HealthQx First to Receive New Certification by HCI3

The ClarityQx Analytics Platform leverages Evidence-informed Case Rates to empower value-based payments for health plans and health systems

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HealthQx

Jun 04, 2015, 07:30 ET

KING OF PRUSSIA, Pa., June 4, 2015 /PRNewswire/ --

HealthQx is the first to market with HCI^3's most comprehensive episode of care definitions and associated analytic system
HCI³'s Evidence-informed Case Rates (ECRs) and associated analytics incorporated in ClarityQx power value-based payments for health plans and providers and support high quality care at a lower cost
80+ episode of care definitions cover approximately two thirds of total costs of care

HealthQx (HQX), a leader in value-based payment (VBP) analytic software solutions, and the Health Care Incentives Improvement Institute, Inc. (HCI³), announced the successful completion of the new HCI³ ECR Analytics Claims and Provider Analysis Certification for HQX's analytics platform, ClarityQx. This certification makes HQX the first ECR Analytics certified partner from HCI³, a not-for-profit organization dedicated to improving the quality and affordability of health care through evidence-based incentive and payment reform programs.

The HCI³ certification process involves testing over 80 episodes of care, which cover approximately two-thirds of total costs of care, making it one of the most comprehensive episode of care definition libraries available in the market. An episode of care includes all services typically needed for a specific condition or procedure, such as knee replacement. These definitions can be used for a variety of value-based payment models such as episodic, bundled or accountable care arrangements.

"Our episode of care analysis system, ECR Analytics, was developed over a decade with the support of medical specialty societies and many other industry stakeholders," said Francois de Brantes, HCI³'s Executive Director. "HealthQx's ClarityQx platform is fully certified as the first commercial application that can perform state-of-the-art claims data analyses for value-based payments and other purposes using our episode definitions and associated algorithms. It's a phenomenal achievement."

This certification also validates ClarityQx's capabilities for episode construction, provider attribution and severity adjustment. These capabilities are critical in enabling insurers and health system to scale their value-based payment initiatives, appropriately and fairly compare provider performance, and design better networks.

"The HCI³ certification process is rigorous and is a testament to our customers and partners that we're committed to being part of the solution to enable value-based payment initiatives," said Mark McAdoo CEO of HealthQx. "I'm honored to work alongside the HQX team – without them and the collaborative partnership with HCI³, we could not have accomplished this prestigious achievement. The analytic insights derived through this methodology support the industry's long term goal to improve the quality of care while reducing costs."

About Health Care Incentives Improvement Institute™, Inc.
The Health Care Incentives Improvement Institute, Inc. (HCI³) is a not-for-profit organization that aims to create significant improvements in the quality and affordability of health care through evidence-based incentive programs and support of payment reform models. It is the umbrella organization for the Bridges to Excellence® program and PROMETHEUS Payment® model, as well the creator of episode of care, or Evidence-informed Case Rates (ECRs), definitions and the ECR Analytics®. Through these components, HCI³ offers a comprehensive package of solutions to employers, health plans and coalitions to improve the flawed incentives that currently permeate the U.S. health care system.

About HealthQx
HealthQx (HQX) is the progressive leader in value-based payment (VBP) analytic software solutions for health plans and providers. Our VBP analytics platform, ClarityQx, provides the capabilities to design, implement and monitor the on-going performance of payment models such as episodic, bundled or accountable care arrangements. Through these capabilities ClarityQx delivers actionable intelligence to the care enterprise in order to operationalize the optimal payment models that reward higher quality care at a lower cost.

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SOURCE HealthQx