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MedHOK 360Measures Earns Fifth Consecutive NCQA Measure Certification

MedHOK 360Measures Earns Fifth Consecutive NCQA Measure Certification

TAMPA, Fla. – January 28, 2015 MedHOK, which provides an industry-leading integrated platform for care, quality and compliance for government-sponsored and other risk-bearing health entities, announced today that it has achieved NCQA certification for its HEDIS Certified MeasuresSM in 360Measures®. This marks the fifth consecutive year MedHOK has earned HEDIS® certification from the National Committee for Quality Assurance (NCQA).

MedHOK’s 360Measures is a comprehensive, end-to-end solution for annual HEDIS filings and a complete integrated hybrid measures solution. It supports all aspects of commercial, Medicare and Medicaid lines of business filings for both administrative and hybrid measures. Unlike other HEDIS solutions, 360Measures is fully business-user configurable with a unique cloud-based Software-as-a-Service (SaaS) approach that allows users to run HEDIS as often as they like to target, monitor and remediate care gaps year-round.

“With the vast majority of health plans in the U.S. using HEDIS to monitor, measure and maintain clinical quality outcomes and service performance, it is important to maintain certification to preserve 360Measures’ position as the elite HEDIS solution,” said Anil Kottoor, president and CEO, MedHOK. “We are especially honored to receive the NCQA Measure Certification seal for the fifth time. The recertification confirms our dedication to providing superior software that health plans can rely on to improve clinical outcomes, care management and quality measures performance.”

In addition to containing HEDIS Certified Measures, MedHOK’s 360Measures fulfills all aspects of the annual filing process. It delivers a complete integrated hybrid measures solution that includes the ability to create a hybrid sample, algorithms to target providers, scheduling, medical chart review project management, chart abstraction tool, and upload and attachment of required medical chart documentation. Also provided are:

  • Administrative claim certified production and analysis
  • Expert and qualified medical chart review capabilities
  • Integration of administrative and hybrid data for review and analysis
  • Production and submission of final administrative and hybrid HEDIS submissions

Along with year-round HEDIS performance monitoring, MedHOK’s integrated cloud-based SaaS solution allows health plans to integrate patient information in real time and make it immediately available across the care continuum. The MedHOK platform creates actionable healthcare wherein individual providers and integrated delivery systems can proactively close care gaps, comply with federal and state regulations, enhance care management and improve HEDIS, Star and other quality scores.

A private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS®, the performance measurement tool used by more than 90 percent of the nation’s health plans.

About MedHOK

MedHOK – Medical House of Knowledge – is a leading software-as-a-service (SaaS) company covering over 26 million lives and serving government-sponsored and other risk-bearing health entities. Ranked as the nation’s 25th fastest growing company and the sixth fastest-growing healthcare company on the Inc. 500/5000 List, 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.

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).

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

Marc Ryan

Marc S. Ryan serves as MedHOK’s Chief Strategy and Compliance Officer. During his career, Marc has served a number of health plans in executive-level regulatory, compliance, business development, and operations roles. He has launched and operated plans with Medicare, Medicaid, Commercial and Exchange lines of business. Marc was the Secretary of Policy and Management and State Budget Director of Connecticut, where he oversaw all aspects of state budgeting and management. In this role, Marc created the state’s Medicaid and SCHIP managed care programs and oversaw its state employee and retiree health plans. He also created the state’s long-term care continuum program. Marc was nominated by then HHS Secretary Tommy Thompson to serve on a panel of state program experts to advise CMS on aspects of Medicare Part D implementation. He also was nominated by Florida’s Medicaid Secretary to serve on the state’s Medicaid Reform advisory panel.

Marc graduated cum laude from the Edmund A. Walsh School of Foreign Service at Georgetown University with a Bachelor of Science in Foreign Service. He received a Master of Public Administration, specializing in local government management and managed healthcare, from the University of New Haven. He was inducted into Sigma Beta Delta, a national honor society for business, management, and administration.

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