Certification Validates Integrity of Web-Based Software Platform for Health Plan Quality Measurement, Reporting and Improvement Monitoring
MIAMI LAKES, Fla.--(BUSINESS WIRE)-- Altegra Health, a leading provider of business and technology solutions that improve health plan performance, today announced that the National Committee for Quality Assurance (NCQA) recently issued its Software Certification for Altegra Health’s 2012 The HEDIS.com Solution.
The HEDIS.com Solution is the engine that powers Altegra Health’s suite of Software as a Service (SaaS)-based HEDIS® offerings. These offerings include certified rate reporting and analytics, hybrid medical record review, and rate improvement strategies, all of which combine to enable health plans to effectively manage and optimize their complete HEDIS reporting and workflow processes.
NCQA is an independent, not-for-profit organization dedicated to measuring the quality of America’s healthcare. HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures designed to make sure purchasers and consumers have the information they need to reliably compare the performance of managed healthcare organizations. More than 90 percent of America's health plans use HEDIS as a tool to measure performance on important dimensions of care and service.
“The NCQA Software Certification process subjects commercial software products to a rigorous review and evaluation,” explained Kevin Barrett, president and chief executive officer of Altegra Health. “This important certification for our HEDIS.com Solution demonstrates Altegra’s commitment to HEDIS and its role in measuring and improving the quality of care being delivered in the U.S. today.”
“Earning NCQA’s Software Vendor Certification demonstrates that an organization has expertise disseminating health care information for health plan members,” said Kathleen C. Mudd, Vice President, Product Delivery at the National Committee for Quality Assurance. “Altegra Health is to be commended for being reviewed for these services.”
Altegra Health’s HEDIS.com Solution includes three key components:
- DUET – A tool that maps, uploads and evaluates a health plan’s source data, allowing them to preserve their native data structure. It also monitors HEDIS data collection progress and produces automated data integrity reports – robust assessments of uploaded HEDIS quality data – for each data set.
- HEDISLinx -- A secure, online portal with tools that provide analysts, managers and executives with real-time access to measures, metrics, rates and comparisons to plan norms and targets so they can pro-actively identify and remedy issues long before audit processes commence.
- RISE – An optional module that provides a specialized process for systematically implementing rate improvement strategies. RISE targets opportunities to proactively address members’ gaps in care and features prospective HEDIS rate reporting over different time periods, including rolling monthly and quarterly reports.
“The HEDIS.com Solution is a leading software platform for health plan quality measurement, reporting and improvement, and this year’s certification from the NCQA is a further validation of Altegra Health’s commitment to excellence in the software tools and services we continue to provide to the many managed care organizations we serve,” observed Barrett.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
About Altegra Health
Altegra Health leads the industry by aligning its best-in-class resources with health plan and provider clients’ existing resources resulting in comprehensive, integrated solutions for revenue cycle management, member engagement, and quality. The company is uniquely positioned to provide solutions that enhance member and provider experience, strengthen compliance, and improve overall performance. For information, please go to www.altegrahealth.com.
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