Margaret E. O'Kane

Certilytics, Inc. Earns NCQA Measure Certification™ for HEDIS Allowable Adjustments

Retrieved on: 
Friday, June 11, 2021
Health informatics, Healthcare Effectiveness Data and Information Set, Managed care, Health, National Committee for Quality Assurance, Hedi, Margaret E. O'Kane, Hixny

LOUISVILLE, Ky., June 11, 2021 /PRNewswire/ -- Certilytics, Inc., the leading data and predictive analytics partner for some of the nation's largest and most advanced healthcare organizations, announced it has achieved certification for the 2020 measurement year through the National Committee for Quality Assurance (NCQA) HEDIS Allowable Adjustments Measure Certification Program.

Key Points: 
  • LOUISVILLE, Ky., June 11, 2021 /PRNewswire/ -- Certilytics, Inc., the leading data and predictive analytics partner for some of the nation's largest and most advanced healthcare organizations, announced it has achieved certification for the 2020 measurement year through the National Committee for Quality Assurance (NCQA) HEDIS Allowable Adjustments Measure Certification Program.
  • NCQA evaluated and certified 25 clinical quality measures that are part of the Certilytics Accelerator Data Platform.
  • NCQA's Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in healthcare.
  • NCQA can be found online at ncqa.org , on Twitter @ncqa , on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa .

CirrusMD Provider Network Earns NCQA Accreditation in Credentialing

Retrieved on: 
Thursday, February 25, 2021
Credentialing, Margaret E. O'Kane

DENVER, Feb. 25, 2021 /PRNewswire/ -- CirrusMD , the fastest-growing provider of on-demand virtual care, today announced that its CirrusMD Provider Network (CMDPN) has received a 3-year Accreditation in Credentialing by NCQA , a private, non-profit organization dedicated to improving health care quality.

Key Points: 
  • DENVER, Feb. 25, 2021 /PRNewswire/ -- CirrusMD , the fastest-growing provider of on-demand virtual care, today announced that its CirrusMD Provider Network (CMDPN) has received a 3-year Accreditation in Credentialing by NCQA , a private, non-profit organization dedicated to improving health care quality.
  • NCQA Credentialing Accreditation is a comprehensive program that evaluates the operations of organizations, providing full-scope credentialing services, which include verifying practitioner credentials, designating credentialing-committee review of practitioners and monitoring practitioner sanctions.
  • "Achieving NCQA Credentialing Accreditation demonstrates that the CirrusMD Provider Network has the systems, process and personnel in place to conduct credentialing in accordance with the strictest quality standards," said Margaret E. O'Kane, President, NCQA.
  • "The CirrusMD Provider Network Quality Program ensures that our providers deliver the highest quality patient care.

Magellan Complete Care of Louisiana, Inc. Earns Full Accreditation from the National Committee for Quality Assurance

Retrieved on: 
Thursday, July 30, 2020
Biotechnology, General Health, Pharmaceutical, Health, Healthcare in the United States, Health informatics, Healthcare Effectiveness Data and Information Set, Managed care, Health, National Committee for Quality Assurance, Health care quality, Margaret E. O'Kane, Tufts Health Plan, the National Committee for Quality Assurance (NCQA, Magellan Health:

(NASDAQ: MGLN), one of the nations leaders in behavioral health, today announced that Magellan Complete Care of Louisiana, Inc., dba Magellan of Louisiana, has earned Full Medicaid Managed Behavioral Health Organization (MBHO) Accreditation from the National Committee for Quality Assurance (NCQA).

Key Points: 
  • (NASDAQ: MGLN), one of the nations leaders in behavioral health, today announced that Magellan Complete Care of Louisiana, Inc., dba Magellan of Louisiana, has earned Full Medicaid Managed Behavioral Health Organization (MBHO) Accreditation from the National Committee for Quality Assurance (NCQA).
  • A national oversight committee of physicians and behavioral health providers analyzes the teams findings and assigns an accreditation level based on the MBHOs performance compared to NCQA standards.
  • About the National Committee for Quality Assurance (NCQA): NCQA is a private, nonprofit organization dedicated to improving health care quality.
  • NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care.

COVID-Driven Telehealth Surge Triggers Changes to Quality Measures

Retrieved on: 
Friday, June 5, 2020
Health informatics, Articles, Health, Federal assistance in the United States, Healthcare reform in the United States, Presidency of Lyndon B. Johnson, Managed care, Healthcare Effectiveness Data and Information Set, Margaret E. O'Kane, Telehealth, Medicaid, Medicare

The changes will apply to the measurement of healthcare quality starting this year.

Key Points: 
  • The changes will apply to the measurement of healthcare quality starting this year.
  • They align with recent telehealth guidance from the Centers for Medicare & Medicaid Services and other federal and state regulators.
  • "You cannot drive quality improvement if your measures don't take into account what has quickly become the fastest-growing modality for providing healthcare services," said NCQA President Margaret E. O'Kane.
  • The 40 HEDIS measures that have new accommodations for telehealth are:

Cotiviti’s HEDIS® Measures Earn NCQA Certified Measures℠ Status for the 2020 Season

Retrieved on: 
Monday, March 9, 2020
Data management, Health, Technology, Practice Management, Managed care, Software, Health informatics, Healthcare Effectiveness Data and Information Set, Managed care, Health, National Committee for Quality Assurance, Hedi, Margaret E. O'Kane

Quality Engine, the administrative measure logic and systematic sample processing component of Cotivitis Quality Intelligence solution, has earned Healthcare Effectiveness Data and Information Set (HEDIS) Certified Measures status from the National Committee for Quality Assurance (NCQA).

Key Points: 
  • Quality Engine, the administrative measure logic and systematic sample processing component of Cotivitis Quality Intelligence solution, has earned Healthcare Effectiveness Data and Information Set (HEDIS) Certified Measures status from the National Committee for Quality Assurance (NCQA).
  • NCQA certification validates that measures have been put through the thorough testing required to effectively support health plans with the HEDIS 2020 (measurement year 2019) reporting season.
  • View the full release here: https://www.businesswire.com/news/home/20200309005137/en/
    Cotivitis HEDIS Measures Earn NCQA Certified Measures Status for the 2020 Season (Graphic: Business Wire)
    Improving member health outcomes is the highest priority of any health plan, with NCQAs HEDIS measures setting the standard for quality in the industry, said Emad Rizk , M.D., Cotiviti chairman, president, and chief executive officer.
  • HEDIS Certified Measures is a service mark of NCQA.

American Well's Clinical Partner, Online Care Network II PC Earns NCQA Accreditation in Credentialing for the Third Time

Retrieved on: 
Wednesday, January 15, 2020
Articles, Health informatics, Margaret E. O'Kane, Credentialing, Telehealth, Technology

This is the third time the Online Care Network II PC has received Accreditation in Credentialing from the NCQA.

Key Points: 
  • This is the third time the Online Care Network II PC has received Accreditation in Credentialing from the NCQA.
  • "Achieving NCQA Credentialing Accreditation demonstrates that the Online Care Network II PC has the systems, process and personnel in place to conduct credentialing in accordance with the strictest quality standards," said Margaret E. O'Kane, President of NCQA.
  • The Accreditation reinforces Online Care Network II PC's commitment to quality excellence in all aspects of telehealth and adds to the portfolio of industry certifications for meeting quality standards attained by American Well and Online Care Network II PC.
  • "We're proud to once again have our commitment to quality validated by the NCQA," said Dr. Peter Antall, Chief Medical Officer, American Well and President of the Online Care Network II PC.

HGS AxisPoint Health’s Person-Centered Population Health Approach Receives Population Health Program Accreditation by NCQA

Retrieved on: 
Tuesday, December 3, 2019
Other Health, Health, Professional services, Insurance, Managed care, Health informatics, Health, Healthcare Effectiveness Data and Information Set, Managed care, Articles, National Committee for Quality Assurance, Health care quality, Margaret E. O'Kane, the National Committee for Quality Assurance (NCQA), Hinduja Global Solutions (HGS)

The Population Health Management programs moves us in greater alignment with the increased focus on person centered population health management, said Margaret E. OKane, President, NCQA.

Key Points: 
  • The Population Health Management programs moves us in greater alignment with the increased focus on person centered population health management, said Margaret E. OKane, President, NCQA.
  • NCQA is a private, nonprofit organization dedicated to improving health care quality.
  • NCQA accredits and certifies a wide range of health care organizations.
  • NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care.

Evolent Health First Organization Ever to Achieve NCQA Population Health Program Accreditation

Retrieved on: 
Wednesday, October 9, 2019
Margaret E. O'Kane, Health, Health informatics, Health insurance in the United States, Quality assurance, Healthcare quality

The Population Health Program Accreditation is the third NCQA Accreditation Evolent has achieved in 2019, with Evolent having also earned 3-Year Accreditation in both Utilization Management and Case Management in 2019.

Key Points: 
  • The Population Health Program Accreditation is the third NCQA Accreditation Evolent has achieved in 2019, with Evolent having also earned 3-Year Accreditation in both Utilization Management and Case Management in 2019.
  • "We are honored to be the first organization ever to achieve Population Health Program Accreditation from NCQA," said Evolent Health Chief Executive Officer Frank Williams.
  • "The Population Health Management program moves us in greater alignment with the increased focus on person-centered population health management," said NCQA President Margaret E. O'Kane.
  • The Population Health Program Accreditation is organized into nine standards:
    Program Description: The organization describes its population health management program, including its evidence base, and reviews and adopts new findings that are relevant to its program as they become available, as appropriate.

WellCare Receives NCQA Quality Accreditation for Its Medicare Advantage Plan in California

Retrieved on: 
Wednesday, July 24, 2019
Healthcare in the United States, WellCare, Managed care, Health in the United States, Margaret E. O'Kane, Medicare

CYPRESS, Calif. and TAMPA, Fla., July 24, 2019 /PRNewswire/ -- Today, WellCare Health Plans, Inc. (NYSE: WCG) ("WellCare") announced the National Committee for Quality Assurance (NCQA) has awarded accreditation status to its Medicare Advantage plan in California.

Key Points: 
  • CYPRESS, Calif. and TAMPA, Fla., July 24, 2019 /PRNewswire/ -- Today, WellCare Health Plans, Inc. (NYSE: WCG) ("WellCare") announced the National Committee for Quality Assurance (NCQA) has awarded accreditation status to its Medicare Advantage plan in California.
  • To earn accreditation, NCQA evaluates how well a health plan manages all parts of its delivery system, which covers physicians, hospitals, other providers and administrative services.
  • "Achieving an accreditation status from NCQA is a sign that a health plan is serious about quality," said Margaret E. O'Kane, president, NCQA.
  • WellCare of California, Inc. , previously known as Easy Choice Health Plan, Inc., serves approximately 33,000 Medicare Advantage and 137,000 Medicare Prescription Drug Plan (PDP) members in California as of March 31, 2019.

Sunshine Health Awarded Commendable Accreditation By NCQA

Retrieved on: 
Tuesday, June 18, 2019
Margaret E. O'Kane, Health, National Committee for Quality Assurance, Health insurance in the United States, Healthcare Effectiveness Data and Information Set, Health maintenance organizations

SUNRISE, Fla., June 18, 2019 /PRNewswire/ -- Sunshine Health has earned a Health Plan Accreditation of Commendable from the National Committee for Quality Assurance (NCQA) for its Medicaid health plans.

Key Points: 
  • SUNRISE, Fla., June 18, 2019 /PRNewswire/ -- Sunshine Health has earned a Health Plan Accreditation of Commendable from the National Committee for Quality Assurance (NCQA) for its Medicaid health plans.
  • NCQA Health Plan Accreditation is a nationally recognized evaluation that uses both clinical performance and consumer experience to distinguish high-quality health plans.
  • "Achieving an accreditation status of Commendable from NCQA is a sign that a health plan is serious about quality," said NCQA president Margaret E. O'Kane.
  • NCQA uses information from health plan records, consumer surveys, interviews with health plan team members and other performance measures to analyze performance and assign the appropriate level of accreditation.