January 31, 2022
Santa Clara, CA – qrcAnalytics, an analytics company that implements innovative technology for value-based healthcare organizations, is pleased to announce it has met the requirements specified by the National Committee for Quality Assurance (NCQA) for Align Measure and Performance (AMP) Certification for MY2021 (Measurement Year 2021).
This is the 4th consecutive year of meeting the requirements and obtaining the certification.
The NCQA AMP certification is a yearly, rigorous process that compares the vendor’s quality measure results to expected NCQA results, therefore verifying that the code in the vendor’s software computes the measures correctly. Upon successful completion of all measures, NCQA issues a final certification report and seal indicating that the vendor can process and compute quality measures accurately. Less than 20 vendors achieved the certification for MY2020 and MY2021. The AMP program is the first program in the nation to focus on quality initiatives.
Gene Rondenet, Founder and CEO, and CTO of qrcAnalytics has been an advocate for value-based care for over a decade and has worked extensively with quality measures in the California Pay for Performance program founded in 2001. The California Value Based Pay for Performance (VBP4) is the largest alternative payment model in the United States. It is a statewide initiative managed by the Integrated Healthcare Association (IHA) on behalf of 10 health plans. The program is the longest-running example of data aggregation and standardized results across diverse regions and multiple health plans.
Inspired by the impact of VBP4P, Gene Rondenet collaborated with his development team to design the qrcEngine™ to provide the highest quality reporting and submissions aligned with care and risk management based on the NCQA and CMS rules. Gene Rondenet stated that ”Our ability to complete the rigorous annual certification process shows our commitment to quality and ability to provide industry-leading tools and services to our clients. We strive to provide a solution that can handle large volumes of data, calculate accurate results, and provide our clients with actionable information to enable these clients to not only report their scores, but to provide ways to improve the quality of care to patients, to be fairly compensated for their successes, and to be recognized for the quality of care delivered.”
Entities that have used a third-party vendor for calculation of measures will be required to use a NCQA certified vendor in measurement year 2021. Health plans and organizations using NCQA-Certified vendors save time by eliminating the annual manual source code review portion of the measure compliance audit.
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of healthcare 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 healthcare.
qrcAnalytics is a service and analytics company reshaping the way quality, risk and cost is managed in healthcare. qrcAnalytics has provided the foundation for many healthcare organizations to achieve the Triple Aim, improving patient care, assuring population health, while reducing the cost of care. qrcAnalytics specializes in assessing reimbursement accuracy, implementing quality improvements, and accurate HCC coding. Our solutions are powered by the qrcEngine™, a proprietary platform with the capability of analyzing data for millions of unique patient and providers across multiple clinical domains merging comprehensive and actionable data with process improvement strategies that are unique to the needs of the organization.