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NCQA Recommendations to Transform Telehealth, HEDIS®, and Data Analysis

In Affinite Quality, HEDIS & Quality Management by Marketing

Recognizing that technology has caught up and evolving circumstances necessitate new initiatives, NCQA’s Taskforce on Telehealth Policy has developed a host of policy recommendations surrounding the use of telemedicine. As telehealth initiatives continue to expand, it will create more and more data that health plans can use to inform care decisions, improve member outreach, maximize revenues, and streamline operations. Vital …

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NCQA Finalizes HEDIS® Telehealth Framework, Goals and Resources

In Affinite Quality, Covid-19, HEDIS & Quality Management by Marketing

As I noted in a previous blog post, NCQA has acted swiftly to adjust HEDIS® requirements to reflect the treatment and outreach challenges presented by COVID-10. Striving to limit healthcare professionals’ exposure to the virus, the new guidelines for outpatient care through video and telephone calls and readings from in-home monitors. Self-isolation recommendations and many patients’ reluctance to travel for …

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NCQA Alters Telehealth Standards in Wake of COVID-19

In Affinite Quality, Covid-19, HEDIS & Quality Management by Marketing

The complications in care delivery brought about by COVID-19 has prompted NCQA to adopt significant changes to more than three dozen of its widely used HEDIS® measures governing telehealth. In a previous post, we discussed how with the right data tools Quality and Care Management teams can prioritize members with chronic diseases who would benefit from treatment and outreach provided …

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NCQA’s Artificial Intelligence Initiatives and Their Impact

In Affinite Quality, HEDIS & Quality Management by Marketing

Payers move to Affinitē Quality to Leverage AI in Closing Care Gaps A previous post discussed NCQA’s changes to HEDIS® reporting requirements for the 2020 and 2021 reporting year. Among the key changes is increased acceptance of artificial intelligence (AI). For the first time, HEDIS is allowing artificial intelligence applications to read scans in diabetic retinopathy screening for comprehensive diabetes …

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Summary of NCQA’s HEDIS® 2021 Changes and New COVID-19 Technical Specifications

In Affinite Quality, Care Management, HEDIS & Quality Management, News by Marketing

In its continuing efforts to help health plans focus on quality care and respond to the challenges of COVID-19, NCQA has adopted sweeping changes to its HEDIS® measurement and reporting guidelines. Vital Data Technology has compiled and analyzed these changes and offers this overview of what plans should be aware of throughout the measurement year. Changes to the metrics fall …