Our Mission

We have held fast to our founding mission to transform healthcare with evidence for more than 30 years.

We believe that clinical and scientific evidence can improve the quality and value of healthcare. By delivering extraordinarily thorough, scrupulously researched reports and 24/7 support, we know we are making a positive impact on the health and wellness of countless individuals across this country.

Our clients — hospitals, healthcare systems, government agencies, health plans, and employers — trust us to be fiercely unbiased when analyzing new, emerging, and controversial technologies and practices. And they depend upon us to provide the best business solutions proven to enhance efficiencies, reduce cost, and reduce risk. This is what we come to work each day to do.

The Hayes Difference

We serve payers and providers with superior evidence, analysis, and responsive, customized research tailored to meet a client’s specific needs.

We’re experienced, we’re smart, and we’re staffed to be consultative. We’re problem solvers, not “cookie cutters.”

We’ve won several sole source RFPs, because there is no other company that can:

    • Match the depth and breadth of our reports and report types focused on new, emerging, and even controversial technologies.
    • Offer the depth and breadth of payer expertise to provide clients with “real world” content structured to support policies and utilization management.
    • Regularly update content. We understand the intrinsic value of current, accurate data; annual “updates” just don’t cut it.
    • Provide real-time, clinical evidence research support. When our clients need “fast-tracked” information, they know who to call: Hayes’ Specialists whom respond within 24 hours.
Uniquely positioned to bring payers and providers together

  • Because we serve two-thirds of hospitals as well as payer clients who manage 83% of the covered lives in the U.S., we are uniquely positioned to bring payers and providers together through a common lens of world-class evidence, technology, and professional services.

Innovation: MedInsight Hayes Grouper

  • In June 2019, Milliman’s MedInsight® and Hayes announced the MedInsight Hayes Grouper, a powerful new decision-making tool that integrates Hayes’ clinical criteria with Milliman’s industry-leading claims analytics into a powerful data set of evidence-based claims analytics.
  • The Grouper is the first tool to combine evidence-based metrics with traditional analytics to provide a window into unique populations. The Grouper also enables payers to be proactive in planning for the future impact that disruptive and emerging technologies may have on their populations.

The Hayes Rating

The Industry Benchmark

Our proprietary Hayes Rating has become the industry’s benchmark and is aligned with the international GRADE (Grading of Recommendations Assessment, Development and Evaluation)-based evidence evaluation system. Over the years, it has been proven that evidence-based, clinically sound processes improve both the quality and cost-effectiveness of healthcare delivery.

The Hayes Rating is used in evaluating medical technologies. In addition to other forms of available information, clients consider the Hayes Rating, and the contextual information contained in our reports, to expand their level of knowledge as they work to improve the quality and cost-effectiveness of healthcare delivery.

The proprietary Hayes Rating system was developed to reflect the strength and direction of the evidence regarding medical technologies (procedure, test, device, biologic, drug, intervention, process, or program) as they apply to specific clinical applications. This includes safety and efficacy, impact on health outcomes and patient management, indications for use, and patient selection criteria compared with the standard treatment/testing or other competing health technologies.

Hayes Rating A – Established benefit. Published evidence shows conclusively that safety and impact on health outcomes are comparable to or better than standard treatment/testing. Long-term safety and impact on health outcomes have been established, and other important questions concerning the application of the technology have been answered. Drugs, biologics, and devices with an A rating have FDA approval, but not necessarily for the specific clinical application(s) under consideration.

Hayes Rating B – Some proven benefit. The published evidence indicates that safety and impact on health outcomes are at least comparable to standard treatment/testing. However, there are outstanding questions regarding long-term safety and impact on health outcomes, clinical indications, contraindications, optimal treatment/testing parameters, and/or effects in different patient subpopulations. Drugs, biologics, and devices with a B rating have FDA approval, but not necessarily for the specific clinical application(s) under consideration.

Hayes Rating C – Potential but unproven benefit. Some published evidence suggests that safety and impact on health outcomes are at least comparable to standard treatment/testing. However, substantial uncertainty remains about safety and/or impact on health outcomes because of poor-quality studies, sparse data, conflicting study results, and/or other concerns.

Hayes Rating D1 – No proven benefit. Published evidence shows that the technology does not improve health outcomes or patient management for the reviewed application(s) or is unsafe.

Hayes Rating D2 – Insufficient evidence. There is insufficient published evidence to assess the safety and/or impact on health outcomes or patient management.

How We Help You

Our focus on evidence-based assessments of health technologies underlies all aspects of our research and consulting activities. We evaluate a wide range of medical technologies and clinical programs to determine their impact on patient safety, health outcomes, resource utilization, and return on investment. We also help our clients integrate evidence into their processes and decisions.

Policy Development

Health plans and government programs use our unbiased evidence to develop defensible and transparent coverage policies, care management protocols, and best practice guidelines.

Cost Reduction

Health plans and government programs use our unbiased evidence to ensure that coverage policies, care management protocols, and best practice guidelines provide the desired care outcomes.

Improved Outcomes

Hospitals and healthcare systems rely on Hayes as a resource for informing strategic initiatives focused on safely reducing the cost of care while improving quality and clinical outcomes. We also work with providers to integrate evidence-based data into their enterprise value management initiatives as well as their value analysis practices.

Process Efficiencies

As part of TractManager, Hayes can now offer clients award-winning business solutions such as our NCQA-accredited credentialing solution and our contract lifecycle management solution.

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