Shortly before the December 14, 2018 deadline, the National Committee for Quality Assurance (NCQA) has certified ELEVATE! Quality Insights software by Advantmed, LLC, an integrated risk-adjustment optimization and quality improvement company, for 2019 HEDIS hybrid measures.
“Health plans and risk-bearing entities seeking to improve and/or report on quality measures rely on Advantmed’s Quality Insights solution,” says Jay Baker, senior vice president.
Through this certification, Advantmed will provide innovative solutions for health plans across the country and help improve measured quality outcomes.
According to a press release, the integrity of Advantmed’s software code and its ability to produce accurate and reliable results will be demonstrated through NCQA’s Measure Certification. Currently Advantmed is in the process to complete the administrative measures set and become a fully certified organization to support reporting of the full HEDIS measure set. Notably, this does not include Medicare Health Outcomes Survey or Consumer Assessment of Healthcare Providers and Systems.
The Quality Insights software solution suite includes analytics, HEDIS measurement and reporting, Accountable Care Organization measurement and reporting, medical record retrieval, medical record abstraction, supplemental abstraction, prospective health assessments, member engagement, and provider education.
“In addition to timely and accurate HEDIS reporting, Quality Insights supports prospective rate calculation and gap identification,” Mr Baker explained. “Gap closure services for both risk and quality are also available, giving Advantmed clients a full suite of tools to utilize in their quality improvement efforts.”