TAMPA, Fla. – April 3, 2012 – MedHOK, one of the healthcare industry’s fastest-growing software companies, announced today that it has achieved Pay for Performance (P4P) certification for 360Measures®, version 2.55. The software, which tested successfully on all Integrated Healthcare Association’s (IHA’s) California P4P measures, also holds full National Committee for Quality Assurance (NCQA) 2012 Healthcare Effectiveness Data and Information Set (HEDIS®) certification.
A central component of MedHOK’s integrated care management, quality and compliance platform, 360Measures takes a cloud-based approach to ensuring quality improvement and compliance for health plans. Designed for all lines of business – Commercial, Medicare and Medicaid – 360Measures lets users continuously monitor and analyze P4P and HEDIS data, including calculation of all 63 measures in NCQA’s HEDIS certification program and all 15 measures in NCQA’s P4P certification program. In doing so, it facilitates improved clinical outcomes and care coordination while enhancing quality measures, compliance and financial performance.
Dual certification positions MedHOK’s 360Measures as a comprehensive end-to-end solution for Star and Medicaid performance, quality improvement and provider performance and best practices. It enables MedHOK to work with its clients to build custom P4P and HEDIS performance improvement programs, which emphasize quality outcomes in return for enhanced reimbursement.
“Achieving P4P Software Certification in addition to HEDIS Certification puts 360Measures in an elite group of software products capable of passing rigorous testing on a full array of measures. It is further evidence of our commitment to providing a truly comprehensive solution for improving care, quality and compliance,” said Anil Kottoor, president and CEO, MedHOK. “By enabling delivery of real-time information via our secure web portal, providers can quickly intervene and close care gaps, improving the well-being of plan members and driving improved quality scores that translate into financial bonuses for health plans and providers.”
The California P4P program is the largest non-governmental physician incentive program in the United States. Founded in 2001, it is managed by the IHA on behalf of eight health plans representing 10 million insured persons. IHA is responsible for collecting data, deploying a common measure set and reporting results for approximately 35,000 physicians in 221 physician groups.
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, aggregate all data across health plans, evaluate and audit Meaningful Use of Health IT domain Survey Tool responses and reports results to all parties. It also provides HEDIS as a set of standardized measures for reliably comparing the performance of managed healthcare organizations. More than 90 percent of health plans in America use HEDIS as a tool. By leveraging NCQA-certified Software, 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.
Tampa, Fla.-based MedHOK has more than 18 million lives in production and expects to double that number in 2012, making it one of the healthcare industry’s fastest growing software companies. It offers a cloud-based integrated software platform for care management, quality and compliance that enables physicians, ACOs, PCMHs, payers and TPAs to manage and measure care against national quality standards for optimal outcomes. Its innovative modular software helps healthcare organizations meet quality, care and compliance objectives across business lines by facilitating real-time information sharing with all stakeholders to address disease management and care coordination, clinical quality and utilization review, and quality and financial measures. ICD-10 compliant, HIE-ready and securely accessible on any device, the MedHOK platform is user-friendly, rapidly deployed and easily configurable for a low total cost of ownership and rapid return on investment. The company’s 360Measures holds full 2012 HEDIS and P4P certification.