How Fenyx Health Went From Onboarding to HEDIS® Submissions in Under 90 Days

Fenyx Health is a new employer-sponsored health plan offering Medicare Advantage Medical Savings Account (MSA) plans to a small but growing member base. Like many new plans, they faced a series of “firsts” – including their first HEDIS® reporting season.

The challenge? Their team had little hands-on HEDIS experience and sought guidance on where to begin. With Q1 already underway and a June submission deadline looming, they urgently needed to find a partner with extensive HEDIS experience.

After talking it over internally, Fenyx Health chose Inovalon’s Converged Quality™ as its HEDIS solution. With hands-on support from Inovalon’s professional services team, Fenyx Health successfully hit its submission deadline.

Fenyx Health needed to move quickly and began searching for a reputable vendor in the HEDIS data ingestion, measurement, and scoring output space. Failure to submit their HEDIS data on time could have resulted in financial penalties. Kristy Yohey, Vice President, Strategic Partnerships at Fenyx Health, stated that Inovalon was their first call, based on their leadership’s prior experience, Inovalon’s credibility in the market, and the flexibility/adaptability from a contractual needs standpoint.

Once the partnership was finalized, the onboarding and training process for Converged Quality started almost immediately. Yohey said the introductory call with the onboarding team laid clear expectations for submission deliverables, timelines, and who to contact with questions.

“The onboarding process was, from that perspective, super smooth, very engaging, and supportive in terms of the Inovalon partnership and team.”

From that point on, Fenyx Health was up and running.

At a newer plan, staff often wear many hats, and time is a limited resource. “Most of us who are in these roles, we’re all running 100 miles per hour plus,” Yohey said.

Time became even more precious for the staff as they balanced their daily duties with learning new processes and software.

While Inovalon offers a robust library of instructional videos and tutorials, Yohey explained that she didn’t have time to review them all and preferred to learn by doing. Instead, she and her Inovalon professional services manager adopted a hands-on approach. Over several weeks, they scheduled regular meetings to explore Converged Quality and held impromptu calls whenever the Fenyx Health team needed assistance or wanted to share ideas.

“I would literally call her like concierge support,” Yohey said about her professional services manager. “It was beck and call.”

This real-time, practical learning method kept Fenyx Health on track to meet its deadline.

“Had we not had [our professional services manager], we would have never got done what we needed to do,” Yohey said.