Verisk Health’s HEDIS Solution Fully Certified and Ready for the 2013 Season

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Verisk Health’s HEDIS Solution Fully Certified and Ready for the 2013 Season

Solution Features New or Enhanced Measure Support for Five-Star Programs, Pay-for-Performance, Accountable Care Organizations, Physician Quality and Reporting Systems, and State Reporting Deliverables
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Monday, January 7, 2013 - 9:30am

CONTENT: Press Release

WALTHAM, Mass., January 7, 2013 /3BL Media/ — Verisk Health announced that its Quality Intelligence solution has been certified by the National Committee for Quality Assurance (NCQA) and is ready for 2013 Healthcare Effectiveness Data and Information Set (HEDIS) reporting. This year marks the 12th straight season that the company has achieved full certification. Verisk Health is a global leader in data-driven healthcare solutions and a long-standing NCQA® HEDIS Software Certification beta-testing partner.

“Each year brings new challenges and opportunities. This year, we are especially pleased to deliver a fully-certified solution early in the reporting season and are poised to offer additional support in light of the new May 15 medical record abstraction deadline,” said Nathan Gunn, MD, chief operating officer of Verisk Health. “And we are happy to say that this year, we will be including measure set support for Accountable Care Organizations, Five-Star initiatives, and Physician Quality and Reporting Systems, as well as performing abstraction and retrieval services for several of our HEDIS clients.”

To ensure that HEDIS stays current, the NCQA has established a process to update the measurements annually. The NCQA HEDIS Software Certification process requires solution providers to re-certify each year to ensure compliance with the latest quality measures. Verisk Health has a long-standing partnership with NCQA, achieving certification each year since 2001 and acting as a certification beta-testing vendor for the organization since 2003.

Claims from approximately 21 percent of the U.S. insured population are processed through the Verisk Health engine, accounting for more than 2.2 billion claims annually. The Verisk Health Quality Intelligence solution is used by payers and providers to track, measure, and benchmark adherence to clinical standards. It enables managed care organizations to view results quickly and easily for each HEDIS measure, sample, and chase calculation performed.

Key uses of the product include:

  • calculating HEDIS measures from source healthcare data
  • analyzing HEDIS data using robust filters, drills, and reports
  • collecting hybrid medical record data
  • reviewing and retrieving medical records
  • developing custom measures for clinical reporting initiatives
  • access to secure, web-enabled software that facilitates the communication, planning, and managing of projects and checkpoints related to HEDIS measure production
  • access to chart review tools and services

About Verisk Health
Verisk Health, a subsidiary of Verisk Analytics (Nasdaq:VRSK), helps organizations identify, manage, and mitigate healthcare risk to improve quality, reduce costs, and maximize profitability. Our data-driven risk assessment technologies and business decision analytics enable clients to proactively seize opportunities for improving clinical, financial, and performance results. Our solutions optimize the efficiency of key business objectives, including care management; risk identification and stratification; HEDIS compliance; benefit program measurement; fraud, waste, and abuse prevention; payment accuracy; and revenue cycle management. For more information, please visit

HEDIS® is a registered trademark of the NCQA
Certified HEDIS® Software is a service mark of the NCQA
HEDIS® Software Certification is a service mark of the NCQA


Trish Tarantino