Latest news with #HealthcareEffectivenessDataandInformationSet
Business Wire
08-07-2025
- Business
- Business Wire
Claritev's PHCS Network Receives Twelfth Consecutive NCQA Accreditation in Credentialing
MCLEAN, Va.--(BUSINESS WIRE)--Claritev Corporation ('Claritev' or the 'Company') (NYSE: CTEV) today announced that the PHCS Network, the largest primary PPO in the nation, received its 12th consecutive Accreditation in Credentialing from the National Committee for Quality Assurance (NCQA), a private nonprofit organization dedicated to improving health care quality. The PHCS Network is the only national independently contracted primary PPO with NCQA accreditation, demonstrating its unique commitment to the accurate and efficient credentialing of health care professionals. First certified in 2001, the PHCS Network underwent a rigorous review of its credentialing and recredentialing processes to maintain its NCQA Accreditation in Credentialing. The network was reaccredited for the maximum period of 3 years, which is valid through June 13, 2028. Through the accreditation process, the NCQA auditor specifically remarked that Claritev: Had dedicated and knowledgeable staff, Prepared files facilitating a smooth file review, and Made timely credentialing decisions. 'This twelfth consecutive NCQA Accreditation is a testament to the unwavering commitment and caliber of our team to uphold the highest standards in credentialing,' said Jerry Hogge, Chief Operating Officer of Claritev. 'It reflects our dedication to ensuring that healthcare professionals in the PHCS Network meet rigorous quality benchmarks, ultimately supporting better outcomes for the patients and partners we serve.' The PHCS Network provides health plan members with seamless access to healthcare services across the country, with more than a million participating practitioners, 4,600 acute care facilities and 92,000 ancillaries. About NCQA NCQA accredits and certifies a wide range of health care 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 health care, with over 60% of the US population enrolled in health plans that use the measure. NCQA can be found online at on Twitter @ncqa, on Facebook at and on LinkedIn at NCQA has reviewed and accredited Claritev's Credentialing functions for the PHCS Network only. For complete details on the scope of this review, visit About Claritev Claritev, formerly known as MultiPlan, is a healthcare technology, data, and insights company focused on delivering affordability, transparency, and quality. Led by a team of deeply experienced associates, data scientists, and innovators, Claritev provides cutting-edge solutions and services fueled by multiple data sources and over 40 years of claims repricing experience. Claritev utilizes world-class technology and AI solutions to power a robust enterprise platform that delivers meaningful insights to drive affordability in healthcare, brings price transparency and optimizes networks and benefits design. By focusing on purpose–built solutions that support all key players – including payors, employers, patients, providers and third parties – Claritev aims to make healthcare more accessible and affordable for all. For more information, visit
Business Wire
04-06-2025
- Business
- Business Wire
Firefly Health Drives Virtual Care Quality as First National Primary Care Practice to Achieve NCQA Accreditation
WATERTOWN, Mass.--(BUSINESS WIRE)-- Firefly Health, a pioneer in virtual-first care, is among five organizations nationwide to earn the prestigious NCQA Virtual Care Accreditation. Importantly, Firefly is the first national primary care practice to receive this designation, distinguishing itself from other accredited programs operating in limited states or providing non-longitudinal care. As healthcare shifts to virtual and hybrid modalities, NCQA identified a need for standardized, safe, effective, and equitable frameworks. Firefly was a key collaborator in this two-year pilot, helping to both develop and then apply for the program. ' NCQA's commitment to quality and patient-centered care aligns with Firefly's mission. Achieving one of the first virtual primary care accreditations reinforced our dedication to high-quality care and strengthened our processes. We're excited to continue partnering with NCQA to set the standard for virtual care, expanding access to patients nationwide, ' said Dr. Nisha Basu, Chief Clinical Officer of Firefly Health. The NCQA Virtual Care Accreditation standards address vital elements of quality and patient protections. Key areas include ensuring personalized, actionable treatment plans that demonstrate a real investment in the patient beyond a virtual interaction. This means assessing virtual care suitability, ensuring translation services, identifying external resources, and utilizing the virtual setting to gather comprehensive patient information, including social determinants of health. Aligning with NCQA's framework, Firefly refined its operations. This included developing detailed Standard Operating Procedures for technology, clinical, and operational practices, and strengthening training. The company also improved its Race, Ethnicity, and Identity (REI) data collection to continually address evolving patient needs. About Firefly Health Firefly is a primary care and health plan provider serving members and employers nationally. Through their hybrid primary care offering, Firefly delivers team-based care that seamlessly integrates primary care, chronic condition management, mental healthcare, and specialty care into its affordable employer-sponsored health plan. Learn more at About NCQA NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care 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 health care. NCQA's website ( contains information to help consumers, employers and others make more informed health care choices. NCQA can be found online at on Twitter @ncqa, on Facebook at and on LinkedIn at
Yahoo
04-06-2025
- Business
- Yahoo
Firefly Health Drives Virtual Care Quality as First National Primary Care Practice to Achieve NCQA Accreditation
WATERTOWN, Mass., June 04, 2025--(BUSINESS WIRE)--Firefly Health, a pioneer in virtual-first care, is among five organizations nationwide to earn the prestigious NCQA Virtual Care Accreditation. Importantly, Firefly is the first national primary care practice to receive this designation, distinguishing itself from other accredited programs operating in limited states or providing non-longitudinal care. As healthcare shifts to virtual and hybrid modalities, NCQA identified a need for standardized, safe, effective, and equitable frameworks. Firefly was a key collaborator in this two-year pilot, helping to both develop and then apply for the program. "NCQA's commitment to quality and patient-centered care aligns with Firefly's mission. Achieving one of the first virtual primary care accreditations reinforced our dedication to high-quality care and strengthened our processes. We're excited to continue partnering with NCQA to set the standard for virtual care, expanding access to patients nationwide," said Dr. Nisha Basu, Chief Clinical Officer of Firefly Health. The NCQA Virtual Care Accreditation standards address vital elements of quality and patient protections. Key areas include ensuring personalized, actionable treatment plans that demonstrate a real investment in the patient beyond a virtual interaction. This means assessing virtual care suitability, ensuring translation services, identifying external resources, and utilizing the virtual setting to gather comprehensive patient information, including social determinants of health. Aligning with NCQA's framework, Firefly refined its operations. This included developing detailed Standard Operating Procedures for technology, clinical, and operational practices, and strengthening training. The company also improved its Race, Ethnicity, and Identity (REI) data collection to continually address evolving patient needs. About Firefly Health Firefly is a primary care and health plan provider serving members and employers nationally. Through their hybrid primary care offering, Firefly delivers team-based care that seamlessly integrates primary care, chronic condition management, mental healthcare, and specialty care into its affordable employer-sponsored health plan. Learn more at About NCQA NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care 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 health care. NCQA's website ( contains information to help consumers, employers and others make more informed health care choices. NCQA can be found online at on Twitter @ncqa, on Facebook at and on LinkedIn at View source version on Contacts Liz Kellogg, Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
