We are thrilled to share some exciting news: Lilac is now officially NCQA Certified for HEDIS® Health Plan Measures and Allowable Adjustments Measures MY 2025.
Lilac’s Certification covers all the applicable Medicare Advantage (MA) Star measures. This achievement goes beyond validating Lilac’s deep Stars knowledge and data science knowhow; another year of certification reflects our long term commitment to being a force for improving healthcare quality through the power of good data.
Our Vision
At Lilac, we believe that good, reliable data is the starting point to exceptional care. From the very beginning, our mission has been clear: to create a holistic solution for health plans, PBMs and providers that unifies data, powers analytics, and orchestrates action. A core part of that mission is enabling our customers to manage the set of complex measures that directly impact members’ quality of care. This is why we’ve designed our platform to cover everything—from HEDIS measures to PQA, operational, and survey metrics. Our goal is to power Stars teams with the most timely, actionable data possible through integrated analytics, deep domain expertise and agentic AI tools to enable proactive care management.
What Makes Lilac Unique?
- Comprehensive Solution: We’ve built a platform that integrates all Star measures in one place. No more wondering which system to trust—our solution provides clarity and confidence.
- Foundation for Agentic AI: Feed agentic AI systems with reliable data that Lilac has aggregated, cleaned and fed through an NCQA certified and PQA licensed engine.
- Speedy Results: Our engine is designed for speed and flexibility, delivering gap closure lists in minutes instead of weeks. You can run measures as often as you need—no limits!
- Connecting Strategy to Tactics: Move seamlessly from big picture performance and forecasts down to the details of each measure. This connectivity is powerful in aligning the organization around how specific initiatives fit into improving overall performance.
- Empowering IT Teams: We know how busy IT departments can be. That’s why we take on the heavy lifting of data mapping and ingestion, allowing your team to focus on what they do best without added stress.
- Clear Traceability: With our system, you’ll never have to guess why a member is included in a denominator or numerator. Every detail is tagged and traceable, making it easy to understand and act on.
The Impact of Our Certification
With our HEDIS and PQA engines working together, Lilac delivers clients with a unique solution for managing member health as part of a robust Star program:
- Integrated Insights: We combine HEDIS and drug measure gap closures for providers, giving them a complete view of their performance.
- Flexible Scheduling: Whether you need updates daily, weekly, or on-demand, our platform adapts to your needs.
- Control: You have the power to run measures in both test and production modes whenever you want.
- Seamless Interoperability: Automatically send gap closure lists to care managers or providers without any hassle.
- Progress Tracking Made Easy: Monitor your goals with straightforward executive reporting.
- Predictive Power: Our models forecast star scores and highlight opportunities for improvement.
- Automatic Adjustments: We handle complex calculations like Reward Factor and Health Equity Index effortlessly.
Lilac’s platform ensures your limited resources go towards getting the right members the right care at the right time by applying precise exclusions and adjustments across all MA drug and HEDIS measures.
As we celebrate this achievement, we want to extend our gratitude to our customers and the tireless Lilac team that made this happen. Together, we are transforming healthcare quality!
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If you want to explore how Lilac’s platform consisting of an NCQA certified and PQA licensed engine, advanced analytics and agentic AI can help you and your plan, reach out to us via the form in this link to start the conversation.
