MedHOK Achieves NCQA Measure Certification for P4P Measures

Posted in Press Releases on Tuesday, April 08, 2014.

TAMPA, Fla. – April 8, 2014 – MedHOK, which delivers industry leading actionable healthcare solutions for care, quality and compliance across an integrated cloud-based platform, announced today that it has achieved certification for its Pay for Performance (P4P) measures within 360Measures® for the third consecutive year. Earlier this year, MedHOK earned its fourth consecutive Healthcare Effectiveness Data and Information Set (HEDIS®) certification from the National Committee for Quality Assurance (NCQA).

A central component of MedHOK’s single platform for care, quality and compliance, 360Measures® takes a unique cloud-based Platform-as-a-Service (PaaS) approach to enabling commercial, Medicare and Medicaid plans to deliver the excellence required to maintain and grow revenue while containing costs. It provides the ability to directly reward providers for performance based on well-established and certified measures, and to design client-specific Star and HEDIS pay-for-quality programs. Users can continuously monitor and analyze P4P and HEDIS data and calculate all measures in NCQA’s HEDIS and P4P certification programs. This, in turn, facilitates improved clinical outcomes and care coordination while enhancing quality measures, compliance and financial performance.

“Achieving our third P4P certification in addition to HEDIS certification is testament to the quality of 360Measures and the dedication of our team,” said Anil Kottoor, president and CEO, MedHOK. “By providing a comprehensive end-to-end solution for quality improvement, provider performance and best practices, 360Measures allows us to work with our clients and build custom P4P and HEDIS performance improvement programs.”

In addition to monitoring P4P and HEDIS performance, MedHOK’s integrated platform provides health plans with the tools needed to view patient information in real time and make it immediately available across the care continuum. By doing so in a manner that is meaningful to each end user, the MedHOK platform creates actionable information that can be leveraged to proactively close care gaps, comply with federal and state regulations, enhance care management and improve quality scores.

The California P4P program is the longest running U.S. example of data aggregation and standardized results reporting across diverse regions and multiple health plans. Founded in 2001, it is managed by the Integrated Healthcare Association (IHA), which is responsible for collecting data, deploying a common measure set and reporting results for approximately 35,000 physicians in 200 physician organizations.

An independent, not-for-profit organization dedicated to measuring the quality of healthcare in America, NCQA is contracted by IHA to develop and maintain clinical measures and audit methodologies and evaluate and audit the Meaningful Use of Health IT Domain Survey Tool responses. It also provides HEDIS® as a set of standardized measures for reliably comparing the performance of managed healthcare organizations, which is used by more than 90 percent of the nation’s health plans as a measurement tool. By leveraging HEDIS Certified MeasuresSM and P4P Certified MeasuresSM, these health plans can save time and resources by forgoing the manual source code review portion of the HEDIS® Compliance Audit and P4P Audit Review.

About MedHOK

MedHOK (Medical House of Knowledge) serves risk-bearing entities covering more than 22 million lives, making it one of the health care industry’s fastest-growing software-as-a-service (SaaS) companies. MedHOK is a leader in providing an integrated cloud-based platform that delivers a quality and compliance solution covering both Rx and Medical care for health plans, pharmacy benefit managers (PBMs), accountable care organizations (ACOs) and other risk-bearing entities. MedHOK’s technology was built from the ground up to improve outcomes by addressing the multiple needs of its customers in three critical areas – care, quality and compliance – while promoting workflow efficiencies, reducing redundancies and increasing reimbursement. MedHOK’s platform holds current NCQA certification in HEDIS®, Pay for Performance and Disease Management performance measures.

NCQA Measure CertificationSM is a service mark of the National Committee for Quality Assurance (NCQA).

HEDIS Certified MeasuresSM is a service mark of the National Committee for Quality Assurance (NCQA).

P4P Certified MeasuresSM is a service mark of the National Committee for Quality Assurance (NCQA).

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

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