8 Steps Innovative Payers are Taking to Transition to Digital HEDIS®
The NCQA’s move to fully digital HEDIS measures by 2030 is more than a technical change; it is operational, financial and requires ...
Does Your Digital Prior Authorization Solution Serve All Providers?
With the enforcement date for CMS-0057-F quickly approaching, many Payers are discovering a critical compliance gap: their proprietary ...
Smile Digital Health Maintains Key Certifications in Security, Privacy, and Compliance
Continued ISO 27001, 27017, 27018, 13485, SOC 2 Type 2, and HITRUST Certification Reflects Ongoing Commitment to Trusted Health Data ...
How to Evaluate a Vendor for Digital HEDIS® Measures
Traditional HEDIS submission is being replaced, and NCQA’s former certification program has shifted to a Measures Validation model. The ...
The Cost of Low HEDIS Scores, and How to Improve Them
HEDIS® in 2025 HEDIS (Healthcare Effectiveness Data and Information Set) is a foundational tool used by NCQA and CMS for evaluating health ...
The End of Traditional HEDIS® Is Coming: What Payers Need to Know
For decades, HEDIS® reporting has relied on a fragmented and manual process. NCQA would publish narrative specifications for each measure, ...
Smile Digital Health is the First to Achieve NCQA’s Digital HEDIS Validation
Smile Digital Health is the first vendor to be validated by NCQA as qualified to run digital HEDIS measures with their dQM Solution. 74 ...
Smile Digital Health Reinforces Commitment to Simplifying Prior Authorization for Millions of Americans
TORONTO, CANADA - June 27, 2025 - Smile Digital Health (Smile), a leading health data platform provider, today reaffirmed its commitment to ...
Understanding the Shift to Digital HEDIS®: Key Terms and Concepts
As NCQA guides the industry toward fully digital quality measurement, it's essential to understand the terminology and what it means for ...