WASHINGTON, Oct. 9, 2019 /PRNewswire/ -- Evolent Health, a
company providing an integrated value-based care platform to the
nation's leading providers and payers, today announced it is the
first company ever to achieve Population Health Program
Accreditation from the National Committee for Quality Assurance
(NCQA), an independent, not-for-profit organization dedicated to
assessing and reporting on the quality of managed care plans,
managed behavioral healthcare organizations, preferred provider
organizations, new health plans, physician organizations,
credentials verification organizations, disease management programs
and other health-related programs.
Evolent received NCQA's Population Health Program Accreditation
with the status of Accredited–3 years for Evolent's Complex Care,
Transition Care, Asthma, Coronary Artery Disease
(CAD)/Hypertension, Chronic Heart Failure (CHF), Chronic
Obstructive Pulmonary Disease (COPD) and Diabetes programs. The
Population Health Program Accreditation is the third NCQA
Accreditation Evolent has achieved in 2019, with Evolent having
also earned 3-Year Accreditation in both Utilization Management and
Case Management in 2019. Three years is the longest accreditation
time period NCQA designates for organizations.
"We are honored to be the first organization ever to achieve
Population Health Program Accreditation from NCQA," said Evolent
Health Chief Executive Officer Frank
Williams. "This reflects our focus on doing what's right for
the patient regardless of how they enter the health care system,
and our commitment to working with payers and providers to
significantly improve care quality and the care experience. I
commend the NCQA for taking the step to evolve its Disease
Management programs into this Population Health Program
accreditation because it encourages the industry to advance the way
we care for people through earlier interventions, preventive care
and a view of the whole person beyond a disease state."
"The Population Health Management program moves us in greater
alignment with the increased focus on person-centered population
health management," said NCQA President Margaret E. O'Kane. "Not only does it add value
to existing quality improvement efforts; it also demonstrates an
organization's highest level of commitment to improving the quality
of care that meets peoples' needs."
NCQA awards the status of Accredited–3 years to organizations
that demonstrate strong performance of the functions outlined in
the standards for Population Health Program Accreditation. The
Population Health Program Accreditation is organized into nine
standards:
- Program Description: The organization describes its
population health management program, including its evidence base,
and reviews and adopts new findings that are relevant to its
program as they become available, as appropriate.
- Data Integration: The organization collects and
integrates data sources to conduct population health management
functions.
- Population Assessment: The organization conducts a
population assessment to identify needs and characteristics of the
population.
- Population Segmentation: The organization segments or
stratifies the population into actionable categories for
intervention.
- Targeted Interventions: The organization provides
targeted interventions based on the individual's needs.
- Practitioner Support: The organization involves
practitioners by providing them with information.
- Measurement and Quality Improvement: The organization
evaluates the effectiveness of the population health programs.
- Individuals' Rights and Responsibilities: The
organization communicates the individual's rights and
responsibilities.
- Delegation of Population Health Management: The
organization carefully monitors functions performed by other
organizations.
NCQA Accreditation standards are developed with input from
various stakeholders and resources: health plans, population health
management industry leaders and organizations, an expert panel and
standing committees. NCQA Accreditation standards are purposely set
high to encourage organizations to continuously enhance their
quality; the standards are intended to help organizations achieve
the highest level of performance possible and create an environment
of continuous improvement.
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About Evolent Health
Evolent Health partners with
leading provider and payer organizations to achieve superior
clinical and financial results in value-based care and under
full-risk arrangements. With a provider heritage and over 20 years
of health plan administration experience, Evolent partners with
more than 35 health care organizations to actively manage care
across Medicare, Medicaid, commercial and self-funded adult and
pediatric populations. With the experience to drive change, Evolent
confidently stands by a commitment to achieve results. For more
information, visit evolenthealth.com.
About NCQA
NCQA is a private, nonprofit organization
dedicated to improving health care quality. NCQA accredits and
certifies a wide range of health care organizations. It also
recognizes clinicians and practices in key areas of performance.
NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®)
is the most widely used performance measurement tool in health
care. NCQA's website (ncqa.org) contains information to help
consumers, employers and others make more informed health care
choices. NCQA can be found online at ncqa.org, on Twitter@ncqa, on
Facebook at facebook.com/NCQA.org and on LinkedIn at
linkedin.com/company/ncqa.
Contact:
Kim Conquest
540.435.2095
Media Relations
KConquest@evolenthealth.com
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SOURCE Evolent Health