SPH Analytics’ Nexus Platform and Population Care Achieve NCQA PHM Prevalidation

Editor

Designation Helps Health Plans Meet Population Health Management Requirements for Accreditation

Alpharetta, GASPH Analytics (SPH), a leader in healthcare analytics and population health management, announced that its Nexus Platform™ and  Population Care™ | Patient Registry solution (formerly MDinsight) have achieved National Committee for Quality Assurance (NCQA) Prevalidation for Population Health Management (PHM) for 2019 standards.

As one of only four prevalidated PHM vendors designated by the NCQA, SPH can now help its clients meet NCQA Health Plan Accreditation (HPA), Population Health Program Accreditation (PHP), Case Management Accreditation (CM), and Managed Behavioral Healthcare Organizations Accreditation (MBHO) requirements.

Approved automatic credit is transferable to organizations using the Nexus Platform and/or Population Care Patient Registry. Automatic credit eliminates the need for clients to provide documentation for factors awarded the designation of Eligible for Automatic Credit in Health Plan Accreditation and Population Health Program Accreditation. Population Health Management Prevalidation is designed to help health plans and other organizations identify health IT solutions that alleviate or increase the efficiency of administrative tasks to meet Population Health Management requirements.

“We are extremely proud to add NCQA PHM Prevalidation to our list of credentials,” said Amy Amick, President and CEO of SPH Analytics. “This designation is a testament to the value our Nexus Platform and Population Care solution bring to clients. By ingesting and normalizing massive amounts of data from disparate clinical records, our clients can not only identify care gaps but also improve outcomes. Additionally, prevalidation enables our clients to secure automatic credit for components of the new PHM program so they can achieve Health Plan Accreditation.”

Distinct from its existing NCQA Certifications and Accreditations, NCQA created the prevalidation program to identify electronic health record systems, population health management tools, and other related technology solutions that have functionality to help practices, health plans, and other organizations meet certain accreditations and qualifications.

SPH’s Population Care Patient Registry is also an NCQA prevalidated solution for the Patient Centered Medical Home (PCMH) accreditation. This designation enables Population Care provider clients to automatically earn credits for PCMH, further supporting NCQA validation and earned recognition. In addition, SPH Analytics is an NCQA-certified CAHPS® Survey vendor with more than 26 years of experience with administration of healthcare surveys, as part of its mission to advance the Triple Aim by enabling its clients to simultaneously improve outcomes, enhance patient experience, and lower costs.

For more information about SPH Analytics and its healthcare analytics and PHM solutions, visit SPHAnalytics.com.

About SPH Analytics

SPH Analytics (SPH), a leader in healthcare analytics and population health management, empowers clients to analyze and interpret their clinical, financial, and consumer experience data to maximize their performance. SPH’s Population Care™, Population Value™, and Population Engage™ solutions are built on the innovative Nexus™ Platform, providing insights and impact to integrated health networks, ACOs, hospitals, ambulatory care providers, physician groups, and health plans. SPH’s quality measure dashboards, financial risk measurement, healthcare survey and patient outreach solutions, and consulting services empower clients to meet the Triple Aim by improving population health, reducing overall cost of care, and improving the patient experience.

SPH Analytics is a recognized leader in the industry, earning accolades as a top ranked population health vendor by KLAS, ranked the number one analytics firm out of the top 50 disruptive health IT companies by Black Book Research, and ranked number one in MACRA and MIPS Support Technology for Value-Based Care by Black Book Research. SPH Analytics has been providing insights to clients for more than 25 years and serves clients in all 50 states. Corporate headquarters are in metro Atlanta. SPH Analytics is a portfolio company of the $3 billion STG Partners. For more information, call 1-866-460-5681 or visit SPHAnalytics.com.

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 and recognizes clinicians and practices in key areas of performance. NCQA’s website (www.ncqa.org) contains information to help consumers, employers and others make informed health care choices.

 

Previous Article
Data-Driven Clinical Transformation in an Unhealthy Region
Data-Driven Clinical Transformation in an Unhealthy Region

Value-based care can be a daunting change. It’s particularly true in the Southeast, ranked the least health...

Next Article
Improving MIPS Scores with Better Data and Better Practices
Improving MIPS Scores with Better Data and Better Practices

How one company boosted its quality, care, codes and scores in just months You’re a respected, well-thought...