| Date | Title | Description |
| 29.07.2026 | FHAS Earns NCQA Accreditation for Utilization Management | Federal Hearings and Appeals Services
Demonstrating Commitment to Clinical Quality, Consistency, Compliance and Integrity
“FHAS operates at the point where clinical judgment, regulatory responsibility, and trust come together,” said James B... |
| 20.07.2026 | NCQA Launches Cohort 12 of the Data Aggregator Validation Program with QMetrics as Exclusive Validation Partner | Figure 1. The Data Aggregator Validation Program by the numbers: 50 participating organizations, 22 states, 147 completed validations, and 63,186 clinical data sources validated. SAN DIEGO, CA, UNITED STATES, July 20, 2026 /EINPresswire.com... |
| 18.12.2025 | MedTrainer's Rapid Innovation Sets a New Standard for Healthcare Compliance and Credentialing Technology | MedTrainer, the industry's all-in-one workforce compliance platform, delivers a record-breaking year of product development and growth, fueled by industry-first AI and automation.
LAS VEGAS, Dec. 18, 2025 /PRNewswire-PRWeb/ -- December 18, ... |
| 30.10.2025 | MedTrainer Expands Credentialing Automation With Board Certification Verification | MedTrainer announces the automation of board certification verifications, turning a cumbersome manual process into just minutes of work. As part of a comprehensive automated workflow, healthcare teams can onboard providers faster, eliminate... |
| 10.09.2025 | Strive Health Raises $550M in Series D Funding | Strive Health, a Denver, CO-based company which specializes in value-based kidney care, raised $300M in a Series D equity round and secured $250M in debt financing for a combined $550M capital raise.
New Enterprise Associates (NEA) led the ... |
| 19.08.2025 | Massachusetts Health Data Consortium Selects Datycs to Streamline Clinical Data Exchange for Quality Measures | New FHIR Standard-Based Solution to Enhance Clinical Data Sharing Between Health Plans and Providers Across Massachusetts
Datycs announced that the Massachusetts Health Data Consortium (MHDC) selected the company for a new standards-based s... |
| 23.07.2025 | Leap Metrics Partners With NCQA for Digital Content Services Supporting All Certified HEDIS® Measures | Pioneering AI Healthcare Solutions for Population Health and Care Management
Leap Metrics has deployed NCQA Digital Content Services to support all certified HEDIS® measures and proactively close care gaps using AI agents. Leap Metrics is o... |
| 28.06.2025 | New Medical Campus Opens Doors to Medi-Cal Patients in San Bernardino | In the heart of San Bernardino, a new beacon of hope has emerged. The SAC Health Brier Campus opened its doors, welcoming its first patients. This marks a pivotal moment in expanding healthcare access for Medi-Cal recipients in the region. ... |
| 28.06.2025 | SAC Health Welcomes First Patients to Its New San Bernardino Medical Campus, Highlighting an Important Step to Expanding Medi-Cal Patient Access in the Region | Dr. James Crounse, Family Medicine at SAC Health, held clinic for the first patients at SAC Health's newest medical campus
SAC Health, an FQHC teaching health center in San Bernardino, welcomed patients on its first day of providing clinica... |
| 28.05.2025 | CareNu Earns NCQA CVO Re-Certification: Reinforcing Industry Leadership in Quality Healthcare | CareNu
CareNu, a data-driven healthcare organization committed to delivering high-quality, accessible, and affordable care, announced earning re-certification from the National Committee for Quality Assurance (NCQA) as a Credentials Verific... |
| 12.03.2025 | Cost Free Program for Behavioral Health Hospitals to Secure HEDIS Stars by Meeting New NCQA Mental Health Guidelines | Providing an integrated program to minimize avoidable readmissions.
M3 Checklist Empowers Behavioral Health Hospitals to Meet the new HEDIS Star Requirements with Cutting-Edge Measurement.
We support providers and health systems with our Pr... |
| 15.01.2025 | The AI Revolution in Healthcare: Streamlining Compliance and Enhancing Patient Experience | The healthcare landscape is evolving. Technology is no longer just a tool; it’s a lifeline. Two recent developments highlight this shift: Verbal’s integration with Healthie and Press Ganey’s expansion of AI capabilities. Both aim to transfo... |
| 13.01.2025 | Verbal Joins the Healthie App Marketplace | Verbal, a leading innovator in AI-powered healthcare compliance, today announced a new integration with the Healthie Electronic health record (EHR) system and telehealth platform. This integration is now available in The Harbor, Healthie’s ... |
| 13.09.2024 | ATW Health Solutions Welcomes Esteemed New Advisors, Dr. Karen D. Sheares And Dr. Charity S. Watkins | DR. KAREN D. SHEARES AND DR. CHARITY S. WATKINS
ATW Health Solutions has announced the addition of two new members, Dr. Karen D. Sheares and Dr. Charity S. Watkins, to its strategic advisory board. Dr. Sheares, currently the Vice President ... |
| 11.09.2024 | Bridging the Gap: Innovations in Gastrointestinal and Cancer Care | In the evolving landscape of healthcare, partnerships are becoming the lifeblood of effective patient care. Two recent developments highlight this trend: the collaboration between Gastrointestinal Specialists of Troy, Michigan, and Oshi Hea... |
| 11.09.2024 | NCQA Launches Virtual Care Accreditation Program | What You Should Know:
– The National Committee for Quality Assurance (NCQA) has introduced a groundbreaking new program designed to evaluate and accredit organizations offering virtual care services.
– The Virtual Care Accreditation program... |
| 10.09.2024 | Community Oncology Alliance Releases Quality and Value Standards in Cancer Care | Standards Provide a Roadmap for Practices to Assess Their Operations, Consider Participation in Quality Certification Programs, and Have Discussions with Key Stakeholders
WASHINGTON, Sept. 10, 2024 /PRNewswire/ -- The Community Oncology All... |
| 09.09.2024 | CHC: Creating Healthier Communities Welcomes Dr. Bryan O. Buckley to the National Board of Directors | Dr. Bryan O. Buckley, DrPH, MPH, MBA joins CHC's national board of directors.
Public health expert Bryan Buckley joins CHC's national board of directors to further health equity for all
ALEXANDRIA, Va., Sept. 9, 2024 /PRNewswire-PRWeb/ -- C... |
| 29.08.2024 | Santa Clara Family Health Plan earns NCQA Health Equity Accreditation for its Medi-Cal and Medicare programs | Santa Clara Family Health Plan is a local, community-based health plan dedicated to creating opportunities for better health and wellness for all.
Santa Clara Family Health Plan (SCFHP) is proud to announce it has earned the National Commit... |
| 22.07.2024 | QMetrics serves as Validator for the 8th Cohort of NCQA’s Data Aggregator Validation (DAV) Program | DAV Participant Represented States
Cohort 8 begins on July 22, 2024, 43 organizations across the country have completed the Data Aggregator Validation Program since its launch in Summer 2021. SAN DIEGO, CALIFORNIA, UNITED STATES, July 22, 2... |
| 28.05.2024 | Innovaccer Launches Quality Management Solution for Health Plans | What You Should Know:
– Innovaccer Inc., a leader in healthcare artificial intelligence, has unveiled a quality management and reporting solution designed specifically for health plans.
– The comprehensive platform empowers health plans to ... |
| 17.05.2024 | mPulse launches Two New Solutions and Reports Strong Q1 2024 Growth | mPulse, a leader in conversational AI and digital engagement solutions for the healthcare industry, announced strong momentum in Q1 2024 over Q1 2023 with growth across all business segments. The company also announced the launch of its int... |
| 17.05.2024 | mPulse launches Two New Solutions and Reports Strong Q1 2024 Growth | mPulse, a leader in conversational AI and digital engagement solutions for the healthcare industry, today announced strong momentum in Q1 2024 over Q1 2023 with growth across all business segments. The company also announced the launch of i... |
| 16.04.2024 | Health | As AI eye exams prove their worth, lessons for future tech emerge | Hannah Norman | (TNS) KFF Health News
Christian Espinoza, director of a Southern California drug-treatment provider, recently began employing a powerful new assistant: an artificial intelligence algorithm that can perform eye exams with pic... |
| 10.04.2024 | SAC Health Hosts Secretary Becerra and Representative Aguilar Visit to Highlight Biden-Harris Administration Efforts to Advance Health Equity in Inland Empire | From Left: Rep. Pete Aguilar, HHS Secretary Xavier Becerra, SAC Health CEO, Jason Lohr discuss health care equity
SAC Health, a teaching health center in San Bernardino, hosted Rep. Pete Aguilar and U.S. Department of Health and Human Servi... |
| 22.03.2024 | Health | 1 in 5 maternal deaths are from suicide. Why is it so hard to get help? | There are traces of Andrea Kolbe all over her big sister, Kyra Vocci.
A long chain with Kolbe’s wedding ring — an ornate silver band — hangs close to Vocci’s heart, beside a locket engraved with Kolbe’s photo and fingerprint. Tattooed on Vo... |
| 11.03.2024 | Clinical Architecture Hosting Healthcare Thought Leadership Sessions at HIMSS 2024 | Visit our in-booth (#2281) Data Quality Theater in Orlando
This year, we're especially excited to introduce our Data Quality Theater. It will feature panels with industry thought leaders and influencers, who will share their insights on dat... |
| 17.11.2023 | NCQA Launches Virtual Care Accreditation Pilot | What You Should Know:
– The National Committee for Quality Assurance (NCQA) has initiated the Virtual Care Accreditation Pilot program, a significant step in developing a quality improvement framework for organizations offering care through... |
| 17.07.2023 | QMetrics serves as Validator for the 6th Cohort of NCQA’s Data Aggregator Validation (DAV) Program | Cohort 6 begins on July 17, 2023. Thirty-four organizations across the country have completed the DAV Program since its launch in Summer 2021. SAN DIEGO, CALIFORNIA, UNITED STATES, July 17, 2023/EINPresswire.com/ -- The National Committee f... |
| 29.06.2023 | Three Ways Health Plans Can Raise The Bar On Health Equity | Troy Jelinek, PhD, MHA Chief Commercial Officer at Icario. |
| 01.06.2023 | i2i Population Health Successfully Completes NCQA's Data Aggregator Validation Program | i2i, a leading provider of healthcare data aggregation solutions, is proud to announce its successful completion of NCQA's Data Aggregator Validation Program FRANKLIN, TENNESSEE, USA, June 1, 2023/EINPresswire.com/ -- i2i Population Health,... |
| 26.04.2023 | NCQA Launches Race and Ethnicity Stratification Learning Network | What You Should Know:
– The National Committee for Quality Assurance (NCQA) today launched the Race and Ethnicity Stratification Learning Network, a free, interactive, online tool that offers data and best practices to help health plans imp... |
| 07.04.2023 | AssureCare® Earns NCQA Prevalidation for Population Health Management | Leading the Way in Population Health Management: AssureCare® Earns NCQA Prevalidation
CINCINNATI, OHIO, UNITED STATES, April 7, 2023/EINPresswire.com/ -- AssureCare, a leader in Care Management Solutions, announces its achievement of Preval... |
| 26.02.2023 | BCBS Minnesota Inks Value-based Agreement With Homeward to Advance Rural Healthcare | When Dr. Jennifer Schneider, co-founder and CEO of Homeward, was growing up in Winona, Minnesota, her first job was delivering parts from her family’s auto shop to rural areas. She now believes healthcare should be able to do the same.
“We ... |
| 20.01.2023 | IMAT Solutions Achieves Recertification of Validated Data Stream Designation in NCQA Data Aggregator Validation Program | “The recertification of NCQA Data Aggregator Validation designation reinforces how our platform continues to drive the most meaningful care and business outcomes for payers,” said Kurt Garbe, CEO of IMAT Solutions.
PLEASANT GROVE, Utah (PRW... |
| 17.01.2023 | QMetrics serves as Validator for the 5th Cohort of NCQA’s Data Aggregator Validation (DAV) Program | Thirty-one organizations have completed the DAV Program since Summer 2021. New organizations participating in Cohort 5, which starts on January 17, 2023. SAN DIEGO, CALIFORNIA, UNITED STATES, January 17, 2023 /EINPresswire.com/ -- The Natio... |
| 16.12.2022 | 3 Healthcare Predictions for 2023: New Realities and Priorities for Health Plans | The health system will enter a new reality with the public health emergency lifted
After several renewals, most expect the Covid-19 public health emergency (PHE) to be lifted in 2023, which has huge implications for health plans and members... |
| 24.10.2022 | PDHI Enhances Partnership with HealthTrio to Provide Additional NCQA-certified Member Engagement Tools | PDHI strengthens partnership by expanding solution packages available in the HealthTrio member portal
This partnership will provide additional functionality to HealthTrio clients supporting member engagement and NCQA-certified tools.”
— Jim... |
| 24.10.2022 | PDHI Enhances Partnership with HealthTrio to Provide Additional NCQA-certified Member Engagement Tools | This partnership will provide additional functionality to HealthTrio clients supporting member engagement and NCQA-certified tools.
BASKING RIDGE, N.J. (PRWEB) October 24, 2022
PDHI expands its partnership with HealthTrio to provide additio... |
| 15.09.2022 | Just Six Health Plans Earn Top Scores In NCQA 2022 Health Insurance Ratings | NCQA annual health insurance plan ratingsNCQA |
| 19.07.2022 | Inovalon Launches Race & Ethnicity Data Enrichment Offering for Health Plans | – What You Should Know:
Inovalon, a provider of cloud-based software solutions empowering data-driven healthcare unveils a new data enrichment offering that allows health plans to improve the completeness and accuracy of race and ethnicity ... |
| 28.06.2022 | Why Health Plans Are Vital to Health Equity | Rachael Jones, SVP of Performance Analytics and Quality at Cotiviti
In Florida, where Black residents are three times more likely to be hospitalized or die from asthma-related complications than white residents, one researcher’s efforts to ... |
| 01.03.2022 | IMAT Solutions Is Among the Latest to Earn Validated Data Stream Designation in New NCQA Data Aggregator Validation Program | “We are honored to be part of the NCQA Data Aggregator Validation program, which further reinforces how our platform helps to drive the most meaningful care and business outcomes for payers,” said Kurt Garbe, CEO of IMAT Solutions.
OREM, Ut... |
| 25.01.2022 | KidneyCare:365 CKD Program Earns NCQA Accreditation | Population Health Program Supports Health Plan Members with Chronic Kidney Disease
WALTHAM, Mass. - Jan. 25, 2022 -Fresenius Medical Care North America (FMCNA), a leading provider of kidney care products and services, announced today that i... |
| 28.10.2021 | 100% of NCQA 5.0 Rated and 96% of CMS 4.5 and 5-Star Health Insurance Plans Use Member Experience Solutions from SPH Analytics | Despite unprecedented challenges amid the pandemic, health plans achieving the gold standard in quality performance demonstrated an unwavering commitment to consistently exceed member expectations and drive exceptional experience
ALPHARETTA... |
| 05.02.2021 | UPMC Enterprises’ latest spinout uses natural language processing to enhance care quality | UPMC Enterprises, the innovation and commercialization arm of Pittsburgh-based UPMC, launched Astrata. The company has developed natural language processing technologies that aim to improve the quality of care.
Astrata’s technologies help p... |
| 10.01.2021 | Digital health meets value-based care: It’s time for a new chapter | It’s time to start a new chapter in value-based care.
As a former health plan executive, I spent years on value-based care initiatives aimed at improving quality and lowering cost of care. Because it was measurable with claims data and infl... |
| 20.09.2020 | Mitigating the impact of Covid-19 on Medicare Advantage risk scores and payment | The clock is ticking. While the Centers for Medicare & Medicaid Services (CMS) bumped up the MA growth rate to 4.07% amid the coronavirus outbreak—significantly higher than the 2.99% rate proposed last February—health plans still need t... |
| 22.07.2020 | Beyond Covid-19: 5 opportunities for startups to reshape the future healthcare landscape | The novel coronavirus pandemic has upended the world as we know it, taking an unprecedented toll on health and human life. The healthcare ecosystem has quickly mobilized to mitigate the crisis – modifying care access points and modalities w... |
| 04.09.2019 | Eden Health Earns NCQA Patient Centered Medical Home Recognition | – Eden Health earns National Committee for Quality Assurance’s (NCQA) Patient-Centered Medical Home (PCMH) recognition.
– PCHM recognition underscores Eden Health’s trailblazing role as a tech-enabled primary care delivery model.
– PCMH is ... |
| 26.04.2019 | No more ‘shortcuts’ in prescribing opioids for chronic pain. Millions of Americans need nuanced care | Declarations from two federal agencies offer hope — and possible action — for people in pain who have lost access to prescribed opioids. These declarations come not a moment too soon for those who have been abandoned by their health care pr... |
| 12.02.2019 | SPH Analytics and Medecision Announce Strategic Partnership to Bring Quality Measure Solution to Health Plans | SPH Analytics, a leader in healthcare analytics and population health management, and Medecision, a leader in integrated health platform solutions, announced today a strategic partnership to help health plans improve the quality of care the... |
| 12.02.2019 | HIMSS19 Day 2 Announcements & Summary | Accenture: Millenials & Gen Z Are Shifting to Virtual, Retail, Clinic, Digital Care
Millennial and Gen Z consumers in the U.S. are rapidly adopting non-traditional care models, such as retail clinics, virtual and digital services, accor... |
| 04.01.2019 | Behavioral health innovation two years later: Why is adoption taking so long? | |
| 05.11.2018 | NCQA Best-Rated Health Plans Partner with SPH Analytics | SPH Clients Represent 53% of Top Rated Plans
SPH Analytics, the top ranked patient satisfaction measurement firm in the Health Insurer/Managed Care Plan market, announced today that more than half of the plans receiving the highest 4.5- to... |
| 12.09.2018 | AbleTo Earns Renewed NCQA Certification Status as a Credentials Verification Organization | NEW YORK, September 12, 2018 /PRNewswire/ – AbleTo, Inc., the leading technology-enabled provider of behavioral health treatment proven to improve patient outcomes, increase access, and lower healthcare costs, is pleased to announce it has ... |
| 08.01.2016 | What’s next for the National Committee for Quality Assurance? | What do you see as NCQA’s biggest achievement after 25 years?
Just getting the measurements out there in a systematic way. We are now finally at a stage where the delivery system is getting it and trying to reorganize itself with primary ca... |
| 14.12.2015 | Care management startup Edumedics raises $4.2M | The company said it has saved clients as much as 15 percent on care for these populations, and improved health outcomes by as much as 52 percent for one high-risk diabetes pool.
“Edumedics has proven that there’s a better way to provide ser... |
| 22.09.2015 | Anthem and Aetna know this: Reputation (not just big dollars) matter | The following post originally appears in Pulse Weekly, a weekly take on the industry from Paul Keckley and the Navigant Healthcare Center for Research and Policy.
As the CEOs of Anthem and Aetna go before the Senate Judiciary Subcommittee o... |
| 09.12.2014 | Behavioral health management meets social network: Big White Wall opens shop in U.S. | UK-based Big White Wall, which provides access to live therapists and support networks for mental health needs, officially launched in the U.S. at the Mobile Health Summit this week. It’s a big move for the company and comes 18 months after... |
| 04.09.2014 | Assurant joins Healthcare Cost Institute effort on price transparency | Assurant Health will join three other insurance heavyweights — Aetna, Humana and UnitedHealthcare — in working with the Healthcare Cost Institute in developing consumer-geared tools for healthcare pricing and quality transparency, the not-f... |
| 29.07.2014 | Surprise: Pilot project finds mobile engagement with Medicaid patients ‘most cost-effective’ | Other key findings include:
Engaging Medicaid beneficiaries is “most cost-effective via mobile.”
Medicaid members likely have a “high interest” in participating.
Respondents are more likely to “take desired behavior-changing action” versus ... |
| 23.07.2014 | AbilTo Receives NCQA Certification for Credentials Verification Services | July 23, 2014 |
| 04.11.2013 | Once you find an exchange plan, can you find a health insurance provider? | Turned out that wasn’t so easy to figure out on his own. So he and Elisabeth Benjamin, a health exchange “navigator,” are in a Manhattan office doing some digging.
After a little hunting and pecking, Batteiger learns that a nearby hospital,... |
| 02.02.2012 | Wellness gift card aspires to make sure healthy bonuses stay that way | Health plans are now evaluated by their Healthcare Effectiveness Data and Information Set scores, which makes encouraging preventive care increasingly important, said Mark and Pamela Hall, co-founders of United Preference.
Businesses are tr... |
| 25.06.2009 | Public health plan, mandate to buy insurance, may help solve disruptions in medical care | Losing a job often disrupts health insurance, said Cebul, who also directs the Case Western Reserve University Center for Health Care Research and Policy at MetroHealth. Insurance aimed at getting workers to the next job and employer-sp... |
| - | Surprise: Pilot project finds mobile engagement with Medicaid patients ‘most cost-effective’ | Mobile health messaging company HealthCrowd unveiled results from its pilot project with Healthfirst that showed 86 percent of Medicaid recipients in Healthfirst’s member population regularly use mobile technology, making text messaging a g... |
| - | Wellness gift card aspires to make sure healthy bonuses stay that way | Imagine a new kind of wellness gift card that employees get as a reward for participating in corporate health screenings and other activities. But, as a bonus to companies, the employers can make sure their wellness rewards are being spent ... |
| - | Digital health meets value-based care: It’s time for a new chapter | It’s time to start a new chapter in value-based care.
As a former health plan executive, I spent years on value-based care initiatives aimed at improving quality and lowering cost of care. Because it was measurable with claims data and infl... |
| - | Beyond Covid-19: 5 opportunities for startups to reshape the future healthcare landscape | The novel coronavirus pandemic has upended the world as we know it, taking an unprecedented toll on health and human life. The healthcare ecosystem has quickly mobilized to mitigate the crisis – modifying care access points and modalities w... |
| - | Once you find an exchange plan, can you find a health insurance provider? | Consumers shopping for coverage on the new health insurance exchanges have been focused on the lowest-cost options. But some shoppers are trying to determine which plans offer the widest array of doctors and hospitals — and are finding that... |
| - | Public health plan, mandate to buy insurance, may help solve disruptions in medical care | CLEVELAND, Ohio — Many people in Northeast Ohio who lose their jobs in the ongoing economic recession also lose their health insurance, according to Better Health Greater Cleveland’s third community report.
One of the key findings o... |
| - | Anthem and Aetna know this: Reputation (not just big dollars) matter | The following post originally appears in Pulse Weekly, a weekly take on the industry from Paul Keckley and the Navigant Healthcare Center for Research and Policy.
As the CEOs of Anthem and Aetna go before the Senate Judiciary Subcommittee o... |
| - | How Tech Can Improve Health Plan Performance & Star Ratings in 2023 & Beyond | Paula LeClair, US General Manager of Healthy.io
The open-enrollment period that recently concluded for U.S. health plans was the first since the expiration of pandemic-linked changes to how Star Ratings were calculated. This is a period of ... |
| - | Behavioral health management meets social network: Big White Wall opens shop in U.S. | UK-based Big White Wall, which provides access to live therapists and support networks for mental health needs, officially launched in the U.S. at the Mobile Health Summit this week. It’s a big move for the company and comes 18 months after... |
| - | Care management startup Edumedics raises $4.2M | Edumedics, a Louisville, Kentucky-based startup offering care management for people with or at risk for diabetes and other chronic conditions, has raised $4.2 million in Series A venture capital. Lunsford Capital, also of Louisville, led th... |
| - | What’s next for the National Committee for Quality Assurance? | The nation’s oldest private arbiter of what defines high-quality health plans turned 25 last year. The National Committee for Quality Assurance (NCQA) started soon after HMOs became popular in the 1980s, measuring the effectiveness of the f... |
| - | Assurant joins Healthcare Cost Institute effort on price transparency | Assurant Health will join three other insurance heavyweights — Aetna, Humana and UnitedHealthcare — in working with the Healthcare Cost Institute in developing consumer-geared tools for healthcare pricing and quality transparency, the not-f... |
| - | UPMC Enterprises’ latest spinout uses natural language processing to enhance care quality | UPMC Enterprises, the innovation and commercialization arm of Pittsburgh-based UPMC, launched Astrata. The company has developed natural language processing technologies that aim to improve the quality of care.
Astrata’s technologies help p... |
| - | Mitigating the impact of Covid-19 on Medicare Advantage risk scores and payment | Delays in care due to Covid-19 will likely lead to reduced risk scores for Medicare Advantage (MA) patients, lowering plan payments in 2021. For now, the big questions facing MA plans are, “How much revenue could we lose—and can we close th... |