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SALT LAKE CITY--(BUSINESS WIRE)--Quality Engine, the administrative measure logic and sample processing component of Cotiviti’s Quality Intelligence solution, has earned HEDIS ® Certified Measures™ ...

Many quality professionals are feeling anxious about the transition to digital quality measures (dQMs). The old way of doing things is changing, as the Centers for Medicare & Medicaid Services (CMS) ...

HEDIS reporting for MY2024 is officially in the books, and after months of audits, medical record reviews, and data submission, many are eager for a well-earned break. But for strategic health plans, ...

The Health Insurance Disparities Index allows stakeholders to assess progress in addressing health care disparities using publicly available, validated, reported health plan quality metrics results.

When the 2025 Medicare Advantage Star Ratings were announced, only 42% of plans with prescription drug coverage scored four or five stars, down from 68% in 2022. This marks the third consecutive year ...

The National Committee for Quality Assurance has released new specifications for quality measurement for its 2017 edition of Healthcare Effectiveness Data and Information, a performance improvement ...

If you have ever examined a scorecard or posted a score for handicap purposes, you have probably seen the terms Course Rating™ and Slope Rating®. While most golfers know they pertain to course ...

OPM manages the Federal Employees Health Benefits (FEHB) Program. Federal Employee Insurance Operations (FEIO) is responsible for providing Federal employees, retirees and their families with ...

Forbes contributors publish independent expert analyses and insights. Rachel Wells is a writer who covers leadership, AI, and upskilling. With Generative AI potentially adding close to a 50% bump to ...

If you've been looking for a lucrative skill to learn and develop this year and expand or pivot your career, you've no doubt come across cybersecurity. Cybersecurity is a high-income skill that is in ...

The Army released Army Doctrinal Publication (ADP) 7-0, Training, on April 29, 2024. ADP 7-0 establishes the fundamental principles of training and introduces training processes that are further ...