Cotiviti’s HEDIS® Measures are Certified and Ready for the 2019 Season

NCQA Certified Measures℠ status validates
the rigor of quality measures embedded in Cotiviti’s market-leading
healthcare quality analytics and reporting solution

ATLANTA–(BUSINESS WIRE)–Quality Engine, the administrative measure logic and systematic sample
processing component of Cotiviti’s Quality
solution, has earned Healthcare Effectiveness Data and
Information Set (HEDIS®)
Certified Measures℠ status from the National
Committee for Quality Assurance
(NCQA). Cotiviti
(formerly Verscend Technologies), a leader in data-driven healthcare
solutions, has earned this certification for the 18th
consecutive year. NCQA certification validates that measures have been
put through the thorough testing required to effectively support health
plans with the 2019 HEDIS reporting season.

“Quality Intelligence processes data for 68 percent of health plan
members for whom HEDIS scores are reported. Therefore, we have a
critical responsibility to ensure that our HEDIS software measures meet
the highest standards as soon as possible,” said Dr. Emad Rizk,
president and CEO of Cotiviti. “Our team has an unbroken track record in
achieving NCQA certification early in the HEDIS season, which gives our
clients a quality analysis, improvement, and reporting edge. Cotiviti’s
operational excellence and precision offer our health plan customers
peace of mind during this very demanding time of year.”

HEDIS is the measurement tool used by the nation’s health plans to
evaluate their performance in terms of clinical quality and customer
service, offering a standardized set of performance measures designed to
ensure that purchasers and consumers have the information they need to
reliably compare the healthcare quality of various health plans. Rated
as a top-three solution by KLAS Research in both 2017 and 2018, Quality
Intelligence combines NCQA-certified measure logic and easy-to-use
reporting software with high-volume, expert medical record retrieval and
abstraction services to drive the best results with the least amount of
health plan effort at every step. Cotiviti has required only two measure
recertifications for Quality Intelligence in the past three years,
minimizing the potential for any client inconvenience.

Enabling payers to measure and report HEDIS and HEDIS-related metrics
with flexibility and insight, Quality Intelligence forms the solid
foundation of an effective quality improvement program. Health plans can
track, monitor, and improve quality compliance; develop and measure
proprietary quality metrics; facilitate HEDIS, Star Ratings, and other
quality measure submissions; and implement a year-round measurement and
reporting program that significantly improves their rankings.

Medicare Advantage plans can further benefit from Star
from Cotiviti. Built on the proven Quality Intelligence
platform, Star Navigator helps Medicare Advantage plans determine the
most direct path to higher Star Ratings, then track and communicate
their progress toward goals. Tight integration between the two solutions
enables easy population of provider and member dashboards and reduces
health plan IT support needs.

HEDIS® is a registered trademark of NCQA.
Certified Measures℠ is a service mark of NCQA.

NCQA Measure
Certification℠ is a service mark of NCQA.

About Cotiviti
Cotiviti is a leading solutions and analytics
company that is reshaping the economics of healthcare, helping its
clients uncover new opportunities to unlock value. Cotiviti’s solutions
are a critical foundation for healthcare payers in their mission to
lower healthcare costs and improve quality through higher performing payment
, quality
, risk
, and network
performance management
programs. The company also supports the retail
and life/legal
industries with data management and recovery audit services that improve
business outcomes. For more information, visit

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
contains information to help consumers, employers and others
make more informed healthcare choices.


Jeffrey Robinson, Cotiviti

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