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Simply Healthcare Selects MedHOK to Enhance Quality Improvement Initiatives

Simply Healthcare Selects MedHOK To Enhance Quality Improvement Initiatives

TAMPA, Fla. – Feb. 28, 2012 – MedHOK, one of the healthcare industry’s fastest growing companies providing cloud-based software, announced today that Simply Healthcare will deploy its integrated care management, quality and compliance platform to proactively enhance its quality improvement initiatives. In doing so, Simply Healthcare is well positioned to respond to Centers for Medicare & Medicaid Services (CMS) and the Florida Agency for Health Care Administration (AHCA) efforts to enhance quality outcomes and reduce costs. MedHOK, which offers fully NCQA certified software for HEDIS®, has more than 15 million live in production and is on track to reach 30 million within the year, making it one of the healthcare industry’s leading software companies.

Simply Healthcare is a Coral Gables, Fla.-based HMO that serves Florida’s Medicaid and Healthy Kids populations and Medicare Advantage members. It will leverage the MedHOK platform for annual HEDIS filings, as well as to identify and remediate any care gaps and improve outcomes going forward.

“We appreciate the expertise MedHOK brings to the table and their collaborative approach to achieving our goals,” said Dwight Pattison, director of quality management, Simply Healthcare.

MedHOK’s integrated care management, quality and compliance platform facilitates improved clinical outcomes and care coordination while enhancing quality measures, compliance and financial performance. It accomplishes this by:

  • Providing real-time access to Star, HEDIS, pay-for-performance (P4P), and proprietary quality and performance measures, helping providers accurately monitor in real-time the data they need to achieve and maintain high quality ratings
  • Triggering interventions when care gaps are identified, in particular for patients with multiple comorbidities and chronic conditions
  • Utilizing predictive analytics models to generate profiles based on clinical, quality and financial data for member, provider and local populations
  • Calculating risk scores for every member, enabling timely predictions of those at the highest risk for more accurate forecasting of care costs and utilization
  • Continuously monitoring for and addressing regulatory changes from CMS and state Medicaid agencies, ensuring clients stay ahead of the compliance curve

“To thrive into today’s healthcare environment, health plans must be committed to improving quality and reducing costs,” said Anil Kottoor, president and CEO, MedHOK. “By leveraging the power of our integrated care, quality and compliance platform, they can eliminate the year-end HEDIS fire drills through continuous performance monitoring and streamlined workflows that mitigate care gaps.”

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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