SPH Analytics’ Receives NCQA Certification for 2020 HEDIS Measures

November 2, 2020 Editor

Brings Measure Library to 39 HEDIS Measures Including All of the CMS Star Measures

Alpharetta, GA – SPH Analytics (SPH), a leader in healthcare analytics and population health  management, announced that the National Committee for Quality Assurance (NCQA) has certified its Population Care™ | Quality Measures application for HEDIS® 2020 Health Plan and Allowed Adjustments Measures, increasing its measure library to 39 in HEDIS 2020.

HEDIS (Healthcare Effectiveness and Data Information Set) measures, as established by the NCQA, are used to evaluate health plans’ clinical quality and customer service. More than 190 million people are enrolled in plans that report HEDIS results, which includes measures for physicians, Preferred Provider Organizations (PPOs), and other organizations, making it one of health care’s most widely used performance improvement tools.  The certifications validate SPH Analytics’ quality measure engine in its calculation of measure performance and care gap reports.

These additional certifications bring the SPH HEDIS measure library to 39 measures in the following domains:

  • Effectiveness of Care
  • Utilization and Risk Adjusted Utilization
  • Access and Availability of Care
  • Electronic Clinical Data System

SPH plans to expand its measure library to 50 HEDIS MY 2020 measures in early 2021.

The Quality Measures solution empowers healthcare providers to track their HEDIS performance, identify care gaps, and implement intervention models that can proactively improve the health of their population.  The certified measures also overlap with all of the CMS Star Measures, enabling health plans and provider organizations to monitor these key measures year-round. 

In addition to the measures being key to the Quality Measures solution, care management technology vendors also leverage SPH’s HEDIS measure library as an extension of their platforms. 

“SPH’s population health and quality measure solutions allow our clients to track and compare quality performance across their member and patient populations to improve their health and quality of life,” said Kevin Weinstein, President of Population Health for SPH Analytics. “NCQA certification attests that these measures meet NCQA’s rigorous testing and reporting requirements, saving our clients time and resources that can better be directed to improving HEDIS performance and the health outcomes of their population to support performance improvement initiatives, accreditation, and value-based contract requirements.” 

More than 60,000 providers and 71% of health plans in the United States partner with SPH Analytics for insightful quality and cost analytics and patient/member experience and engagement services that empower them to take targeted actions to measurably improve population health and patient experience.

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

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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 health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa.

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 35 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.

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