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MedHOK Earns Full 2012 NCQA HEDIS Software Certification for 360Measures

MedHOK Earns Full 2012 NCQA HEDIS Software Certification For 360Measures

TAMPA, Fla. – Jan. 30, 2012 – MedHOK, one of the healthcare industry’s fastest growing providers of cloud-based software, announced today that it achieved full certification for its 360Measures®, version 2.55. MedHOK successfully passed all 63 program measures, sampling methodology, and CAPHS sample frames in the National Committee on Quality Assurance’s (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®) certification process.

MedHOK’s 360Measures module was built as a comprehensive, end-to-end solution for annual HEDIS filings and a complete integrated hybrid measures solution. Its Software-as-a-Service, cloud-based approach offers unparalleled opportunities to analyze, monitor and remediate care gaps throughout the year, thereby reducing year-end fire drills associated with HEDIS performance. Given its innovative technology approach and architecture, data can be updated and HEDIS run in less than one hour for 1 million members. This gives plans the ability to run HEDIS frequently – daily, weekly, monthly – and constantly move the bar in the right direction on quality outcomes.

“NCQA’s HEDIS program is the national standard in all lines of business for quality monitoring and reporting. MedHOK is pleased to be among the vendors to achieve full certification. Certification puts MedHOK in an elite group of products able to pass the rigorous HEDIS review, confirming our commitment to enhancing clinical outcomes, care management and quality measures performance. Certification gives our clients an early start and leg up on launching their HEDIS process for 2012,” said Anil Kottoor, president and CEO, MedHOK.

MedHOK is able to fulfill all aspects of the annual filing process, including:

  • Administrative claim certified production and analysis
  • A complete integrated hybrid measures solution, which includes creation of the hybrid sample, algorithms to target providers, scheduling, hybrid medical chart review project management, a chart abstraction tool, and upload and attachment of the required medical chart documentation. The hybrid measure tool can be used by plan personnel, temporary staff, or outside medical chart review organizations.
  • 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

“With quality and performance improvement at the forefront of national healthcare initiatives, plans must move from the old paradigm of infrequent reviews to year-round, continuous quality improvement. MedHOK’s systems will help plans continue to succeed by improving scores and reaping increased membership and bonus revenue,” added Kottoor.

An independent, not-for-profit organization dedicated to measuring the quality of healthcare in America, NCQA 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.

About MedHOK

Tampa, Fla.-based MedHOK has more than 15 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® certification.

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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