In Analytics & Data Management, In the News

The National Committee for Quality Assurance (NCQA), a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality, has issued its software certification for the Change Healthcare Quality Performance Advisor solution formerly known as HEDIS SmartTM — for the 13th consecutive year. NCQA certification is an important accomplishment and demonstrates successful certification of all NCQA measures in preparation for the HEDIS 2018 season.

NCQA’s Measure Certification program validates the integrity of the software code that produces measurable results. According to NCQA, certifying measures contained in vendor software demonstrates to existing and prospective customers that the coded measures meet current NCQA standards, improves the accuracy of reporting measures, and produces more reliable and comparable results.

The 2018 Best in KLAS Quality Performance Advisor solution powers the Change Healthcare suite of web-based HEDIS offerings. Included are certified rate reporting and analytics, hybrid medical record reviews, and customizable reporting across measures. This enables health plans to effectively manage and optimize HEDIS processes, reporting, submission, and results.

“This certification is a demonstration of our commitment to providing best-in-class solutions that create exceptional value for our clients,” said Jared Sokolsky, Senior Vice President & General Manager, Change Healthcare. “It reaffirms that we are a trusted vendor that meets national certification requirements and is dedicated to improving healthcare quality.”

The innovative tools and services of the Quality Performance Advisor solution help manage the annual submission of HEDIS measures, and they directly impact future quality performance. At the solution’s core is a quality-measurement analytics engine that serves as the foundation for the many HEDIS-based programs Change Healthcare supports. Those include HEDIS, Medicare Advantage Star Ratings, and state-specific quality measurement programs.

Quality Performance Advisor is delivered through a secure and interactive online portal. This functionality allows retrospective and prospective rate analysis with built-in audit support features, claim level transparency, and performance tracking through integrated benchmarks and plan targets. In addition, solutions include member and provider engagement tools and services for implementing rate improvement strategies, as well as comprehensive analytics to target improved HEDIS and Star performance.

NCQA measures-certification must be completed on an annual basis. Having an NCQA certified product is desired by most payers for annual HEDIS reporting.

Change Healthcare is a national provider of technology and intervention platforms that combine data aggregation and analytics with member engagement and reporting capabilities to achieve actionable insights and improved management for value-based healthcare.

For more information, contact Cory Grisham, Director, Product Development, at Change Healthcare.

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