Latest news with #MargaretE
Business Wire
01-07-2025
- Business
- Business Wire
MedImpact Achieves NCQA UM Accreditation Three-Year Renewal
SAN DIEGO--(BUSINESS WIRE)-- MedImpact, the nation's largest independent pharmacy benefit and health solutions company, announced today that it has earned a three-year reaccreditation in Utilization Management from the National Committee for Quality Assurance (NCQA). This marks MedImpact's fourth consecutive NCQA UM Accreditation. 'Achieving NCQA Utilization Management Accreditation demonstrates that MedImpact has the systems, processes, and personnel in place to conduct utilization management in accordance with the strictest quality standards,' stated Margaret E. O'Kane, President, NCQA. NCQA is an independent, nonprofit organization dedicated to improving healthcare quality through voluntary, objective, and evidence-based evaluations. NCQA accreditation is a key critical differentiator for pharmacy benefit managers (PBMs) seeking to partner with health plans, managed care organizations, and accountable care organizations. 'For more than 35 years, MedImpact has ensured timely access to medications and supported improved health outcomes by putting our clients and members at the center of care,' said Denise Burns, Chief Operations Officer at MedImpact. 'NCQA represents the gold standard in healthcare quality, and this recognition reflects our continued commitment to clinical excellence, responsible utilization, and delivering connected care that supports both quality and affordability.' MedImpact continues to lead the way in clinical innovation, investing heavily in a world-class clinical team, and delivering personalized care solutions. This forward-thinking approach drives effective utilization management, high-touch member engagement, and low year-over-year cost trend. Today, MedImpact supports more than 55 million consumers globally, including many of the nation's most recognizable health plans and self-insured employers. 'MedImpact's successful NCQA UM Accreditation renewal and continued URAC PBM Accreditation validate the integrity of our clinical programs and operational excellence, reinforce our commitment to uphold the highest standards of quality and transparency, and reaffirm our position as a trusted healthcare leader,' Burns said. NCQA has reviewed and accredited MedImpact's Utilization Management functions only. For complete details on the scope of this review, visit About MedImpact MedImpact Healthcare Systems, Inc., based in San Diego, is the nation's largest independent health solutions, technology, and pharmacy benefit management provider. For 35 years, MedImpact has partnered with commercial and government healthcare payers to improve member health, manage pharmacy benefits, and reduce drug costs. The company serves more than 55 million consumers globally and processes over $40 billion in pharmacy transactions annually. To learn more, visit us online, follow us on LinkedIn, or contact us at info@ About NCQA NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare. NCQA's website ( contains information to help consumers, employers and others make more informed health care choices. NCQA can be found online at on X (Twitter) @ncqa, on Facebook at and on LinkedIn at
Yahoo
29-04-2025
- Business
- Yahoo
Clearsense Earns NCQA's Validated Data Stream Status for Second Consecutive Year
Clearsense is amongst the first to achieve FHIR output validation, enhancing its support for real-time data exchanges, deeper analytics, and high-integrity research use cases NASHVILLE, Tenn., April 29, 2025 /PRNewswire/ -- Clearsense®, a cloud-based data enablement platform company, announced today it has once again achieved Validated Data Stream status in the National Committee for Quality Assurance (NCQA) Data Aggregator Validation (DAV) program. This marks the second consecutive year Clearsense has earned the recognition, further reinforcing its role as both a Certified Data Partner and a trusted source of high-quality clinical data. As part of Cohort 8, Clearsense is one of the first participants to receive validation for Fast Healthcare Interoperability Resources (FHIR)®—a modern standard that supports richer, more flexible data structures and enables real-time data exchange. The transition to FHIR is also being driven by the Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare & Medicaid Services (CMS), aimed at improving interoperability and access across the healthcare ecosystem. "Our customers aren't just managing data—they're bending cost curves, transforming care, innovating in real time, and pushing the boundaries of what's possible. FHIR validation from NCQA proves that Clearsense is not only ready for that future—we're building it. We're proud to deliver the kind of trusted, high-integrity data that fuels bold decisions and drives real change across healthcare," said Jonathan Cook, Chief Technology Officer at Clearsense. Validated data streams confirm that the information accurately reflects what's in the EHR, with NCQA reviewing how the data is collected, managed, and shared from start to finish. The data streams were validated across three major electronic health record (EHR) systems – Epic, GE Centricity, and Medent — expanding the company's support across a broader ecosystem of providers and technologies. "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. "We are excited that organizations like Clearsense are working to improve trust in clinical data and help ensure the data's accuracy and broader usability." About NCQANCQA is a private, nonprofit organization dedicated to improving healthcare quality. NCQA Accredits and Certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS ® ) is the most widely used performance measurement tool in health care. NCQA's website ( contains information to help consumers, employers, and others make informed health care choices. NCQA can also be found on Twitter @ncqa and on LinkedIn at About ClearsenseClearsense is revitalizing healthcare data with its innovative approach. Its 1Clearsense data enablement platform is a cutting-edge, cloud-native solution that integrates advanced tools and technologies. This platform empowers healthcare organizations to swiftly and seamlessly access data from diverse sources when and where it's needed. Clearsense's solutions have garnered adoption across a spectrum of healthcare institutions, including large integrated delivery networks, health systems, regional hospitals, academic medical research centers, payors, and life sciences. By enabling digital information, Clearsense drives unparalleled value, fostering innovation, streamlining operations, enhancing care quality, and generating substantial cost savings. Learn more at Media Contact:Andrea LePaineMedia Junctionandrea@ View original content to download multimedia: SOURCE Clearsense
