Healthcare Effectiveness Data and Information Set

Navigate Awarded NCQA Certification

Retrieved on: 
Thursday, November 9, 2023

WEST DES MOINES, Iowa, Nov. 9, 2023 /PRNewswire/ -- Navigate Wellbeing Solutions announced they received the NCQA Wellness & Health Promotion Certification for their Wellbeing Survey.

Key Points: 
  • WEST DES MOINES, Iowa, Nov. 9, 2023 /PRNewswire/ -- Navigate Wellbeing Solutions announced they received the NCQA Wellness & Health Promotion Certification for their Wellbeing Survey.
  • Receiving the NCQA Wellness & Health Promotion Certification signifies the effect that Navigate has on improving the lives of millions.
  • "I congratulate Navigate Wellbeing Solutions for distinguishing itself by earning Wellness & Health Promotion Certification.
  • The NCQA Certification for Wellness & Health Promotion serves as proof of Navigate Wellbeing Solutions' dedication to enhancing wellbeing through innovative and comprehensive health assessment methodologies.

Kaiser Permanente Mid-Atlantic Commercial Health Plan Earns Top Quality Rating from NCQA

Retrieved on: 
Tuesday, October 10, 2023

Compared with more than 1,000 health plans nationwide, Kaiser Permanente’s Mid-Atlantic region is one of only two commercial health plans to receive 5 out of 5 stars from the 2023 National Committee for Quality Assurance’s (NCQA) Health Plan Ratings annual report.

Key Points: 
  • Compared with more than 1,000 health plans nationwide, Kaiser Permanente’s Mid-Atlantic region is one of only two commercial health plans to receive 5 out of 5 stars from the 2023 National Committee for Quality Assurance’s (NCQA) Health Plan Ratings annual report.
  • Kaiser Permanente’s commercial plan is the only plan in Maryland, Washington, DC or Virginia to earn 5 out of 5 stars.
  • Kaiser Permanente’s health plans performed better than others in the region for 2023 based on the NCQA quality ratings.
  • View the full release here: https://www.businesswire.com/news/home/20231010853726/en/
    Ruth E. Williams-Brinkley, President of Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. (Photo: Business Wire)
    “At Kaiser Permanente, we remain steadfast in our commitment to providing high quality care and top experiences for our members,” said Ruth Williams-Brinkley, regional president for Kaiser Permanente, Mid-Atlantic.

Magellan Healthcare Announces Expansion of Pharmacy Outreach Program – inforMED

Retrieved on: 
Tuesday, October 10, 2023

Magellan Healthcare, Inc. , the behavioral health division of Magellan Health, Inc. , today announced the expansion of inforMED , a clinical pharmacy outreach program that provides physicians with unbiased, evidence-based information about medications and other therapeutic interventions in support of integrated care.

Key Points: 
  • Magellan Healthcare, Inc. , the behavioral health division of Magellan Health, Inc. , today announced the expansion of inforMED , a clinical pharmacy outreach program that provides physicians with unbiased, evidence-based information about medications and other therapeutic interventions in support of integrated care.
  • This will help them all better understand prescribing trends and consult on best practices, resulting in lower costs and improved outcomes.
  • The program focuses on medication and Healthcare Effectiveness Data and Information Set (HEDIS) interventions for persons with behavioral health conditions.
  • “Magellan is a behavioral health company that believes in addressing the integrated needs of individuals—physical and behavioral.

Everly Health Launches Comprehensive At-Home Collection Kidney Health Test to Address Chronic Kidney Disease

Retrieved on: 
Thursday, October 5, 2023

Everly Health , a digital health company at the forefront of remote diagnostics-driven care, today announced the launch of a comprehensive at-home collection kidney health test for health plans and employers to expand access to prevention, diagnosis, and treatment of chronic kidney disease (CKD).

Key Points: 
  • Everly Health , a digital health company at the forefront of remote diagnostics-driven care, today announced the launch of a comprehensive at-home collection kidney health test for health plans and employers to expand access to prevention, diagnosis, and treatment of chronic kidney disease (CKD).
  • “We have an opportunity to significantly change the course of chronic kidney disease in the United States by working to ensure early detection is available to people through the testing they need to protect their kidney health.”
    The Everly Health At-Home Collection Kidney Health Test is the combination of an estimated glomerular filtration rate (eGFR) through blood collection, estimating kidney function, and a urinary albumin-to-creatinine ratio (UACR) to assess kidney function through urine collection.
  • The collection methods used for the Everly Health Kidney Health Test have a correlation of over 98.6% when compared to standard collection methods.
  • The at-home collection kidney health test aims to lower lifetime costs associated with Chronic Kidney Disease and diabetes by increasing accessibility to testing and satisfying the 2024 KED HEDIS measure.

Central California Alliance for Health Selects ZeOmega's Care Management Solution to Support Whole-Person Care

Retrieved on: 
Thursday, September 14, 2023

PLANO, Texas, Sept. 14, 2023 /PRNewswire/ -- ZeOmega®, the leading population health management organization, today announced Central California Alliance for Health (CCAH), a managed-care health plan that serves Medi-Cal members, selected its care management solution to identify vulnerable populations and address social determinants of health (SDOH), workflow operations, and other factors essential to California's leading value-based care efforts.

Key Points: 
  • Health Plan to Use Technology to Improve Efficiencies, Enable True Population Health, and Provide Person-Centered Care
    PLANO, Texas, Sept. 14, 2023 /PRNewswire/ -- ZeOmega ®, the leading population health management organization, today announced Central California Alliance for Health (CCAH), a managed-care health plan that serves Medi-Cal members, selected its care management solution to identify vulnerable populations and address social determinants of health (SDOH), workflow operations, and other factors essential to California's leading value-based care efforts.
  • After a thorough review, CCAH selected ZeOmega's Jiva platform for its unmatched speed, integration support, functionality, and operational capabilities.
  • "We're eager to partner with ZeOmega and use its Jiva platform as our care management solution," said Van Wong, Chief Operating Officer for Central California Alliance for Health.
  • "Using this platform will allow CCAH to realize significant operational efficiencies, including workflow improvements in utilization management, appeals and grievances, and population health.

Arcadia Earns Validated Data Stream Designation From NCQA

Retrieved on: 
Thursday, September 7, 2023

BOSTON, Sept. 7, 2023 /PRNewswire/ -- Arcadia (Arcadia.io), a leading data analytics platform for healthcare, announced today that the data stream leveraged by Southwestern Health Resources (SWHR) earned the Validated Data Stream designation through the National Committee for Quality Assurance (NCQA)'s Data Aggregator Validation program. The designation boosts confidence in the validity of clinical data and is used to demonstrate performance on a broad range of health initiatives known as Healthcare Effectiveness Data and Information Set (HEDIS®).

Key Points: 
  • BOSTON, Sept. 7, 2023 /PRNewswire/ -- Arcadia ( Arcadia.io ), a leading data analytics platform for healthcare, announced today that the data stream leveraged by Southwestern Health Resources (SWHR) earned the Validated Data Stream designation through the National Committee for Quality Assurance (NCQA)'s Data Aggregator Validation program .
  • The data accuracy achievement saves time for providers, health plans, and government entities and instills trust in output data matching source data.
  • Earning NCQA's Validated Data Stream designation requires passing a rigorous, end-to-end examination of the quality and integrity of clinical data and the procedures used to ingest, manage, transform, output, and safeguard data.
  • The validated data stream allows SWHR to more efficiently leverage clinical data in collaboration with payers while reducing administrative burden."

HealthPartners continues to drive personalization with ‘My Dashboard’

Retrieved on: 
Wednesday, September 6, 2023

HealthPartners today announced it has launched a new personalized digital experience to help members and patients schedule care, estimate costs, use wellness resources and more.

Key Points: 
  • HealthPartners today announced it has launched a new personalized digital experience to help members and patients schedule care, estimate costs, use wellness resources and more.
  • It’s called My Dashboard and the tailored interface curates health information to help drive superior engagement in each user’s health journey.
  • “My Dashboard brings care and coverage together to guide members and patients in a way that’s specific to their unique health care needs,” said Jennifer Danielson , Chief Health Plan Officer with HealthPartners.
  • HealthPartners’ proprietary predictive models identify members and patients’ health needs to guide them to the care they need at the moment they need it.

Only 40% of Diabetes Patients Get Recommended Kidney Health Testing

Retrieved on: 
Wednesday, August 30, 2023

NEW YORK, Aug. 30, 2023 /PRNewswire/ -- Not enough diabetes patients are getting their recommended kidney health screenings, according to a new study by the National Kidney Foundation (NKF) and the National Committee for Quality Assurance (NCQA).

Key Points: 
  • NEW YORK, Aug. 30, 2023 /PRNewswire/ -- Not enough diabetes patients are getting their recommended kidney health screenings, according to a new study by the National Kidney Foundation (NKF) and the National Committee for Quality Assurance (NCQA).
  • "Kidney health testing is pivotal to ensuring timely diagnosis & equitable treatment of CKD," said Dr. Vassalotti, CMO
    According to new data published in Mayo Clinic Proceedings: Innovations, Quality & Outcomes journal, less than 40% of patients with diabetes have been recommended at least annual kidney health screening tests.
  • NKF is calling on health professionals to prioritize kidney health screening for individuals with diabetes which is pivotal to ensuring timely diagnosis and equitable treatment of CKD.
  • "Kidney health testing is pivotal to ensuring timely diagnosis and equitable treatment of CKD," added Joseph Vassalotti, MD, NKF Chief Medical Officer.

Velatura HIE Corporation and Premier Health Network Announce Launch of CareConvene in Georgia

Retrieved on: 
Tuesday, August 15, 2023

AUGUSTA, Ga., Aug. 15, 2023 (GLOBE NEWSWIRE) -- The Velatura HIE Corporation, a non-profit 501(c)(3) organization of affiliated regional health information exchanges transforming patient care and public health through the interoperable exchange of critical information, and Premier Health Network, a physician owned clinically integrated health network of 523 providers, today announced the launch of CareConvene in the Georgia market, a critical milestone for the improvement of value-based care delivery in the region.

Key Points: 
  • AUGUSTA, Ga., Aug. 15, 2023 (GLOBE NEWSWIRE) -- The Velatura HIE Corporation, a non-profit 501(c)(3) organization of affiliated regional health information exchanges transforming patient care and public health through the interoperable exchange of critical information, and Premier Health Network, a physician owned clinically integrated health network of 523 providers, today announced the launch of CareConvene in the Georgia market, a critical milestone for the improvement of value-based care delivery in the region.
  • CareConvene is a revolutionary transition of care workflow platform offered by Velatura HIE Corporation designed to improve clinical capabilities, reduce unnecessary inpatient hospitalization and eliminate avoidable hospital readmission.
  • The platform aids clinicians in the delivery of real-time delivery hospital notifications and provides novel digital tools to establish a 48-hour post discharge patient interaction.
  • “Premier Health is constantly striving to improve health outcomes, enhance the overall care experience for patients and providers alike, and reduce the need for costly and unnecessary readmissions,” said Geoffrey Mitton, MHA, Executive Director of Premier Health Network.

72-Provider FQHC Implements eClinicalWorks Population Health Solutions for Improved Screening and Compliance

Retrieved on: 
Thursday, August 17, 2023

eClinicalWorks® , the largest ambulatory cloud EHR, today announced that the Connecticut Institute for Communities, Inc. (CIFC) — a 72 provider FQHC — deployed the eClinicalWorks Population Health solutions to improve the delivery of quality care and evaluate access to healthcare services.

Key Points: 
  • eClinicalWorks® , the largest ambulatory cloud EHR, today announced that the Connecticut Institute for Communities, Inc. (CIFC) — a 72 provider FQHC — deployed the eClinicalWorks Population Health solutions to improve the delivery of quality care and evaluate access to healthcare services.
  • CIFC deployed eClinicalWorks Population Health solutions, including the Healthcare Effectiveness Data and Information Set ( HEDIS® Analytics), to save time and improve compliance measures.
  • “Before implementing eClinicalWorks Population Health solutions, our providers and staff had to manually check different windows for patient information and compliance metrics,” said Vinicius Barreto, quality data analyst of Connecticut Institute for Communities.
  • Additionally, our medical assistants are now able to utilize the solution for pre-visit chart prep.”
    Since implementing HEDIS Analytics and other population health tools available in eClinicalWorks, CIFC has seen significant improvement in population health metrics and screenings:
    “Our Population Health solutions are one of the key tools that CIFC Health is using to increase compliance, which results in better patient health outcomes and reduced administrative burden for providers and staff,” said Girish Navani, CEO and cofounder of eClinicalWorks.