MedHOK to Streamline Clinical and Compliance Program Management for Tufts Health Plan

Posted in Press Releases on Tuesday, March 03, 2015.

TAMPA, Fla. – March 3, 2015 – MedHOK announced today that Tufts Health Plan, ranked the number one health insurance plan in the country*, will leverage the cloud-based MedHOK platform to streamline management of its Health Care Services functions. This will allow the health plan to enhance its clinical programs, better share information and ensure compliance in a rapidly evolving regulatory environment.

“We believe that implementing the MedHOK platform will help us drive quality improvement and enable us to continue to provide the excellent care and customer service that our members expect and deserve,” said Dr. Paul Kasuba, Tufts Health Plan’s chief medical officer.

“We look forward to modernizing our functions within Health Care Services to better meet the current and developing needs of our business and improve the user experience for both our members and providers,” added Kelly A. Cummings, vice president of clinical services for Tufts Health Plan.

Founded in 1979 as a not-for-profit health maintenance organization, Tufts Health Plan was recently ranked the No. 1 health plan* in America. Distinguished for providing an outstanding member experience and access to quality care, Tufts Health Plan offers a broad array of health care coverage options to individuals and employer groups, regardless of economic status or life circumstance.

MedHOK offers a unique integrated system that enables real-time, roles-based access to member information across the care continuum. The platform creates actionable information that can be leveraged to proactively close care gaps, comply with federal and state regulations, enhance care management and improve Star, HEDIS® and other quality scores.

Founded in 2010, MedHOK’s innovative software-as-a-service (SaaS) model delivers to customers the rapid platform implementation and enhancements and lower upfront costs they need to keep pace in a continuously evolving regulatory environment. Its singular focus on technological excellence and superior customer service and support has enabled MedHOK to achieve outstanding growth as evidenced by its ranking as the 25th fastest-growing private company in 2014 by Inc.

“Tufts Health Plan is a great example of a company evaluating its system implementations as continuous monitoring of key care and performance measures become fundamental in health reform,” said Anil Kottoor, President and CEO, MedHOK. “MedHOK’s single platform for care, quality and compliance is built for health plans and other entities seeking to succeed in the rigorous, results-oriented environment. We are proud to work with Tufts Health Plan to meet their future needs.”

About MedHOK

MedHOK - Medical House of Knowledge – Ranked as the nation’s 25th fastest growing company and the sixth fastest-growing healthcare company on the Inc. 500/5000 List, is a leading software-as-a-service (SaaS) company covering over 26 million lives and serving government-sponsored and other risk-bearing health entities. MedHOK’s integrated cloud-based platform delivers a quality and compliance solution covering both prescription and medical care and holds current NCQA certification in HEDIS®, Pay for Performance and Disease Management performance measures. Built from the ground up, MedHOK’s technology consistently improves 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.


* The National Committee for Quality Assurance’s (NCQA) Medicaid and Private Health Insurance Plan Rankings 2014-2015

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