NCQA Best-Rated Health Plans Partner with SPH Analytics

SPH Clients Represent 53% of Top Rated Plans

Alpharetta, GA – 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 5-point ratings in the 2018-2019 ratings for private, Medicare, and Medicaid health insurance plans use SPH solutions, according to reports recently released by the National Committee for Quality Assurance (NCQA).

NCQA is a private, non-profit organization dedicated to improving healthcare 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.

NCQA’s Health Insurance Plan Ratings 2018–2019 list rated more than 1,000 private, Medicare, and Medicaid health insurance plans based on clinical quality, member satisfaction, and NCQA Accreditation Survey results. NCQA’s ratings classified plans into scores from 1.5 to 5.0, in 0.5 increments, with 5 being the highest performance rating.

Results of the CAHPS^® Survey were used as part of the performance measures to rate the health plans. The CAHPS Survey is considered the most comprehensive tool available for assessing member experiences with their health plan. SPH Analytics is an NCQA-Certified Survey Vendor for the CAHPS Survey and has administered the survey to health plans throughout the nation since the program’s inception in 1998.

“We are thrilled to be a key part of over half of the U.S. top ranked Medicare, Medicaid, and commercial health plans’ strategies to earn the highest levels of member experience,” said Amy Amick, President and CEO of SPH Analytics.  “These market leaders demonstrate their dedication to their membership through these high rankings, and we are honored to play a vital role in how they understand and impact the experience of their members.”

Healthcare organizations, including many of the highest performing health plans in the nation, partner with SPH Analytics for complete healthcare survey management, patient/member outreach services, and powerful quality and cost analytics that empower them to take targeted actions to measurably improve patient experience, population health, and deliver better care.

CAHPS^® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
HEDIS^® is a registered trademark of the National Committee for Quality Assurance (NCQA).

About SPH Analytics
SPH Analytics (SPH), a leader in healthcare analytics and population health management, empowers clients to analyze and interpret their clinical, financial, and consumer experience data to maximize their performance. SPH’s Population Care™, Population Value™, and Population Engage™ solutions are built on the innovative Nexus™ Platform, providing insights and impact to integrated health networks, ACOs, hospitals, ambulatory care providers, physician groups, and health plans. SPH’s quality measure dashboards, financial risk measurement, healthcare survey and call center solutions, and consulting services empower clients to meet the Triple Aim by improving population health, reducing overall cost of care, and improving the patient experience.

SPH Analytics is a recognized leader in the industry, earning accolades as a top ranked population health vendor by KLAS, ranked the number one analytics firm out of the top 50 disruptive health IT companies by Black Book Research, and ranked number one in MACRA and MIPS Support Technology for Value-Based Care by Black Book Research. SPH Analytics has been providing insights to clients for more than 25 years and serves clients in all 50 states. Corporate headquarters are in metro Atlanta. SPH Analytics is a portfolio company of the $3 billion STG Partners. For more information, call 1-866-460-5681 or visit SPHAnalytics.com.