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CareEvolution Among Select Group of 21 Vendors to Earn 2019 NCQA Measure Certification

Ann Arbor, February 21, 2019—CareEvolution, LLC, a leading provider of population health and consumer engagement solutions, has been certified by the National Committee for Quality Assurance (NCQA) for delivering accurate, reliable Healthcare Effectiveness Data and Information Set (HEDIS®) results. HEDIS®, the most widely used health quality data set in the U.S., measures healthcare performance improvement in areas that significantly impact people’s lives. CareEvolution is one of only 21 vendors to have earned NCQA’s Measure Certification.

The Certification—healthcare’s most extensive assessment of an organization’s measure logic—is a testament to CareEvolution’s ability to ensure data integrity and improve the accuracy of reporting measures. CareEvolution sought and earned Partial Measure Certification (a subset of HEDIS® measures) for Medicare Advantage (MA)-focused measures that correspond with Medicare’s Star Rating System. Specifically, CareEvolution’s Galileo™ platform was certified for:

  • Part C Domain 1 Measures related to staying healthy, screenings, tests, and vaccines
  • Part C Domain 2 Measures related to managing chronic, long-term conditions
  • Part D Domain 4 Measures related to drug safety

As an NCQA-Certified vendor, CareEvolution saves health plans time by eliminating the manual source code review portion of the NCQA HEDIS® Compliance Audit™ and AMP Audit Review™. CareEvolution’s MA plan customers can use Galileo, its measure engine, integrated with its data aggregation and normalization platform (HIEBus™) to deliver and track care for their MA patients.

About NCQA

NCQA is a private, non-profit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s website (www.ncqa.org) contains information to help consumers, employers and others make more informed healthcare choices.

About CareEvolution

We Connect Healthcare. Despite advances in technology, health data remains fragmented. It’s often held hostage within proprietary medical record systems across hospitals, physician offices, pharmacies, labs, health plans, and, increasingly, our own smartphones. The resulting information vacuum is a systemic weakness that compromises our best intentions and efforts to improve our collective health.

CareEvolution is obsessed with connecting these health data silos—we build bridges to connect the islands of automation all around us. Our solutions serve patients, caregivers, healthcare providers, health plans, and researchers so they can better connect with each other and have secure, appropriate access to complete health information where and when they need it. This is essential for safe, effective, and efficient healthcare.

HIEBus™, our platform for secure, connected health, is helping some of the nation’s largest health plans, hospital systems, community collaboratives, researchers, and patients directly to liberate, standardize, and aggregate clinical, claims, and patient-sourced data into a single consolidated view for over 130 million of us. Our advanced apps ease the transition to value-based care, help communities coordinate care across organizational boundaries, and empower patients to access and control their own health information.

To learn how we can support your mission, please write us at [email protected] and visit us at www.careevolution.com.

Let’s Fix Healthcare™ together.

For more information contact: [email protected]