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Inovalon Earns 2013 NCQA Software Certification

BOWIE, Md., Jan. 24, 2013 /PRNewswire/ -- Inovalon, Inc., a leading provider of data-driven healthcare solutions, today announced that on January 7 th, the National Committee for Quality Assurance (NCQA) granted Inovalon's Quality Spectrum Insight (QSI™) version 16.1.0 HEDIS Software Certification(SM) for 2013.

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Now in its thirteenth year of certified use, Inovalon's QSI analytical engine is the nation's most widely used Health Plan Employer Data and Information Set (HEDIS ®) solution and continues to set the industry standard for quality reporting solutions. Today, QSI is being used to generate approximately 700 separate NCQA data submissions annually, covering hundreds of health plans for HEDIS, supporting approximately 60% of the nation's outsourced HEDIS analytics processing. With an attention to continuous improvement, this Inovalon solution has delivered these capabilities with an overall customer satisfaction rate of greater than 95% in year-over-year measurement since 2001.

"Maintaining an NCQA HEDIS Software Certification for 13 consecutive years demonstrates Inovalon's unrelenting commitment to industry-leading innovation and industry-standard reliability," said Troy Dinkel, M.D., Inovalon's Chief Product Officer. "QSI is a crucial asset for determining HEDIS metrics, state-specific quality requirements, CMS and HHS Star ratings, accreditation ratings, ACO initiative performance, and a wide array of custom care measurement initiatives throughout the country."

Each year, QSI undergoes a rigorous review and validation process to assure that it meets NCQA's stringent guidelines for certification. QSI has passed the NCQA HEDIS Software Certification(SM) with no exceptions since the inception of the Software Certification process by NCQA in 2001.

Inovalon is a NCQA beta test partner for the 2013 HEDIS ® software certification process. This is Inovalon's twelfth year working with NCQA as a beta test partner for HEDIS Software Certification(SM).

NCQA is an independent, not-for-profit organization dedicated to measuring the quality of America's healthcare. HEDIS is a set of standardized performance measures designed to make sure purchasers and consumers have the information they need to reliably compare the performance of managed healthcare organizations. Conceived as a way to streamline measurement efforts and promote accountability in managed care, HEDIS measures are now used by approximately 90% of all managed care organizations (MCOs) to evaluate performance in areas ranging from preventive care and consumer experience to heart disease and cancer.

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