As with last year, Counterpart has enabled Clover Health to be the #1 performing PPO plan in the country for HEDIS clinical quality measures for plans over 2,000 members. Clover is again the only PPO ...

The National Committee for Quality Assurance is updating its Healthcare Effectiveness Data and Information Set performance measures for health insurance companies next year with an eye toward health ...

Cotiviti will join health plan quality improvement leaders at the NCQA Health Innovation Summit in San Diego to highlight ...

SALT LAKE CITY--(BUSINESS WIRE)--Quality Engine, the administrative measure logic and systematic sample processing component of Cotiviti’s Quality Intelligence solution, has earned Certified Measures ...

BURLINGTON, Mass., July 9, 2025 /PRNewswire/ -- Azara Healthcare, the Best in KLAS provider of population health and value-based care solutions, announced today that it has received certification from ...

Precise Word Matching AI outperforms machine learning AI to help payers close care gaps, improve Star Ratings, and advance patient outcomes Our Precise Word Matching AI guarantees compliant, accurate, ...

TAMPA, Fla., Sept. 16, 2025 /PRNewswire/ -- MHK, a leading healthcare technology company specializing in compliance-driven SaaS solutions for health plans and pharmacy benefit managers—and part of the ...

Edward Yurcisin, chief technology officer at the NCQA, says the organization is using its open-source CQL engine to digitize HEDIS measures and others to improve the quality of healthcare in the U.S.

Industry-Leading Solution Supports Quality Measurement Initiatives For More Than 205 Million Members Inovalon, a leading provider of solutions empowering data-driven healthcare, today announced that ...