Payers

Learn from and with peers who are interested in digital measurement that helps payers.

Relevant Resources

Digital measurement tools for payers.

DMC Bytes - Digital Phenotype

Check out the weekly news digest which highlights important topics in healthcare. 

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Introduction to Digital Measures

View the introduction to Digital Measures video above to learn more about how NCQA is developling and digitalizing our measures. For more information, view our Future of HEDIS Webinars.

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Medicaid Program Alignment with State Systems to Advance HIT, HIE and Interoperability

CMS, in coordination with ONC, has created a series of toolkits and resources for Medicaid (Health Home State Plan Amendment, 1115 Demonstrations, and programs that advance Home and Community Based Services) that are focused on health information exchange, health IT, and interoperability.

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IDSS Import Template and Materials

NCQA collects non-survey data though the Interactive Data Submission System (IDSS). This resource provides the latest updates and materials for the IDSS Import Template.

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Da Vinci Payer Data Exchange (PDex) Implementation Guide

The Da Vinci Payer Data Exchange Implementation Guide was developed by the DaVinci Project in coordination with the HL7 Financial Management Workgroup to allow a provider to request a health history from a payer that returns clinical information derived from claims and other sources and presents them using FHIR and to support patient-mediated payer-to-payer exchange of a member’s health history.

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Inside Health Care #020: Pete Stoessel, AmeriHealth Caritas

Inside Health Care introduces our first “ECDS Experience” story.  NCQA’s Catherine Clair sits down with Pete Stoessel of AmeriHealth Caritas District of Columbia to talk about why ECDS is so important now and how his team is making progress with collecting data for ECDS measures.  

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COMMUNITY FORUM

Discussions that drive the Digital Measurement Community’s
peer-to-peer learning.

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