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...
The importance of provider engagement

The importance of provider engagement

Recent Ensure Data Solutions said that studies show that health Enhancing provider engagement can have a dramatic impact on health plan performance. Recent studies show that health plans find that involving providers leads to improved clinical outcomes and quality...
What is Medicare Risk Adjustment (MRA)

What is Medicare Risk Adjustment (MRA)

Documentation is a key factor in Ensure Data Solutions The Center for Medicare & Medicaid Services (CMS) Risk Adjustment Model ensures adequate resources to care for our high-risk Medicare Advantage members. Mandated by the Balance Budget Act (BBA) signed back on...
What is the Primary Care First Model?

What is the Primary Care First Model?

Primary Care First is a set of voluntary alternative five-year payment options that reward value and quality by offering an innovative payment structure to support the delivery of advanced primary care. In response to input from primary care clinician stakeholders,...