Find a Prevalidation Population Health Management Vendor

Health IT systems that earn Population Health Management Prevalidation status have the functionality to help organizations meet program requirements for NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health Program.

We recommend contacting the health IT vendor to review their capabilities and identify where automatic credit may apply.

Supported AreasHealth Plan AccreditationMBHO AccreditationPopulation Health AccreditationCase Management Accreditation
Data IntegrationPHM 2A: Data IntegrationNAQI 9A: Population AssessmentNA
Population AssessmentPHM 2B: Population AssessmentQI 9A: Population AssessmentPHP 3A: Population AssessmentCM 2A: Population Assessment (factor 1)
SegmentationPHM 2D: SegmentationNAPHP 4A: SegmentationNA
Case Management SystemsPHM 5B: Case Management SystemsQI 9F: Case Management SystemsNACM 4A: Case Management Systems

Prevalidation Population Health Management Vendor List

Vendor NameNCQA Program SupportedPrevalidated ProductsVendor Email
Altruista Health
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
Guiding Care

Version 8.7+ 
tjoyer@altruistahealth.com
AssureCare
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
MedCompass I Release info@assurecare.com
Healthmap Solutions
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
Compass v6+compass@healthmapsolutions.com
HMS, Inc.
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
Essette version 3.10.1Essette@hms.com
Inovalon, Inc.
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
Population Health Analyticscontactus@inovalon.com
Innovaccer Inc.
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
Indata 6.0.7

InGraph s

InCare v2.19.2
ProductHQ@innovaccer.com
MDFlow
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
MDFlow Care Management SystemsHaroldT@MDFlow.com
Medecision
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
Aerial Insights

Aerial Complex Case
Management
support@medecision.com or
salesinfo@medecision.com
Navvis
  • Health Plan Accreditation
  • MBHO Accreditation
  • Population Health Program Accreditation
Coreo Analytics 3.2+eric.wolfe@navvishealthcare.com
SPH Analytics
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
Nexus Platform

Nexus Platform + Population Care | Patient Registry (formerly known as MDInsight)
support@SPHAnalytics.com
Universal Learning Inc DBA InsightInHealth
  • Health Plan Accreditation
  • Population Health Program Accreditation
  • inQueue
  • inSight
  • inGage
info@insightinhealth.com
VirtualHealth
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
HELIOSsue.powers@virtualhealth.com
ZeOmega
  • Health Plan Accreditation
  • Case Management Accreditation
  • Population Health Program Accreditation
  • MBHO Accreditation
Jiva, version 6.1+shewett@zeomega.com
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