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Digital Quality Readiness Guide

From FHIR Compliance to Digital HEDIS Readiness

Digital HEDIS readiness is not theoretical — and health plans do not need another high-level overview.

This guide gives payer teams a practical, step-by-step framework for getting started: what to assess, where common barriers show up, which decisions need ownership, and how to build a roadmap across data, vendors, governance, quality, IT, and finance.

Developed from Onyx's real work with health plans, the guide helps teams move from awareness to action before Digital HEDIS transition windows create risk.

Download the guide

For Quality, HEDIS, Stars, IT, compliance, analytics, interoperability, vendor strategy, and operations leaders.

 
 
Digital Quality Readiness Guide
20 pages · Onyx Digital Quality Practice, 2026
01The Digital HEDIS roadmap
02Clinical data infrastructure
03The CQL engine: who owns it
04Governance: the two blocking gaps
05Action plan: four time horizons
06Comparative testing framework
Onyx
50+
Payer organizations
25+
State Medicaid programs within our payer network
55M+
Lives supported
#1
Black Book 2026 payer interoperability

Most Digital HEDIS content explains what is changing. This guide focuses on what health plans should do next.

FHIR compliance alone does not make a plan ready for Digital HEDIS. Health plans need to know whether clinical data is usable, whether FHIR resources align to the NCQA HEDIS IG, where CQL execution happens, how vendors are preparing, and who owns the roadmap.

This guide breaks those questions into practical readiness steps payer teams can use to identify gaps, align stakeholders, and prioritize action.

What you'll learn

01

Understand where to start with Digital HEDIS readiness

02

Identify the most common barriers across data, vendors, governance, and ownership

03

Assess whether current clinical data flows are ready for NCQA HEDIS IG requirements

04

Understand why pseudo-claims workflows may not support future dQM needs

05

Clarify CQL engine ownership and vendor requirements

06

Prepare for comparative testing before transitioning from legacy methods

07

Build a practical roadmap across Quality, IT, Analytics, Compliance, and Finance

From readiness risk to action

A practical guide for turning Digital HEDIS readiness into an action plan.

Health plans need more than awareness of the transition. They need to know what to fix, who needs to own it, what decisions need to be made, and how to move from readiness risk to execution.

Download the guide

Digital HEDIS readiness depends on more than FHIR infrastructure.

Complete the form to download From FHIR Compliance to Digital HEDIS Readiness and get a practical, step-by-step framework for assessing clinical data flows, FHIR/HEDIS IG alignment, CQL engine ownership, vendor readiness, governance, financial modeling, and roadmap planning.

Ready to pressure-test your Digital HEDIS readiness?

Onyx helps payers turn readiness questions into a practical action plan across data, vendors, governance, and roadmap planning.

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