HEDIS Certification

Hexplora achieves HEDIS Certification for 2020

Healthcare quality improvements make a meaningful difference in people’s life. Hexplora is committed to helping healthcare organizations in delivering quality care based on quality standards established by NCQA and other organizations. We are proud to announce that Hexplora has achieved HEDIS^® certification for 2020, for the second year in a row.

Rocky Hill, CT, April 2020 – Hexplora Quality solution, has earned Healthcare Effectiveness Data and Information Set (HEDIS^®) Certified Measures status from the National Committee for Quality Assurance (NCQA). Hexplora is a leading provider of Healthcare Analytics and Reporting and has earned this certification for the second year in a row. In addition to addressing the need for HEDIS Quality report submission, Hexplora helps its clients by identifying Care gaps and closing them with the help of intervention strategies.

“As the Quality solution starts to form the core of the Hexplora Analytics platform, it is critical for us to ensure that Quality measures are certified by NCQA so that our clients can continue to rely on the care gaps the solution produces” said Srinivas Pendyala, president and CEO of Hexplora.

Hexplora provides a comprehensive solution that includes Enrollment based Member metrics, claims-based Utilization Metrics, HCC based Predictive Model metrics, and HEDIS and State-specific Quality metrics. Further the Quality Metrics built by Hexplora are rule-based and hence can be customized intuitively for any changes if any healthcare entity so requires.

Hexplora’s cost-effective Quality solution is often used by clients to track and monitor and improve care Quality on a continuous basis. In addition to HEDIS measures, the Quality module also includes State specific Quality measures for Medicaid, Star Measures that are used by Medicare, as well as Medication Adherence Measures.

Our Quality solution helps analyze the measures at the Organization level, PCP Level, and Member Level. There is an additional drill-down that can be enabled to look at the reason behind the non-compliance. The Care gaps can be combined with provider appointments data to ensure higher compliance levels.

Hexplora solution also provides a Mobile platform that can be used to send real-time care gap information to the Members. The pursuit lists can be sent to the Care Management team directly from the Quality solution.

HEDIS^® is a registered trademark of NCQA.
HEDIS Certified Measures is a service mark of NCQA.
NCQA Measure Certification is a service mark of NCQA.

Media Contact
Mohammed, Majeed, Marketing Manager
Mohammed.Majeed@hexplora.com
Ph: 860 760 7656

About Hexplora

Hexplora’s healthcare analytics solution provides comprehensive data-driven intelligence payors, Managed Healthcare Organizations, ACOs, IPAs, etc., including Medicare Advantage and Medicaid. Our sophisticated and data-driven solution bridges the gap between members and patients with a complete continuum of care enabling health plans to improve star rating across all the domains of HEDIS consistently. For more information, visit www.hexplora.com

About NCQA

NCQA is a non-profit private organization dedicated to improving the quality of health care through measurement, transparency, and accountability. NCQA accredits from physicians to nationwide health insurance companies. NCQA’s website (www.ncqa.org) contains information to help consumers, employers, and others make more informed healthcare choices.