SPH Blog

CMS recently posted proposed updates to the QHP Enrollee Survey. This survey is required for health plan issuers operating as Qualified Health Plans on the Marketplace.

Recently CMS released the proposed rule for the 2021 Quality Payment Program (QPP), which covers both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

Talking “care gaps” while everyone is talking “coronavirus” is a bit like talking to a brick wall. So is “preventive care,” “non-critical regular screenings,” and other […]

Here at SPH Analytics we’ve been busy interpreting and addressing all of the fast and furious regulatory updates that have come from NCQA and CMS these past few days.

Like many of our health plan and delivery-of-care partners, here at SPH Analytics we’ve been adapting to a crisis that calls on us to approach each day with an open mind...

CMS recently released two substantive pieces of rulemaking. Both Part II of the Advance Notice of Methodological Changes for Calendar Year 2021 and the Contract Year 2021 and 2022 Medicare Advantage..

Healthcare provider and payer organizations alike face a growing challenge in the shift to value-based care. We have found in our work that leaders increasingly struggle […]

Multiple regulatory programs require health plans to report on their efforts to: improve health outcomes, prevent hospital readmissions, ensure patient safety and reduce medical errors, and […]

Errors, accidents, injuries, infections, and even death – certainly nothing you would ever want to experience at any healthcare facility – yet, they happen.  Hospitals, compounded by the […]

SPH Analytics recently partnered with our client UPMC Health Plan to conduct research into physician satisfaction with health plans. The research uncovered several physician and payer […]

It may not look like a centenarian, but it is! Birthday greetings to the “Venn Diagram.” The popular assembly of overlapping shapes […]

How one company boosted its quality, care, codes and scores in just months You’re a respected, well-thought-of, big-time contributor to the healthcare of both your community and […]

Challenges reclaiming missing data to get your unstructured Health care data to work for your organization.

In this long and winding, if increasingly well-traveled, road toward value-based care, few things resonate more than an increasing share of the population actively engaged in […]

NCQA Proposed Changes to 2019 Health Plan Accreditation Standards In keeping with the national focus and ongoing evolution of the healthcare environment, NCQA has been soliciting […] The post NCQA...

We have all heard the term “Big Data.” In healthcare, this term is often used to refer to large volumes of electronic health data, such as […] The post Preparing for a Successful Data-Driven...