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Healthcare Professionals


Qualis Health advances healthcare and improves health in partnership with healthcare professionals nationwide. Our services promote efficiency and reliability, support care coordination, facilitate care transitions and leverage health information technology (health IT) to improve care delivery.


Care Management

We provide care management services that support cost-effective, patient-centered, high-quality care. Our case management and utilization management programs serve Medicaid agencies, self-funded health plans and health insurance plans.

Qualis Health takes a patient-centered approach that honors each individual's culture, social context and values—and empowers patients to play an active role in making decisions about their own care. When healthcare is oriented around the unique needs of the patient, it can lead to higher patient satisfaction and better clinical outcomes.

That's why we were honored with two Case In Point magazine Platinum Awards in the categories of "Medicaid Case Management Program" and "Utilization Management Program" in 2010 and were a finalist for our Behavioral Health Care Coordination Program in 2013 and for our Workers' Compensation Utilization Management Program in 2012.


Healthcare Consulting: Patient-Centered Medical Home

Qualis Health has supported more than 1,000 practices in 20 states in streamlining their processes, improving their quality and getting them on the road to NCQA PCMH™ Recognition as acknowledged leaders in patient-centered medical home (PCMH) transformation.

We lead multi-state demonstration projects, support regional collaboratives and provide customized practice-level assistance to local networks. We also support State Primary Care Associations that are helping community health centers in their regions become patient-centered medical homes.

Learn more about our PCMH projects and outcomes.


Healthcare Consulting: Information Technology

Whether we are assisting physician practices with adopting electronic health records or state Medicaid agencies with modernizing their Medicaid Enterprise Systems, our approach helps our clients:

  • Improve care delivery
  • Comply with regulatory requirements
  • Improve accuracy of data collection and reporting
  • Increase efficiency of business and clinical operations


We work with payers and providers in public and private sector healthcare organizations around the nation to help optimize their use of health information technology. Our consulting teams help these partners improve their use of information and align their operational processes with health information technology.

Helping physicians use EHRs to improve their practice is a critical step in healthcare transformation. The Health Information Technology Regional Extension Center Program was established by Congress to address this need. Qualis Health leads the Washington & Idaho Regional Extension Center (WIREC), which offers a comprehensive suite of technical assistance so that practices can reach meaningful use standards, earn incentive payments and transform their systems of care.

Visit Qualis Health's health IT website to learn more about our services and how we can help you.


Healthcare Consulting: Quality Improvement and Safety

As the Medicare Quality Improvement Organization (QIO) for Idaho and Washington, our team of quality improvement consultants, data experts and clinical leaders partner with healthcare providers to redesign processes, build sustainable change and deliver care with greater value and quality.

Learn more about our projects and initiatives on our Medicare QIO website.