Latest news with #NCQA
Business Wire
10 hours ago
- Business
- Business Wire
Cotiviti's Quality Measurement and Reporting Solution Achieves 25th Consecutive Year of HEDIS® Measure Certification
SALT LAKE CITY--(BUSINESS WIRE)--Quality Engine, the administrative measure logic and sample processing component of Cotiviti's Quality Intelligence solution, has earned HEDIS® Certified Measures™ status from the National Committee for Quality Assurance (NCQA) for Measurement Year (MY) 2025. HEDIS Measure Certification validates that Cotiviti's measures have been put through the thorough testing required to effectively support health plans with the HEDIS MY 2025 season. This milestone marks an industry-leading 25 consecutive years of certification, demonstrating Cotiviti's ability to adapt and serve as a long-term partner to health plans as the HEDIS program continually evolves. This milestone marks an industry-leading 25 consecutive years of certification, demonstrating Cotiviti's ability to adapt and serve as a long-term partner to health plans as the HEDIS program continually evolves. Share 'The ongoing transition to fully digital quality measurement requires health plans to have a quality improvement solution that not only meets the highest standards for accuracy, but continually evolves to meet and exceed new requirements,' said Emad Rizk, M.D., chairman, president, and CEO of Cotiviti. 'This achievement reflects Cotiviti's unwavering commitment to supporting our health plan clients. It speaks to the deep expertise we've built through decades of working with billions of data points, navigating complex measurement requirements, and helping our clients meet the changing demands of quality reporting.' Cotiviti's Quality Intelligence processes more than 147 million member lives reported to NCQA and serves as a comprehensive measurement and reporting solution that streamlines compliance while supporting HEDIS, state-specific, and other quality measure submissions. Newly launched in 2025, Cotiviti's Engagement Hub integrates with Quality Intelligence to drive coordination and efficiency through a centralized member engagement and reporting platform, enabling plans to close care gaps to ultimately improve quality scores. Further integrations within Cotiviti's quality improvement ecosystem support year-round quality improvement and enable better member health. When integrated with Cotiviti's Star Intelligence, Quality Intelligence provides a centralized platform for managing both HEDIS and Star Ratings, helping clients ensure consistency across programs and maintain compatibility with historical data to support accurate trending and projections. Cotiviti's scalable medical record retrieval and abstraction services also connect directly with the solution to enable end-to-end support for health plans throughout the HEDIS season. 'Payers need a trusted partner in quality improvement with a longstanding track record of success to help them navigate the digital quality transition and deliver high-performing, reliable solutions that have been continuously refined and supported over decades,' said Chad Kinkead, executive vice president of risk adjustment, quality, and engagement for Cotiviti. 'Cotiviti's Quality Intelligence supports all members and lines of business with end-to-end capabilities for accurate processing, reporting, audits, and submissions, backed by a team of experts who are committed to supporting health plans during and after the transition to digital reporting. Our clients can anticipate further innovation as we integrate Cotiviti's industry-leading quality improvement, DxCG risk assessment, engagement, and risk adjustment solutions with Edifecs' leading NLP-enabled coding platform, interoperability capabilities, and AI-enabled value based-payment solutions." About Cotiviti Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti's solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients. Additionally, Cotiviti offers data management and recovery audit services to the retail sector to improve business outcomes. For more information, visit About NCQA NCQA is a private, non-profit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's website contains information to help consumers, employers and others make more informed healthcare choices.
Yahoo
10 hours ago
- Business
- Yahoo
Cotiviti's Quality Measurement and Reporting Solution Achieves 25th Consecutive Year of HEDIS® Measure Certification
HEDIS measures embedded in Cotiviti's Quality Intelligence pass NCQA's validation process for Measurement Year (MY) 2025 SALT LAKE CITY, July 31, 2025--(BUSINESS WIRE)--Quality Engine, the administrative measure logic and sample processing component of Cotiviti's Quality Intelligence solution, has earned HEDIS® Certified Measures™ status from the National Committee for Quality Assurance (NCQA) for Measurement Year (MY) 2025. HEDIS Measure Certification validates that Cotiviti's measures have been put through the thorough testing required to effectively support health plans with the HEDIS MY 2025 season. This milestone marks an industry-leading 25 consecutive years of certification, demonstrating Cotiviti's ability to adapt and serve as a long-term partner to health plans as the HEDIS program continually evolves. "The ongoing transition to fully digital quality measurement requires health plans to have a quality improvement solution that not only meets the highest standards for accuracy, but continually evolves to meet and exceed new requirements," said Emad Rizk, M.D., chairman, president, and CEO of Cotiviti. "This achievement reflects Cotiviti's unwavering commitment to supporting our health plan clients. It speaks to the deep expertise we've built through decades of working with billions of data points, navigating complex measurement requirements, and helping our clients meet the changing demands of quality reporting." Cotiviti's Quality Intelligence processes more than 147 million member lives reported to NCQA and serves as a comprehensive measurement and reporting solution that streamlines compliance while supporting HEDIS, state-specific, and other quality measure submissions. Newly launched in 2025, Cotiviti's Engagement Hub integrates with Quality Intelligence to drive coordination and efficiency through a centralized member engagement and reporting platform, enabling plans to close care gaps to ultimately improve quality scores. Further integrations within Cotiviti's quality improvement ecosystem support year-round quality improvement and enable better member health. When integrated with Cotiviti's Star Intelligence, Quality Intelligence provides a centralized platform for managing both HEDIS and Star Ratings, helping clients ensure consistency across programs and maintain compatibility with historical data to support accurate trending and projections. Cotiviti's scalable medical record retrieval and abstraction services also connect directly with the solution to enable end-to-end support for health plans throughout the HEDIS season. "Payers need a trusted partner in quality improvement with a longstanding track record of success to help them navigate the digital quality transition and deliver high-performing, reliable solutions that have been continuously refined and supported over decades," said Chad Kinkead, executive vice president of risk adjustment, quality, and engagement for Cotiviti. "Cotiviti's Quality Intelligence supports all members and lines of business with end-to-end capabilities for accurate processing, reporting, audits, and submissions, backed by a team of experts who are committed to supporting health plans during and after the transition to digital reporting. Our clients can anticipate further innovation as we integrate Cotiviti's industry-leading quality improvement, DxCG risk assessment, engagement, and risk adjustment solutions with Edifecs' leading NLP-enabled coding platform, interoperability capabilities, and AI-enabled value based-payment solutions." About Cotiviti Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti's solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients. Additionally, Cotiviti offers data management and recovery audit services to the retail sector to improve business outcomes. For more information, visit About NCQA NCQA is a private, non-profit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's website contains information to help consumers, employers and others make more informed healthcare choices. View source version on Contacts Corey PatchkofskyAria Marketing for Cotiviticpatchkofsky@ 203-710-2296 Sign in to access your portfolio
Business Wire
10 hours ago
- Health
- Business Wire
Cotiviti's Quality Measurement and Reporting Solution Achieves 25th Consecutive Year of HEDIS ® Measure Certification
SALT LAKE CITY--(BUSINESS WIRE)--Quality Engine, the administrative measure logic and sample processing component of Cotiviti's Quality Intelligence solution, has earned HEDIS ® Certified Measures™ status from the National Committee for Quality Assurance (NCQA) for Measurement Year (MY) 2025. HEDIS Measure Certification validates that Cotiviti's measures have been put through the thorough testing required to effectively support health plans with the HEDIS MY 2025 season. This milestone marks an industry-leading 25 consecutive years of certification, demonstrating Cotiviti's ability to adapt and serve as a long-term partner to health plans as the HEDIS program continually evolves. This milestone marks an industry-leading 25 consecutive years of certification, demonstrating Cotiviti's ability to adapt and serve as a long-term partner to health plans as the HEDIS program continually evolves. Share 'The ongoing transition to fully digital quality measurement requires health plans to have a quality improvement solution that not only meets the highest standards for accuracy, but continually evolves to meet and exceed new requirements,' said Emad Rizk, M.D., chairman, president, and CEO of Cotiviti. 'This achievement reflects Cotiviti's unwavering commitment to supporting our health plan clients. It speaks to the deep expertise we've built through decades of working with billions of data points, navigating complex measurement requirements, and helping our clients meet the changing demands of quality reporting.' Cotiviti's Quality Intelligence processes more than 147 million member lives reported to NCQA and serves as a comprehensive measurement and reporting solution that streamlines compliance while supporting HEDIS, state-specific, and other quality measure submissions. Newly launched in 2025, Cotiviti's Engagement Hub integrates with Quality Intelligence to drive coordination and efficiency through a centralized member engagement and reporting platform, enabling plans to close care gaps to ultimately improve quality scores. Further integrations within Cotiviti's quality improvement ecosystem support year-round quality improvement and enable better member health. When integrated with Cotiviti's Star Intelligence, Quality Intelligence provides a centralized platform for managing both HEDIS and Star Ratings, helping clients ensure consistency across programs and maintain compatibility with historical data to support accurate trending and projections. Cotiviti's scalable medical record retrieval and abstraction services also connect directly with the solution to enable end-to-end support for health plans throughout the HEDIS season. 'Payers need a trusted partner in quality improvement with a longstanding track record of success to help them navigate the digital quality transition and deliver high-performing, reliable solutions that have been continuously refined and supported over decades,' said Chad Kinkead, executive vice president of risk adjustment, quality, and engagement for Cotiviti. 'Cotiviti's Quality Intelligence supports all members and lines of business with end-to-end capabilities for accurate processing, reporting, audits, and submissions, backed by a team of experts who are committed to supporting health plans during and after the transition to digital reporting. Our clients can anticipate further innovation as we integrate Cotiviti's industry-leading quality improvement, DxCG risk assessment, engagement, and risk adjustment solutions with Edifecs ' leading NLP-enabled coding platform, interoperability capabilities, and AI-enabled value based-payment solutions." About Cotiviti Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti's solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients. Additionally, Cotiviti offers data management and recovery audit services to the retail sector to improve business outcomes. For more information, visit About NCQA NCQA is a private, non-profit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's website contains information to help consumers, employers and others make more informed healthcare choices.
Yahoo
09-07-2025
- Health
- Yahoo
Azara Healthcare Completes NCQA HEDIS® Health Plan Measure Certification Program™ for MY2025 HEDIS® Measures
BURLINGTON, Mass., July 9, 2025 /PRNewswire/ -- Azara Healthcare, the Best in KLAS provider of population health and value-based care solutions, announced today that it has received certification from the National Committee for Quality Assurance (NCQA) for HEDIS® Measure Year (MY) 2025 Health Plan and Allowable Adjustments Measures. The Healthcare Effectiveness and Data Information Set (HEDIS) measures, as established by the NCQA, are used to evaluate health plans' clinical quality and customer service. More than 235 million people are enrolled in plans that report HEDIS results, which include measures for physicians, Preferred Provider Organizations (PPOs), and other organizations, making it one of healthcare's most widely used performance improvement tools. Certification validates Azara Healthcare's quality measures in their calculation of measure performance and care gap reporting. "Earning NCQA certification for MY2025 HEDIS measures demonstrates our continued commitment to delivering trusted, high-quality data solutions for our customers," said Jeff Brandes, President & CEO of Azara Healthcare. "As health plans and provider organizations navigate the transition to value-based care, this certification ensures they can depend on Azara to support accurate performance measurement, close care gaps efficiently, and ultimately improve outcomes for the populations they serve." Certification of these HEDIS measures span the following domains: Effectiveness of Care Utilization and Risk Adjusted Utilization Access and Availability of Care Electronic Clinical Data System Azara's solutions empower healthcare providers to track HEDIS performance, identify care gaps, and implement intervention models that can proactively improve the health of their population. Together with the newly certified HEDIS measures, Azara maintains one of the industry's largest active measure libraries with over 800 discrete quality measures, spanning dozens of practice specialties and programs. For more information about Azara Healthcare and its population health and value-based care solutions, visit HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). NCQA HEDIS Health Plan Measure Certification Program™ is a trademark of the National Committee for Quality Assurance (NCQA). About NCQANCQA 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 health care. In recognition for its leadership in diversity, equity and inclusion, NCQA has won the Excellence in Diversity Award from the Chesapeake Human Resources Association. NCQA's website ( contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at on Twitter @ncqa, and on LinkedIn at About Azara HealthcareAzara Healthcare, the 2023, 2024 and 2025 Best in KLAS population health management solution, is the leading provider of quality measurement, analytics and reporting for the Community Health and physician practice market. Azara solutions empower more than 1,000 Community Health Centers, physician practices, Primary Care Associations, Health Center Controlled Networks, and clinically integrated networks in 43 states to improve the quality and efficiency of care for more than 25 million Americans through actionable data. In 2025, Azara joined i2i Population Health, further enhancing Azara's offerings to meet the needs of critical access and community hospitals, Indian Health Services and health plans. To learn more, visit View original content to download multimedia: SOURCE Azara Healthcare Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Globe and Mail
08-07-2025
- Business
- Globe and Mail
Claritev's PHCS Network Receives Twelfth Consecutive NCQA Accreditation in Credentialing
Claritev Corporation ('Claritev' or the 'Company') (NYSE: CTEV) today announced that the PHCS Network, the largest primary PPO in the nation, received its 12th consecutive Accreditation in Credentialing from the National Committee for Quality Assurance (NCQA), a private nonprofit organization dedicated to improving health care quality. The PHCS Network is the only national independently contracted primary PPO with NCQA accreditation, demonstrating its unique commitment to the accurate and efficient credentialing of health care professionals. First certified in 2001, the PHCS Network underwent a rigorous review of its credentialing and recredentialing processes to maintain its NCQA Accreditation in Credentialing. The network was reaccredited for the maximum period of 3 years, which is valid through June 13, 2028. Through the accreditation process, the NCQA auditor specifically remarked that Claritev: Had dedicated and knowledgeable staff, Prepared files facilitating a smooth file review, and Made timely credentialing decisions. 'This twelfth consecutive NCQA Accreditation is a testament to the unwavering commitment and caliber of our team to uphold the highest standards in credentialing,' said Jerry Hogge, Chief Operating Officer of Claritev. 'It reflects our dedication to ensuring that healthcare professionals in the PHCS Network meet rigorous quality benchmarks, ultimately supporting better outcomes for the patients and partners we serve.' The PHCS Network provides health plan members with seamless access to healthcare services across the country, with more than a million participating practitioners, 4,600 acute care facilities and 92,000 ancillaries. About NCQA 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, with over 60% of the US population enrolled in health plans that use the measure. NCQA can be found online at on Twitter @ncqa, on Facebook at and on LinkedIn at NCQA has reviewed and accredited Claritev's Credentialing functions for the PHCS Network only. For complete details on the scope of this review, visit About Claritev Claritev, formerly known as MultiPlan, is a healthcare technology, data, and insights company focused on delivering affordability, transparency, and quality. Led by a team of deeply experienced associates, data scientists, and innovators, Claritev provides cutting-edge solutions and services fueled by multiple data sources and over 40 years of claims repricing experience. Claritev utilizes world-class technology and AI solutions to power a robust enterprise platform that delivers meaningful insights to drive affordability in healthcare, brings price transparency and optimizes networks and benefits design. By focusing on purpose–built solutions that support all key players – including payors, employers, patients, providers and third parties – Claritev aims to make healthcare more accessible and affordable for all. For more information, visit
