Cognizant’s Healthcare Quality Engine, TriZetto^® ClaimSphere^® has received its 10th consecutive Healthcare Effectiveness Data and Information Set (HEDIS^®) Certified Measure status from the National Committee for Quality Assurance (NCQA).

NCQA certification validates that ClaimSphere quality measures have passed the rigorous testing to support health plans for the 2020 HEDIS reporting season. Cognizant is also a NCQA certified vendor for Integrated Healthcare Association’s Align. Measure. Perform (AMP) program used by organizations across California to drive meaningful changes that reduce costs and improve healthcare quality and outcomes.

HEDIS is the measurement tool used by the nation’s health plans to evaluate their performance in terms of clinical quality and customer service. It is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare health care quality.

“Receiving certification for Cognizant’s ClaimSphere platform for a tenth consecutive year is a testament to our ongoing commitment to our customers that compliance and patient-centric approaches remain our top priorities,” said DK Sinha, President, North America at Cognizant. “Our mission to help our customers improve their ratings, maintain regulatory success and improve the quality of their services is paramount to our collaborative success and ensuring positive patient experiences.”

The ClaimSphere solution is complimented by Cognizant’s Service bureau support, which includes HEDIS SMEs, Project managers, Data analytics and operations. This enables clients to not only have a seamless HEDIS submission but also succeed in off-season prospective Quality improvement initiatives.

ClaimSphere offers support for 25+ State Medicaid programs and Medicare Advantage plans can identify the best path to higher Star ratings by adding StarSERV which is part of Cognizant’s Quality management solution. ClaimSphere is currently implemented within healthcare organizations throughout the U.S. and is estimated to cover 1 in 20 lives across Medicare, Medicaid and commercial lines of business.

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).