Aliso Viejo, California; Aug. 28, 2024 – In a significant milestone, UST HealthProof, a leader in core administrative services for U.S. healthcare payers, has proudly achieved Certified Measures™ status for components of its Quality360™ platform. This recognition is for the HEDIS® 2024 Measurement Year from National Committee for Quality Assurance (NCQA). This prestigious certification highlights UST HealthProof’s dedication to elevating healthcare quality and efficiency, setting a new benchmark for excellence in healthcare management.

“We’re proud to receive the benchmark for excellence in HEDIS measurements for quality,” said Kevin Adams, co-founder and CEO at UST HealthProof. “This achievement underscores our commitment to delivering exceptional outcomes for health plans. Our dedication to quality not only enhances member satisfaction and health outcomes but also solidifies UST HealthProof as a trusted partner in navigating the complexities of healthcare management.”

The Quality360 platform enables healthcare organizations to measure, monitor, and report quality measures with comprehensive, insight-driven data. It’s designed to streamline healthcare data processes and enhance efficiency while simplifying the management and reporting of HEDIS measures, ensuring accuracy and compliance.

HEDIS measurements and quality are vital to health plans as they provide a standardized method for evaluating performance across key areas of healthcare delivery. These metrics help health plans identify gaps in care, monitor outcomes, and implement targeted improvements. By focusing on HEDIS measures, health plans can ensure they meet regulatory requirements and maintain compliance with industry standards, avoiding potential penalties. This compliance, along with improved HEDIS scores, leads to higher quality ratings and enhanced member satisfaction. Additionally, it results in financial incentives and bonuses from CMS, ultimately contributing to better health outcomes for members and greater operational efficiency.

"Achieving HEDIS certification ensures that our platform meets rigorous standards for performance and compliance, which is essential in today’s regulatory landscape,” said Sharon Kuhrt, Managing Director of Stars and HEDIS Quality Program Operations. “By focusing on HEDIS measures, we enhance patient care, drive better health outcomes, and maintain a high level of operational integrity in a dynamic healthcare environment."

This certification is awarded annually based on the rigorous measurements and quality standards issued by NCQA.