives (improving formulary adherence and reducing waste).
Better patient outcomes. Better business results.

Comprehensive Data Integration

Unifies clinical, claims, and SDoH data for a 360° patient view; supports analytics on all key quality and cost drivers.

Predictive Member Insights

Flag high-risk patients (e.g., likely non-adherent) to prioritize interventions before gaps occur.

Benchmarked Performance Dashboards

Visualize progress on quality measures vs. national peers; identify underperforming regions or pharmacies.

Regulatory Compliance Support

Tracks quality metrics (Stars, HEDIS), simplifying the auditing and reporting process.

Care Gap Reporting & Alerts

Highlights missed care (e.g., refills, immunizations) so teams can rapidly close gaps.

Tap into our expertise to improve patient and business outcomes

With 10+ years of quality measurement expertise and deep pharmacy knowledge, 
PQS provides best-practices to develop innovative quality strategies to support more effective interventions.
Request a demo
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