SANTA ANA, Calif.--(BUSINESS WIRE)--Advantmed, LLC, an integrated risk-adjustment optimization and quality improvement company, received certification from The National Committee for Quality Assurance (NCQA) for 2018 HEDIS measures, nearly one month ahead of the Feb.15, 2018 deadline and for the 12th consecutive year. This certification illustrates Advantmed’s commitment to providing innovative solutions for health payers across the country, supporting health plans and risk-bearing entities in improving their measured quality outcomes.
“Advantmed is committed to assisting health plans and risk-bearing entities across the country in the improvement of their measured quality outcomes,” says Jay Baker, senior vice president, Quality and Risk Adjustment Solutions. “Our ELEVATE! Quality Insights software is effective not just during the annual HEDIS reporting season, but year-round for measuring and closing service gaps that drive quality of care and the reporting of quality. We are hyper-focused on continuing to support our clients, with a 12-year track record of achieving NCQA software certification.”
NCQA has certified Advantmed’s ELEVATE! Quality Insights software, which produces the full set of measures related to the Healthcare Effectiveness Data and Information Set (HEDIS). NCQA Measure Certification demonstrates to managed care organizations the integrity of Advantmed’s measure code and its ability to produce accurate and reliable results. Health plans using NCQA-certified vendors like Advantmed save time by forgoing the manual source code review portion of the HEDIS Compliance Audit and Review.
Advantmed helps health plans and risk-bearing entities improve measured quality. ELEVATE! Quality Insights, which contains measure code certified by NCQA, assists plans with quality initiatives and reporting by calculating all HEDIS administrative measures, as well as systematic hybrid samples for all hybrid-eligible measures included in NCQA’s Technical Specifications. ELEVATE! Quality Insights also allows for the reporting of service gaps for all product lines, including Medicare, Medicaid and ACA plans.
About Advantmed, LLC
Advantmed, LLC is a healthcare solutions company dedicated to partnering with health plans, provider groups and risk-bearing entities to optimize risk adjustment and quality improvement programs. Our integrated and technology-enabled solutions improve health plan financial results and offer insights on health plan members. For more information on Advantmed’s solutions visit www.advantmed.com.
NCQA is a private, non-profit organization dedicated to improving healthcare quality. NCQA’s website (www.ncqa.org) contains information to help consumers, employers and others make more informed healthcare choices.