NCQA

Green Circle Life’s SmartFHR Platform Receives NCQA Certification in Wellness and Health Promotion

Retrieved on: 
Tuesday, September 12, 2023
Software, Data Analytics, Human Resources, Health, Mental Health, Professional Services, Technology, Fitness & Nutrition, Communication, NCQA, Workplace, Certification, Medicine, Address, National Committee, HR, Quality assurance, Health coaching, National Committee for Quality Assurance, Wellness, GCL, Nursing, Medical device

Green Circle Life (GCL), provider of the most comprehensive communication and engagement platform SmartFHR™ with integrated health and wellbeing services, has earned certification in Health Appraisal, Health Coaching and Self-Management Tools from the National Committee for Quality Assurance ( NCQA ).

Key Points: 
  • Green Circle Life (GCL), provider of the most comprehensive communication and engagement platform SmartFHR™ with integrated health and wellbeing services, has earned certification in Health Appraisal, Health Coaching and Self-Management Tools from the National Committee for Quality Assurance ( NCQA ).
  • Green Circle Life received certification in the following three areas of Wellness & Health Promotion programs:
    Health Appraisal (Wellness Assessment): Green Circle Life offers a robust wellness assessment to evaluate, address, and educate users about a wide range of health risks and behaviors to measure and improve health.
  • Health Coaching: Green Circle Life provides one-on-one health coaching services to help participants make lifestyle changes using in-house staff.
  • NCQA Wellness & Health Promotion certification includes evaluations by a team of experts and a national oversight committee.

New Multinational Health Equity Data Unlocks Intersection of Community Insights, Unmet Needs and Business Impact to Achieve Health Equity

Retrieved on: 
Tuesday, September 12, 2023
NCQA, Internet, Public, Health equity, MBA, Global health, Native Americans, Patient, Rutgers School of Public Health, Digital, Empathy, Fatigue, Organization, Religion, Greater, Culture, WebMD, Disability, Health promotion, Research, Language, Lucid, Emotional intelligence, Migrant, Social media, Private sector, Physical disability, International, Health education, Health, Business, Nursing, African Americans, Public health, MPH, Intersection, Digital divide, Doctor of Public Health, Education, Digital technology, BDO, Trust, Community, Rutgers School of Communication and Information, Health literacy, Community health worker, Retail, MD, CINT, Refugee, Atlantic Ocean

NEW YORK, Sept. 12, 2023 /PRNewswire/ -- A new global health equity data report released today by Omnicom PR Group (OPRG) finds widespread lack of trust in healthcare systems among non-white, LGBTQAI+ and immigrant communities and that a clear majority report experiencing explicit discrimination when seeking healthcare.

Key Points: 
  • Survey data shows that 62% of all respondents report experiencing explicit discrimination when seeking healthcare and 77% reported a lack of trust in health systems.
  • The data also shows that explicit discrimination, lack of trust and the digital divide are more pronounced among non-white, LGBTQAI+ and immigrant communities.
  • This data will inform academic curricular, intersectoral initiatives and business strategies that help advance health equity."
  • Topline data also shows – at the community level – gender, race/ethnicity, LGBTQIA+ and immigration status are palpable social determinants of health equity, and lived experiences differ among specific communities and countries.

Arcadia Earns Validated Data Stream Designation From NCQA

Retrieved on: 
Thursday, September 7, 2023
NCQA, HEDIS, Healthcare Effectiveness Data and Information Set, Validation, Certification, National Committee, Trust, EHR, Quality assurance, National Committee for Quality Assurance, Medical device, Audit

BOSTON, Sept. 7, 2023 /PRNewswire/ -- Arcadia (Arcadia.io), a leading data analytics platform for healthcare, announced today that the data stream leveraged by Southwestern Health Resources (SWHR) earned the Validated Data Stream designation through the National Committee for Quality Assurance (NCQA)'s Data Aggregator Validation program. The designation boosts confidence in the validity of clinical data and is used to demonstrate performance on a broad range of health initiatives known as Healthcare Effectiveness Data and Information Set (HEDIS®).

Key Points: 
  • BOSTON, Sept. 7, 2023 /PRNewswire/ -- Arcadia ( Arcadia.io ), a leading data analytics platform for healthcare, announced today that the data stream leveraged by Southwestern Health Resources (SWHR) earned the Validated Data Stream designation through the National Committee for Quality Assurance (NCQA)'s Data Aggregator Validation program .
  • The data accuracy achievement saves time for providers, health plans, and government entities and instills trust in output data matching source data.
  • Earning NCQA's Validated Data Stream designation requires passing a rigorous, end-to-end examination of the quality and integrity of clinical data and the procedures used to ingest, manage, transform, output, and safeguard data.
  • The validated data stream allows SWHR to more efficiently leverage clinical data in collaboration with payers while reducing administrative burden."

EmblemHealth Awarded Prestigious Health Equity Accreditation from NCQA

Retrieved on: 
Tuesday, September 5, 2023
NCQA, Medicaid, Accreditation, Senior, Health, HMO, Health equity, POS, EmblemHealth, Language, National Committee, New Yorker, Patient, Quality assurance, Health literacy, National Committee for Quality Assurance, Health insurance, Nursing, Medicare

NEW YORK, Sept. 5, 2023 /PRNewswire/ -- EmblemHealth, one of the nation's largest nonprofit health insurers, has earned Health Equity Accreditation from the National Committee for Quality Assurance (NCQA) for its commercial HMO and POS products, Medicaid HMO products, and Medicare HMO products. EmblemHealth is the first insurer in New York State to receive accreditation across three product lines.

Key Points: 
  • The NCQA Health Equity Accreditation program gives healthcare organizations an actionable framework for improving health equity and focuses on the foundational work of:
    Building an internal culture that supports the organization's external health equity work,
    Identifying opportunities to reduce health inequities and improve care.
  • This award recognizes our work in meeting New Yorkers where they are in their personal health journey and closing gaps in care," said Abdou Bah, Senior Vice President and Chief Health Equity Officer at EmblemHealth.
  • EmblemHealth works to address health equity issues directly with its members and through their doctors.
  • "This rigorous NCQA Health Equity accreditation process validates the path-breaking work that our team is doing to remove the intractable social barriers to accessing health care services," said Karen Ignagni, EmblemHealth's CEO.

Only 40% of Diabetes Patients Get Recommended Kidney Health Testing

Retrieved on: 
Wednesday, August 30, 2023
Blood pressure, Heart, NCQA, CMS, Healthcare Effectiveness Data and Information Set, KED, American Diabetes Association, Chronic kidney disease, Education, Face, HEDIS, Centers for Medicare & Medicaid Services, Microalbuminuria, Public, Health information management, EGFR, Glomerular filtration rate, Research, Mayo Clinic Proceedings, CMO, Kidney, Doctor of Philosophy, Quality, Medicare, National Committee, MD, Patient, NKF, Risk, Albuminuria, Quality assurance, National Kidney Foundation, Diagnosis, CKD, ADA, Kidney disease, National Committee for Quality Assurance, Pharmaceutical industry, Medical device, Dietary supplement, Diabetes

NEW YORK, Aug. 30, 2023 /PRNewswire/ -- Not enough diabetes patients are getting their recommended kidney health screenings, according to a new study by the National Kidney Foundation (NKF) and the National Committee for Quality Assurance (NCQA).

Key Points: 
  • NEW YORK, Aug. 30, 2023 /PRNewswire/ -- Not enough diabetes patients are getting their recommended kidney health screenings, according to a new study by the National Kidney Foundation (NKF) and the National Committee for Quality Assurance (NCQA).
  • "Kidney health testing is pivotal to ensuring timely diagnosis & equitable treatment of CKD," said Dr. Vassalotti, CMO
    According to new data published in Mayo Clinic Proceedings: Innovations, Quality & Outcomes journal, less than 40% of patients with diabetes have been recommended at least annual kidney health screening tests.
  • NKF is calling on health professionals to prioritize kidney health screening for individuals with diabetes which is pivotal to ensuring timely diagnosis and equitable treatment of CKD.
  • "Kidney health testing is pivotal to ensuring timely diagnosis and equitable treatment of CKD," added Joseph Vassalotti, MD, NKF Chief Medical Officer.

Healthmine and Ciox Health Partner to Improve Member Engagement Through Data-Driven Solution

Retrieved on: 
Friday, August 25, 2023
Professional Services, Data Management, Public Policy, Government, Healthcare Reform, Technology, Insurance, Communication, Centers for Medicare & Medicaid Services, NCQA, Partnership, CMS, Housing, America's Best Contacts & Eyeglasses, Health equity, Language, Datavant, Medicare, Digital technology, Patient, Internet access, Health information management, Medical device, Nursing, Ciox Health

Healthmine, a leader in technology-enabled member engagement, member experience and rewards solutions for health plans, and Ciox Health, a Datavant company with a mission to connect the world’s healthcare data to improve patient outcomes, announced a strategic partnership.

Key Points: 
  • Healthmine, a leader in technology-enabled member engagement, member experience and rewards solutions for health plans, and Ciox Health, a Datavant company with a mission to connect the world’s healthcare data to improve patient outcomes, announced a strategic partnership.
  • Together, Healthmine and Ciox enable health plans to bridge the data gap in member information through data aggregation and member engagement.
  • This new solution ensures health plans consistently have up-to-date contact information and access to members throughout their health journeys.
  • The partnership between Healthmine and Ciox solves this challenge by empowering health plans to refine their engagement strategies through a data-driven member engagement platform with more accurate contact records.

Zivian Health Secures $3 Million in Funding For First SaaS Platform To Expand Compliant Collaborations to Medical Enterprises, Insurers and Telehealth Companies

Retrieved on: 
Wednesday, August 23, 2023
Data Management, Health, Technology, Health Technology, Practice Management, Software, Bureau of Labor Statistics, BLS, NCQA, Software as a service, Partnership, PAS, Crosslink Capital, Prescription, Woman, Practitioner, Physician, NPS, Occupation, NP, Growth, VC, Nursing, Operation

More than 20 healthcare organizations have already signed up to the platform, growing the number of licenses Zivian Health is managing to more than 2,500 in less than 10 months.

Key Points: 
  • More than 20 healthcare organizations have already signed up to the platform, growing the number of licenses Zivian Health is managing to more than 2,500 in less than 10 months.
  • As part of its expansion, Zivian Health now supports not only primary care practices, but also specialty care throughout the country, including women's health and behavioral health.
  • The solution also gives physicians the opportunity to still do meaningful clinical work but take a break from stressful patient-facing care.
  • Sign-up is simple for healthcare organizations, enterprises, NPs and PAs for in-depth access to regional medical experts.

EmblemHealth and Pharmacy Quality Solutions Bring Enhanced Care to Members Living with Diabetes

Retrieved on: 
Monday, August 14, 2023
Blood pressure, NCQA, Partnership, Diabetes, Pharmacy, National Committee for Quality Assurance, Physician, PQS, Advocate, EmblemHealth, Risk, Hypertension, PCP, National Committee, Patient, A1C, Quality assurance, Health, Hospital, Nursing

NEW YORK, Aug. 14, 2023 /PRNewswire/ -- EmblemHealth, one of the nation's largest nonprofit health insurers, is partnering with Pharmacy Quality Solutions (PQS), a leading provider of performance management services, to support member health and close gaps in care through a first-of-its-kind pharmacy value-based arrangement in New York supporting NCQA (National Committee for Quality Assurance) measures. The arrangement began in July 2023 and became fully operational at the start of August 2023.

Key Points: 
  • Eligible EmblemHealth members with diabetes and/or hypertension can now receive blood pressure and A1C screenings at 4,000+ participating network pharmacies, including national and regional chains, and many independent pharmacies throughout New York.
  • The innovative partnership incentivizes network pharmacies to capture and share these screening results with EmblemHealth via the EQUIPP® platform.
  • With PQS' expertise in quality improvement, pharmacy data is mapped to NCQA quality measures and returned to payers for data ingestion and care coordination.
  • Members may also be referred to their attributed PCP or the EmblemHealth family of companies' primary and specialty care practice AdvantageCare Physicians for comprehensive health care services.

Inovalon Achieves NCQA HEDIS® Measure Certification for the 23rd Consecutive Year

Retrieved on: 
Thursday, August 10, 2023
Cloud, Data management, NCQA, Inovalon, Certification, Organization, Address, Friction, Risk, Health, Software, Computer data storage, Medical device, Video game

BOWIE, Md., Aug. 10, 2023 (GLOBE NEWSWIRE) -- Inovalon , a leading provider of cloud-based software empowering data-driven healthcare, has achieved the 23rd year in a row of NCQA HEDIS® Measure Certification (MY2023).

Key Points: 
  • BOWIE, Md., Aug. 10, 2023 (GLOBE NEWSWIRE) -- Inovalon , a leading provider of cloud-based software empowering data-driven healthcare, has achieved the 23rd year in a row of NCQA HEDIS® Measure Certification (MY2023).
  • NCQA issues a new set of analytical measure requirements annually.
  • The software that manages the analytical processing of these measures must meet exacting certification requirements.
  • Inovalon completed all software updates following NCQA’s annual certification processes on July 5, 2023.

Ontrak Announces 2023 Second Quarter Financial Results

Retrieved on: 
Wednesday, August 9, 2023
Software, Telemedicine, Virtual Medicine, Managed Care, Health, Mental Health, Artificial Intelligence, Health Technology, Technology, Well, NCQA, Medicaid, Anxiety, Accreditation, Constitutional right, Substance use disorder, Fourth, Certification, Fourth Amendment, Depression, OTRK, CVO, Bipolar disorder, EBITDA, CUSIP, Growth, Diagnosis, Schizophrenia, Reinsurance, Nursing, Acuitas Therapeutics

Ontrak, Inc. (NASDAQ: OTRK) (“Ontrak” or the “Company”), a leading AI-powered and telehealth-enabled healthcare company, today reported its financial results for the second quarter ended June 30, 2023.

Key Points: 
  • Ontrak, Inc. (NASDAQ: OTRK) (“Ontrak” or the “Company”), a leading AI-powered and telehealth-enabled healthcare company, today reported its financial results for the second quarter ended June 30, 2023.
  • Operating loss for the second quarter of 2023 was $(4.6) million compared to an operating loss of $(11.9) million for the same period in 2022.
  • Adjusted EBITDA for the second quarter of 2023 was $(3.1) million compared to adjusted EBITDA of $(8.6) million for the same period in 2022.
  • In July 2023, the Company entered into an agreement with a regional Medicaid health plan for our WholeHealth+ and Ontrak Engage solutions.