Altegra Health, a Change Healthcare company and a national provider of technology and intervention platforms that combine data aggregation and analytics with unique member engagement and reporting capabilities to achieve actionable insights and improved management for value-based healthcare, today announced that the National Committee for Quality Assurance (NCQA) issued its software certification for Altegra Health’s HEDIS.com Solution for the eleventh consecutive year.
The HEDIS.com Solution powers Altegra Health’s suite of web-based HEDIS offerings called HEDIS Smart™. The suite of offerings includes certified rate reporting and analytics, hybrid medical record reviews, and rate improvement opportunities that enable Altegra Health’s health plan customers to effectively manage and optimize HEDIS processes, reporting, submission, and results.
“In today’s quality-centric healthcare environment, HEDIS performance measures are crucial,” said Kevin Barrett, president of Altegra Health. “This, our 11th consecutive year of NCQA certification, further demonstrates our commitment to providing best-in-class solutions that drive exceptional value for our clients by helping to improve risk score accuracy, enhance revenue, and ensure effective member and provider engagement.”
Altegra Health’s comprehensive suite of HEDIS Smart solutions features innovative tools and services that not only help manage the annual submission of HEDIS measures, but also directly impact future quality performance. At the core of our solutions is the quality-measurement analytics engine that serves as the foundation for the many HEDIS-based programs Altegra Health supports, including HEDIS, Medicare Advantage Star Rating, and the Health Insurance Marketplace Quality Rating System.
Altegra Health’s quality performance solutions are delivered through a secure and interactive online portal, allowing retrospective and prospective rate analysis with built-in audit support features, claim level transparency, and performance tracking through integrated benchmarks and plan targets. In addition, solutions include member and provider engagement tools and services for implementing rate improvement strategies, as well as comprehensive analytics to target improved HEDIS and Star performance.
About NCQA
The National Committee for Quality Assurance (NCQA) is a private, 501(c) (3) not-for-profit organization dedicated to improving healthcare quality. NCQA manages the Healthcare Effectiveness Data and Information Set (HEDIS®), which is a tool used by more than 90 percent of America’s health plans to measure performance on dimensions of care and service. HEDIS® is designed to provide purchasers and consumers with the information they need to reliably compare the performance of healthcare plans.
About Altegra Health
Altegra Health is a national provider of technology-enabled, next generation payment solutions that enable health plans and other risk-bearing healthcare providers to generate, analyze and submit the data needed to successfully manage member care and ensure appropriate reimbursement. The power of Altegra Health’s advanced analytics and supporting intervention platforms enables healthcare organizations to elevate care quality, optimize financial performance and enhance the member experience. Altegra Health is a wholly owned subsidiary of Change Healthcare. For more information, visit AltegraHealth.com.
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