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QUALITY IMPROVEMENT

Video: How HEDIS recertification impacts health plans

Achieving HEDIS® certification means a vendor’s software code stands up against the rigorous quality tests of the National Committee for Quality Assurance (NCQA). But continuously meeting NCQA’s standards can be challenging and often leads to measure recertification mid-season, which can impact a health plan's processes. Watch our new video as Branka Sustic, Cotiviti vice president of quality, explains the basics of the HEDIS certification and recertification processes—and Cotiviti's approach to minimizing recertifications.

 

At Cotiviti, we’ve had to recertify only three measures over the last three years, and we work closely with NCQA for swift resolution. Download our Quality Intelligence fact sheet to learn how our solution sets the standard for efficiency, ease of use, and customer satisfaction.

Read the fact sheet

About Branka

Branka Sustic currently serves as Vice President, Quality for Cotiviti. She has over 18 years of industry experience working with health plans/insurance companies, third party administrators, self-funded employers, reinsurance companies, and brokers. Throughout her time with Cotiviti, she has worked in several roles within the company’s Quality and Performance solution suite, leading the data operations team for Cotiviti’s Quality Intelligence client base since 2016. Branka holds an undergraduate degree in Information Management and Technology from Syracuse University and a master’s degree in Health Informatics from Northeastern University.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

WRITTEN BY

Jeff Robinson
As senior manager of corporate communications, Jeff develops content to support Cotiviti's strategic marketing initiatives and public relations. Before joining the organization in 2016, he worked in journalism as the morning host and news director for KCPW, a public radio station in Salt Lake City. Jeff holds a bachelor’s degree in broadcast journalism from the University of Southern California and an MBA from the University of Utah.

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