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Found 2 Skills
Reasoning skill for HEDIS measure specification, enrollment logic, exclusion evaluation, NCQA audit requirements, and care gap prioritization. Use when the user asks about HEDIS measure definitions, denominator/numerator/exclusion logic, continuous enrollment rules, Star Rating impact, or care gap closure strategies.
Pipeline skill for computing HEDIS quality measures from claims and clinical data. Use when the user asks to calculate HEDIS measure rates, check continuous enrollment, build denominator/numerator logic, detect care gaps, compute utilization rates, identify high-cost claimants, or score risk stratification indices. Triggers include "calculate HEDIS", "measure rate", "continuous enrollment check", "care gap detection", "denominator query", "numerator logic", "utilization rate", "high-cost claimant", "Charlson score", "LACE score", "claims analysis", "quality measure SQL".