Most current solutions are payer-driven, forcing providers to adapt. The fix isn’t just automation—it’s shifting ownership of the process so that technology works for PCPs, not against them.
If an AI-driven platform could handle retrieval, verification, aggregation, and reporting without constant physician input, it would free up cognitive bandwidth for actual patient care.
The challenge is integration—many of these emerging solutions (eCQM, dQM) still assume physicians will clean up the data mess, rather than designing systems that solve the problem upstream.
NCQA was designed to serve payors first, including eCQMs. It makes their lives easier so they can receive a clean QRDA file at the expense of the individual PCP.
Most current solutions are payer-driven, forcing providers to adapt. The fix isn’t just automation—it’s shifting ownership of the process so that technology works for PCPs, not against them.
If an AI-driven platform could handle retrieval, verification, aggregation, and reporting without constant physician input, it would free up cognitive bandwidth for actual patient care.
The challenge is integration—many of these emerging solutions (eCQM, dQM) still assume physicians will clean up the data mess, rather than designing systems that solve the problem upstream.
100% agree.
NCQA was designed to serve payors first, including eCQMs. It makes their lives easier so they can receive a clean QRDA file at the expense of the individual PCP.