CitiusTech launches industry’s first Generative AI-enabled HEDIS solution

New Delhi: CitiusTech has launched the industry’s first Generative AI-enabled HEDIS (Healthcare Effectiveness Data and Information Set) solution. Seamlessly integrated into the company’s PERFORM+ Clinical Convergence Platform, this innovative toolset represents a major shift in how healthcare payers approach HEDIS and quality management processes, promising significant improvements in efficiency, cost reduction, and productivity.

Shyam Manoj Karunakaran, Executive Vice President and Head of Health Plans & Platforms at CitiusTech, emphasized,  “The world is evolving rapidly. Generative AI is a phase-changing transformative technology disruption. Within the next five years, a majority of the current industry processes and operations will require re-imagining to adapt to a bold new era.” He said, “HEDIS & Quality Management for payers is no exception. Our Generative HEDIS solution is a library of capabilities that will continue to help payers improve efficiency, eliminate costly operations & exponentially boost productivity.”

This innovative solution brings several cutting-edge features to the table. One of the key advancements is its conversational rules functionality, which allows users to create and adjust rules for cohort building, measure building, and attribution using simple text or voice commands. The solution also includes a Gen AI foundational library, a collaborative workbench designed for developing and implementing Gen AI solutions tailored to the specific needs of the healthcare industry.

In addition, the AI-augmented engineering feature accelerates the time-to-market for new capabilities, ensuring that healthcare payers can rapidly deploy and benefit from advancements. Furthermore, the platform offers an assisted user experience, with AI-powered enhancements such as chart abstraction and annotation tools, streamlining processes that were previously labour-intensive.

These features represent a strategic blend of innovation and responsibility, developed in close collaboration with CitiusTech’s customers. The integration of Generative AI into the PERFORM+ platform, which has been NCQA-certified for over a decade, reflects the company’s commitment to leveraging advanced technology to improve healthcare delivery.

Madhu Madhanan, Vice President and Engineering Head of PERFORM+ at CitiusTech, described, “This represents a once-in-a-lifetime opportunity to revolutionize a traditionally manual-intensive business process through the implementation of a forward-looking engineering architecture. We are at the pivotal intersection of healthcare-grade Generative AI adoption for conversational experiences and the most advanced technologies for HEDIS and quality management.”

CitiusTech’s Generative HEDIS solution is now available to healthcare payers seeking to optimize their HEDIS processes, improve quality measures, and drive better healthcare outcomes.