TenderHeart Programs Drive 10.7% Improvement in Medicaid HEDIS Scores

Data released this week by the National Committee for Quality Assurance (NCQA) shows that TenderHeart Health Outcomes’ member engagement programs have led to a 10.7% average improvement in HEDIS scores for Medicaid health plans partnered with the organization. The findings highlight advancements in key measures of health plan performance, as reported on September 18, 2025.

The results stem from TenderHeart’s initiatives aimed at enhancing member engagement within Medicaid populations. HEDIS (Healthcare Effectiveness Data and Information Set) scores are widely used to evaluate the quality of care and services provided by health plans. The reported improvements suggest progress in areas such as preventive care, chronic disease management, and patient satisfaction metrics. Further details about the specific strategies employed or their broader implications were not disclosed in the NCQA report.

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Date: September 18, 2025

Author

Mark Chiang