Cognizant’s Healthcare Quality Engine, TriZetto® ClaimSphere® QaaS® has received its 11th consecutive Healthcare Effectiveness Data and Information Set (HEDIS®) Certified Measure status from the National Committee for Quality Assurance (NCQA).
One in ten lives in the US is touched by ClaimSphere, which is used by health plans to measure and improve quality of care using the most up-to-date evidence-based clinical guidelines. The NCQA certification validates that ClaimSphere QaaS quality measures have passed the rigorous testing to support health plans throughout 2020.
Cognizant also received NCQA’s certification for the “Align. Measure. Perform.” program (AMP) used by organizations across California to drive meaningful changes that reduce costs and improve healthcare quality and outcomes. In addition to the NCQA certified measures, ClaimSphere’s extended Measure Catalog enables clients to comply with State Medicaid quality reporting and value based programs.
“Receiving certification for Cognizant’s TriZetto ClaimSphere product is a testament to our ongoing commitment to our customers that compliance and patient safety remain our top priorities,” said Surya Gummadi, Cognizant Senior Vice President and Global Head of Healthcare. “Digital transformation in government programs is accelerated by Interoperability mandates and COVID-19, driving Digital Quality Measurement and Clinical Data Exchange for Quality Measurement initiatives for improved patient safety and consumer experience.”
TriZetto ClaimSphere Consulting Services offers implementation and HEDIS Service bureau support with consultants specialized in HEDIS, data analytics and operations that enables clients to have a seamless HEDIS submission and execute quality improvement initiatives. Consulting Services offers accelerators such as Facets and QNXT pre-built interfaces for faster time-to-market and rate reconciliation services for a seamless vendor transition.
About TriZetto® Government Programs & Quality Solution
ClaimSphere is now part of the TriZetto® Government Programs & Quality Solution, driving synergy across Quality, Risk Adjustment, Enrollment & Reconciliation, Government and CMS data submissions competencies to ensure regulatory compliance, improve the health of the populations and experience of care, and mitigate revenue leakage.
NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. NCQA’s website (http://www.ncqa.org) contains information to help consumers, employers and others make more informed healthcare choices.
NCQA Measure CertificationSM is a service mark of the NCQA.
HEDIS® is a registered trademark of the NCQA.