Equality Health Enhances Quality Reporting, HEDIS Compliance, and Reimbursement with TrackMy

2025 TrackMy Case Study

Client: Equality Health

Industry: Value Based Healthcare

Solution TrackMy EHR

Focus: HEDIS Measure Compliance & Reimbursement Optimization

Challenge

Equality Health, a value-based care platform dedicated to improving health outcomes for diverse and historically underserved communities, faced challenges in efficiently meeting HEDIS immunization measures across its network. Manual data collection and inconsistent documentation of vaccinations led to care gaps, hindering the organization's ability to close these gaps and access quality-driven incentives. With payer reimbursement increasingly tied to preventive care metrics, Equality Health sought a scalable and accurate solution to verify vaccine compliance, particularly for pediatric and adolescent patients.

Solution

To address these challenges, Equality Health partnered with TrackMy to implement its vaccine verification functionality. This functionality allows individuals to connect with a provider in real-time to access historical immunization records within minutes.

Key features include:

●       Instant access to historical immunization records.

●       Ability to identify care gaps related to Quality/HEDIS immunization measures.

●       Allows streamlined outreach for follow-up and compliance.

●       Audit-ready documentation for reporting to health plans and regulatory bodies.

This data-driven approach enabled Equality Health to proactively identify and address underreported vaccinations, a key factor in previously missed Quality/HEDIS opportunities.

Results Summary:

By leveraging TrackMy’s platform, Equality Health achieved:

●       Increased verified immunization rates across targeted Quality/HEDIS measures.

●       More efficient closure of care gaps through improved data and automation.

●       Higher quality scores, leading to increased payer reimbursements.

●       Enhanced member outcomes and reduced administrative burden for care teams.

Real Results:

Study/Dataset:

A July 2025 study, of 2,110 patients, across 5 States who are 2 – 3 years old and missing vaccines to be compliant with the NCQA HEDIS Childhood Immunization Status (CIS) measure.

Outcome:

Equality Health saw a 55.7% median return of previously missing vaccine administration records.

Client Reflection:

"TrackMy provided our clinical teams with the real-time visibility necessary to close immunization gaps and significantly improve our Quality/HEDIS performance. This directly impacted our reimbursement outcomes, demonstrating the transformative power of timely and accurate data."  — Troy Garland,  Equality Health

Looking Ahead

Equality Health plans to expand the use of TrackMy across its network, aiming to replicate success in other quality measures. This partnership exemplifies how health organizations can utilize intelligent data solutions to align clinical performance with financial incentives, all while reducing administrative burdens.