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Altegra Health’s HEDIS.com Solution Awarded NCQA Software Certification for 2014 HEDIS® Reporting Season

For the ninth consecutive year, Altegra Health, Inc., a leading provider of business, technology and consulting solutions for healthcare organizations, today announced that the National Committee for Quality Assurance (NCQA) has issued its Software Certification for Altegra Health’s HEDIS.com Solution 2014.

The HEDIS.com Solution (www.hedis.com) is the engine that powers Altegra Health’s suite of Web-based HEDIS offerings called HEDIS Smart™. These offerings include certified rate reporting and analytics, hybrid medical record review and rate improvement opportunities all of which combine to enable health plans to effectively manage and optimize their overall HEDIS processes and reporting.

“HEDIS performance measures are more important than ever for health plans in today’s quality-centric healthcare environment, and Altegra Health’s HEDIS suite of solutions is a comprehensive platform for quality measurement, reporting and improvement,” said Kevin Barrett, president and chief executive officer of Altegra Health. “This year’s certification from the NCQA for the 2014 HEDIS reporting season demonstrates our company’s continued commitment to staying on the leading edge of HEDIS reporting standards.”

The HEDIS.com Solution includes the NCQA-certified engine and advanced tools for managing the complete HEDIS and quality measurement improvement process, including: DUET™ – a tool that maps, uploads and evaluates a health plan’s source data, allowing them to preserve their native data structure; HEDISLinx™ – a secure online portal that provides users with real-time access to both retrospective and prospective measures, metrics, rates and comparisons to plan targets so they can track, manage and improve their HEDIS scores year round; RISE™ – a module that provides a specialized process for systematically implementing rate improvement strategies; and the Star Module within HEDISLinx – a comprehensive Star Measure analysis module to view current, future and target Star performance. Separately, Altegra Health offers Hot Pursuit™, a fully integrated hybrid medical record review service, providing client partners a one-stop solution for all their HEDIS needs.

“Altegra Health’s quality measurement and reporting capabilities -- coupled with our company’s ability to incorporate data from risk adjustment activities -- provides greater insight into opportunities to improve the quality of care, increase the accuracy of risk scores, enhance plan revenue, and more effectively leverage member and provider engagement activities,” Barrett said.

About NCQA

NCQA is an independent, not-for-profit organization dedicated to measuring the quality of America’s healthcare. HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures designed to make sure purchasers and consumers have the information they need to reliably compare the performance of managed healthcare organizations.

About Altegra Health

Altegra Health is a leading provider of technology-enabled business and consulting services that improve health plan and provider organization performance by aligning proven revenue, quality and care management solutions with clients’ existing capabilities. Altegra Health enhances enrollee, member, patient, and provider experience, strengthens compliance and improves operations through integrated solutions focused on program assistance, risk adjustment and healthcare enhancement, as well as reimbursement and advisory services. For more information, visit AltegraHealth.com.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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