Information set

eClinicalWorks HEDIS Dashboard Helps Children First Pediatrics Achieve 90% Compliance Rate and Improve Quality With Value-Based Care Model

Retrieved on: 
Tuesday, January 10, 2023
General Health, Hospitals, Health, HEDIS, Healthcare Effectiveness Data and Information Set, Quality assurance, Home, COVID-19, Accreditation, National Committee for Quality Assurance, Patient, Automation, High-deductible health plan, NCQA, PCMH, EHR, VBC, National Committee, Practice, Medical home, Multimedia, Information set, Medicine, General Health, Hospitals, Health, General Health, Hospitals, Health

The value-based care (VBC) model is key in providing proactive, holistic, and data-driven care that prioritizes value of care and healthier patient populations.

Key Points: 
  • The value-based care (VBC) model is key in providing proactive, holistic, and data-driven care that prioritizes value of care and healthier patient populations.
  • The eClinicalWorks HEDIS dashboard helps providers track compliance across their patient population by integrating point-of-care alerts and patient reminders.
  • By using the eClinicalWorks HEDIS dashboard, Children First Pediatrics' compliance rate has increased to 90%.
  • Children First Pediatrics’ success with HEDIS emphasizes that process automation and moving from a fee-for-service to value-based models can result in positive patient and practice outcomes.”

Healthjump Is Among Latest to Earn Validated Data Stream Designation in New NCQA Data Aggregator Validation Program

Retrieved on: 
Wednesday, January 11, 2023
Trust, Patient, HEDIS, Quality assurance, Information set, National Committee, National Committee for Quality Assurance, Healthcare Effectiveness Data and Information Set, NCQA, Cryptocurrency, Medical device

PHILADELPHIA, Jan. 11, 2023 /PRNewswire-PRWeb/ -- Healthjump announced today that it has earned the Validated Data Stream designation in the new National Committee for Quality Assurance (NCQA) Data Aggregator Validation program. It is part of the latest NCQA cohort to voluntarily seek and earn the new NCQA validation.

Key Points: 
  • Validated Data Flows Promote Trust, Support Value-Based Contracting, Ease Quality Measurement Loads
    PHILADELPHIA, Jan. 11, 2023 /PRNewswire-PRWeb/ -- Healthjump announced today that it has earned the Validated Data Stream designation in the new National Committee for Quality Assurance (NCQA) Data Aggregator Validation program.
  • It is part of the latest NCQA cohort to voluntarily seek and earn the new NCQA validation.
  • Data streams that earn validation undergo a rigorous, end-to-end look at the quality and integrity of data and the procedures used to manage and safeguard it.
  • Uniquely accepted as standard supplemental data in HEDIS® audits, no primary source verification is required for HEDIS reporting when health plans report data from Data Aggregator Validation validated sources.

Ascension Complete's Florida Medicare Plan Achieves NCQA Accreditation

Retrieved on: 
Monday, December 19, 2022
TTY, SNP, Healthcare Effectiveness Data and Information Set, National Committee, Accreditation, National Committee for Quality Assurance, Part, Quality assurance, Medicare, Information set, NCQA, Health insurance, Medicine

CHICAGO, Dec. 19, 2022 /PRNewswire/ -- Ascension Complete announced today that its Medicare plan in Florida, Centene Venture Company Florida, has been awarded "Accredited" status by the National Committee for Quality Assurance's (NCQA) Medicare Health Plan Ratings 2022.

Key Points: 
  • CHICAGO, Dec. 19, 2022 /PRNewswire/ -- Ascension Complete announced today that its Medicare plan in Florida, Centene Venture Company Florida, has been awarded "Accredited" status by the National Committee for Quality Assurance's (NCQA) Medicare Health Plan Ratings 2022.
  • "Achieving an Accreditation status from NCQA is a sign that a health plan is serious about quality," said Margaret E. O'Kane, President, NCQA.
  • "At Ascension Complete, we're committed to ensuring our members have access to high-quality care and services," said Thomas Lindquist, President and CEO, Ascension Complete.
  • Ascension Complete is the only Medicare Advantage (Part C) plan shaped by doctors who work with Ascension, one of the country's largest nonprofit hospital systems.

Verinovum Earns Validated Data Stream Designation in New NCQA Data Aggregator Validation Program

Retrieved on: 
Tuesday, December 13, 2022
National Committee for Quality Assurance, Data curation, CCD, Classification, Healthcare Effectiveness Data and Information Set, Population health, Quality assurance, National Committee, HEDIS, Health equity, Information set, Security Technical Implementation Guide, Data, NCQA, Organization, Medical device, Pharmaceutical industry

TULSA, Okla., Dec. 13, 2022 /PRNewswire/ --Verinovum a leading health data curation and enrichment technology company announced today it has earned the Validated Data Stream designation in the new National Committee for Quality Assurance (NCQA)Data Aggregator Validation program.

Key Points: 
  • TULSA, Okla., Dec. 13, 2022 /PRNewswire/ --Verinovum a leading health data curation and enrichment technology company announced today it has earned the Validated Data Stream designation in the new National Committee for Quality Assurance (NCQA)Data Aggregator Validation program.
  • -- Mark McCurry, Verinovum President and CEO
    The designation illustrates Verinovum's commitment to trusted, high value, aggregated clinical data resources.
  • "Verinovum has achieved a notable milestone with our validated status in the NCQA Data Aggregator Validation program," said Mark McCurry, Verinovum President and CEO.
  • "NCQA's Data Aggregator Validation program helps identify clinical data that can be trusted and sets a high bar for how the data are managed," said NCQA President, Margaret E. O'Kane.

NCQA Introduces Quality Compass® Exchange Data File

Retrieved on: 
Thursday, December 1, 2022
Healthcare Effectiveness Data and Information Set, Government, Compass, National Committee for Quality Assurance, HEDIS, Quality assurance, Information set, NCQA, National Committee, Benchmarking, Quality, Surveying, Health insurance, Exchange

WASHINGTON, Dec. 01, 2022 (GLOBE NEWSWIRE) -- The National Committee for Quality Assurance (NCQA) today announced the inaugural Quality Compass Exchange Data File, which provides insight into quality improvement and benchmarks through health plan performance data on Healthcare Effectiveness Data and Information Set (HEDIS)and Pharmacy Quality Alliance measures in the CMS Quality Rating System scoring program.

Key Points: 
  • WASHINGTON, Dec. 01, 2022 (GLOBE NEWSWIRE) -- The National Committee for Quality Assurance (NCQA) today announced the inaugural Quality Compass Exchange Data File, which provides insight into quality improvement and benchmarks through health plan performance data on Healthcare Effectiveness Data and Information Set (HEDIS)and Pharmacy Quality Alliance measures in the CMS Quality Rating System scoring program.
  • The Quality Compass Exchange Data File includes valuable health plan performance data and benchmarks for 264 Exchange plans nationwide.
  • "NCQA exists to improve health care, and Quality Compass Exchange is a key tool to support that goal.
  • To learn more about the Quality Compass Exchange Data File, or to submit an order, call NCQA customer support at 888-275-7585 or order online via www.store.ncqa.org/data-and-reports .

AmeriHealth Caritas Pennsylvania, AmeriHealth Caritas Pennsylvania Community HealthChoices Named Among Nation’s Highest-Rated Health Insurance Plans

Retrieved on: 
Monday, November 14, 2022
Managed Care, Health, Health Insurance, NCQA, HEDIS, CHIP, Empire HealthChoice Assurance, Inc. v. McVeigh, National Committee, Quality, Employment, AmeriHealth, Health care, Consumer Assessment of Healthcare Providers and Systems, Education, Information set, Healthcare Effectiveness Data and Information Set, Community, Food security, Health, Health insurance, Hospital, Medicine, Medicaid, Medicare

AmeriHealth Caritas Family of Companies , a national leader in Medicaid managed care and other health care solutions for those most in need, announced that AmeriHealth Caritas Pennsylvania and AmeriHealth Caritas Pennsylvania Community HealthChoices are two of the highest-rated health insurance plans in the nation, having both earned 4.5 out of 5 ratings in the National Committee for Quality Assurances (NCQA) Medicaid Health Plan Ratings 2022.

Key Points: 
  • AmeriHealth Caritas Family of Companies , a national leader in Medicaid managed care and other health care solutions for those most in need, announced that AmeriHealth Caritas Pennsylvania and AmeriHealth Caritas Pennsylvania Community HealthChoices are two of the highest-rated health insurance plans in the nation, having both earned 4.5 out of 5 ratings in the National Committee for Quality Assurances (NCQA) Medicaid Health Plan Ratings 2022.
  • AmeriHealth Caritas Pennsylvania and AmeriHealth Caritas Pennsylvania Community HealthChoices are the only two Medicaid plans in Pennsylvania and two of only 13 in the nation to earn a rating of 4.5 or higher.
  • AmeriHealth Caritas Pennsylvania serves enrollees in Pennsylvanias HealthChoices managed care program for most Pennsylvania Medical Assistance (Medicaid) enrollees.
  • Between AmeriHealth Caritas Pennsylvania and its southeastern Pennsylvania Medicaid plan, AmeriHealth Caritas Family of Companies health plans now serve approximately 1 million HealthChoices enrollees in all 67 counties.

Apollo Medical Holdings, Inc. Receives NCQA's HEDIS Health Plan Measure Certification for Measurement Year 2022

Retrieved on: 
Thursday, November 17, 2022
Well, Drug Quality and Security Act, National Committee for Quality Assurance, Growth, LSC, Health, Security (finance), Acquisition, BPD, Healthcare Effectiveness Data and Information Set, Patient, CMMI, Risk, Quality assurance, NCQA, National Committee, MSO, HBD, Ipas, WCV, Information set, Certification, KED, Adolescence, HEDIS, Medicare, Medical device, Health insurance, Management, Diabetes, Child

ApolloMed was certified by the NCQA HEDIS Health Plan Measure Certification Programfor the measurement year 2022.

Key Points: 
  • ApolloMed was certified by the NCQA HEDIS Health Plan Measure Certification Programfor the measurement year 2022.
  • In addition, NCQA manages the evolution of HEDIS, the healthcare quality measurement tool used by more than 90 percent of health plans in the United States, covering 200 million people.
  • Additionally, its new HEDIS engine was designed to increase interpretability and interoperability with other data engines and technologies.
  • NCQA HEDIS Health Plan Measure Certification Program is a trademark of NCQA.

Centivo's Virtual Primary Care practice receives NCQA Patient-Centered Medical Home Recognition

Retrieved on: 
Tuesday, November 15, 2022
National Committee for Quality Assurance, Healthcare Effectiveness Data and Information Set, Medical home, Physician, Home, Quality assurance, NCQA, National Committee, Fortune 500, ACO, Insurance, Information set, Patient, Communication, PCMH, HEDIS, Recognition, Medicine, Health insurance

More than 10,000 practices (with 50,000+ clinicians) are recognized by NCQA, and Centivo's achievement marks one of the first virtual primary care practices to receive PCMH recognition.

Key Points: 
  • More than 10,000 practices (with 50,000+ clinicians) are recognized by NCQA, and Centivo's achievement marks one of the first virtual primary care practices to receive PCMH recognition.
  • "NCQA Patient-Centered Medical Home Recognition raises the bar in defining high-quality care by emphasizing access, health information technology and coordinated care focused on patients," said NCQA President Margaret E. O'Kane.
  • "Recognition shows that Centivo Virtual Primary Care has the tools, systems and resources to provide its patients with the right care, at the right time."
  • Unlike many virtual care offerings that sit alongside traditional health plans, Centivo's Virtual Primary Care practice is fully integrated into Centivo's core health plan.

NovaWell Launches its Proven Integrated Behavioral Health Solutions for Health Plans and Healthcare Systems

Retrieved on: 
Monday, November 14, 2022
Adult, Ecosystem, Quality of life, Health, Tic disorder, Parity, Alternative, Mental health, Housing, View, Company, Education, Multimedia, Information set, CEO, Food, Patient satisfaction, Case management, HEDIS, Solution, Medicine, Management, Risk management, Health insurance, Horizon

NEWARK, N.J., Nov. 14, 2022 /PRNewswire/ -- NovaWell is behavioral health reimagined. Through its suite of solutions for health plans and health systems to treat mental health and substance use disorders, NovaWell's proven integrated and evidence-based approach better addresses a person's holistic health needs and outcomes, increases patient satisfaction, and lowers total care costs. 

Key Points: 
  • Through its suite of solutions for health plans and health systems to treat mental health and substance use disorders, NovaWell's proven integrated and evidence-based approach better addresses a person's holistic health needs and outcomes, increases patient satisfaction, and lowers total care costs.
  • NovaWell is born out of the success of Horizon Healthcare Services' (Horizon's) behavioral health program.
  • By completely insourcing behavioral health and moving away from an outsourced managed behavioral health organization Horizon has created a cultural and philosophical shift to fully integrate behavioral and physical health.
  • "NovaWell is exclusively focused on improving overall health outcomes through an integrated care model," said Suzanne Kunis, President and CEO of NovaWell.

KPI Ninja Receives NCQA Measure Certification™ for HEDIS® Measurement Year 2022, Solidifying Its Comprehensive End-to-End Solution for Health Information Exchanges

Retrieved on: 
Wednesday, November 2, 2022
DAV, National Committee for Quality Assurance, Healthcare Effectiveness Data and Information Set, Information set, Population, Organization, EHealth Exchange, HITRUST, Health, Certification, Ninja, Quality assurance, VBC, Health information exchange, NCQA, National Committee, SALT, Hi-MD, Population health, Patient, HCAT, HEDIS, KPI, Medical device, Pharmaceutical industry

"KPI Ninja's continued commitment to innovation and validated quality measures paves the way for HIEs and organizations who want to successfully transitionto value-based care," said Renee Towne, Vice President of Population Health at KPI Ninja by Health Catalyst.

Key Points: 
  • "KPI Ninja's continued commitment to innovation and validated quality measures paves the way for HIEs and organizations who want to successfully transitionto value-based care," said Renee Towne, Vice President of Population Health at KPI Ninja by Health Catalyst.
  • NCQA's Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care.
  • NCQA's website ( ncqa.org ) contains information to help consumers, employers and others make more-informed health care choices.
  • 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 .