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Prioritize Member Experience
Prioritize Member Experience

HEDIS® measures have long been the focal point of the Star Rating Program for Medicare Advantage. The Centers for Medicare & Medicaid Services (CMS) is constantly making changes to the program, to stay current with patients’ needs, these adjustments have a direct...

HEDIS® Stars Ratings. What’s Next
HEDIS® Stars Ratings. What’s Next

The Star Health Plan Ratings are constructed to help the 203 million people that are enroll in health plans. The Healthcare Effectiveness Data and Information Set, also known as HEDIS®, are determined by NCQA to make sure that preventive measures are performed by the...

What does it mean to be NCQA Certified?
What does it mean to be NCQA Certified?

Ensure Data Solutions measurement certification The National Committee for Quality Assurance (NCQA) is an independent, not-for-profit organization dedicated to improve the quality of health care. One of NCQA's roles is to administer voluntary accreditation programs...

Fraud in Value-Based Care Programs
Fraud in Value-Based Care Programs

Prevent fraud with our software from Ensure Data Solutions is perfect because  Fraud in managed care programs increases costs for the government – sometimes substantially.  As the amount of taxpayer money spent on managed care increases, so does the importance of...