94% of NCQA Best-Rated Health Insurance Plans Partner with SPH Analytics

November 6, 2019 Editor

SPH Solutions a Key Contributor to Top Ratings

Alpharetta, GASPH Analytics, the top ranked member satisfaction measurement firm in the health plan market, announced today that 94% of the health insurance plans receiving the highest 4.5- to 5-point ratings in the 2019-2020 ratings for private, Medicare, and Medicaid health insurance plans, use SPH solutions according to reports recently released by the National Committee for Quality Assurance (NCQA).

Healthcare organizations, including 100% of the top 25 largest health plans in the nation, partner with SPH Analytics for complete healthcare survey management, patient/member outreach services, and powerful quality and cost analytics that empower them to take targeted actions to measurably improve patient experience, population health, and deliver better care.

NCQA’s Health Insurance Plan Ratings 2019-2020 list rated more than 1,000 private, Medicare, and Medicaid health insurance plans based on clinical quality, member satisfaction, and NCQA Accreditation Survey results. NCQA ratings classify plans into scores from 1.5 to 5.0, in 0.5 increments, with 5 being the highest performance rating.

HEDIS CAHPS Survey VendorThe CAHPS® Survey is considered the most comprehensive tool available for assessing member experiences with their health plan. SPH Analytics is an NCQA-Certified Survey Vendor for the CAHPS Survey and has administered the survey to health plans throughout the nation since the program’s inception in 1998. Member satisfaction performance as measured in the CAHPS Survey represents 19% of a health plan’s rating.

“We recognize that it is difficult to provide exceptional member engagement and to drive strong loyalty.  We applaud these highest performing plans who have prioritized understanding member experience, diving into root cause where there is opportunity to improve and driving impactful change.  We are proud to partner with each of these top performing organizations and are grateful to serve as their partner in their journey to provide the highest member experience,” said Amy Amick, President and CEO of SPH Analytics. “These exemplary rankings are clear indicators of our clients’ dedication to the voice of the member, and we look forward to continuing to help support their success into 2020 and beyond.”

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 Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare.

CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
HEDIS® is a registered trademark of the National Committee for Quality Assurance (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, top-ranked satisfaction measurement firm in the health plan market by Modern Healthcare, 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, including 100% of the top 25 largest health plans. 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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94% of NCQA Best-Rated Health Insurance Plans Partner with SPH Analytics
94% of NCQA Best-Rated Health Insurance Plans Partner with SPH Analytics

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