SPH Blog

Every health plan wants to perform well for its members, of course, but it’s just a select crop of plans that can prove it with 4.5- or 5-Star Ratings from CMS and NCQA.

Sometimes when seeking the optimum healthcare experience for your patients and members, it may feel like, “You can’t get there from here.” But there are three […]

In November, the Agency for Healthcare Research and Quality (AHRQ) released a new version of the Clinician and Group CAHPS Survey (CG CAHPS) in response to the large-scale adoption of telehealth...

Fall is the season when survey vendors attend vendor training sessions for HEDIS CAHPS, the QHP Enrollee Survey, and the MA & PDP CAHPS survey. SPH would like to share with you the program updates...

While the global pandemic has undoubtedly challenged many QI intiatives this year, health plans must ensure they are ready to meet the ongoing challenges in 2021.  Now is the time to plan...

There’s no telling how the year 2020 will size up as a benchmark for future […]

CMS has just announced that fielding for Health Outcomes Surveys (HOS) will take place only from August through November, replacing the previous April through July timeline.

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.

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..

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 […]

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 […]