Traditional HEDIS submission is being replaced, and NCQA’s former certification program has shifted to a Measures Validation model. The revised workflow now is to:
| Capability | Other Vendors | Smile Digital Health |
| Traditional (Legacy) HEDIS Certification – (Sunsetting by NCQA) | Certified (transitional) | Transitional |
| New NCQA-Validated Digital Measures | Not Started | Yes; 35 measures validated; 4 more in queue1 (as of July 2025) |
| FHIR + CQL-Native Engine | Partial Supported | In production for 8+ years |
| Real-Time Quality Analytics | Limited | Automated + Scalable |
| Digital Content Alignment (DCS) | Not integrated | Fully Integrated |
| Benchmarking + Reporting | Available | Available |
| Enterprise-scale Evaluation (millions of members) | Unclear | Proven Scale (5M members, 5B datapoints) |
| Policy codification (medical, administrative, benefits rules) | Manual or ad hoc | Automated, FHIR-normalized |