From policy and pilots to performance at scale
The shift to Digital Quality Measurement is no longer conceptual — it’s operational, regulatory, and imminent. Payers and providers are being asked to modernize quality measurement while simultaneously reducing administrative cost, maintaining performance, and preparing for parallel testing and fully digital reporting.
Wakely, Leavitt Partners, and Health Management Associates work as a single, integrated team to help organizations translate digital quality policy into execution-ready operating models. We combine policy insight, actuarial and analytics depth, technical execution support, and change management to help payers move confidently from readiness to results.
This playbook outlines how we support organizations at every stage of the dQM journey—not just to meet CMS and NCQA requirements, but to turn digital quality into a scalable enterprise capability.
Please fill out this form to receive a copy of the dQM playbook:
What This Playbook Shows You How to Do
Grounded directly in our client work and national policy leadership, the playbook walks through how we help organizations:
- Translate CMS and NCQA digital quality policy into actionable roadmaps
We align regulatory timelines with realistic investment and operating strategies—so compliance and performance move together. - Assess readiness across policy, data, technology, and operations
We identify where gaps truly exist (and where they don’t), creating a defensible baseline to guide decision-making. - Pilot digital measures and FHIR-based pipelines with confidence
We design and support proof-of-concepts that build trust, validate results, and prepare teams for operational change. - Operationalize dQM to reduce cost and manual burden
We help redesign workflows, governance, and reporting processes so digital quality becomes repeatable, auditable, and scalable. - Scale digital quality across lines of business and use cases
Our approach supports Commercial, Exchange, Medicaid, and Medicare populations—extending value beyond quality reporting into value-based purchasing, network management, and payment integrity.
Our Differentiated Advantage (Why Clients Engage Us)
This playbook reflects a model that is intentionally not vendor-led and not technology-first:
- Policy Alignment & Strategy
Direct insight into CMS and NCQA policy trends, translated into executable plans. - Analytics & Actuarial Rigor
ROI-driven modeling to prioritize what matters and avoid over-investment. - Technical & Operational Execution Support
Partnering with vendors, validating pipelines, and supporting implementation from pilot through production. - Governance & Change Management
Helping quality, data, IT, and leadership teams operate as one—so digital quality sticks.
