CitiusTech’s Quality Management Platform BI-Clinical™ Receives NCQA Certification for HEDIS® MY 2021 Measures

Recent accreditation marks the 9th consecutive year that CitiusTech has been certified and validates its commitment to help payers and providers improve quality management and performance.

Princeton, N.J. (November 5, 2021) - CitiusTech, a leading provider of healthcare technology services and solutions, has received the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®) certification for BI-Clinical™, its healthcare quality management and analytics platform. This marks the 9th consecutive year that CitiusTech has received this certification without an exception.

BI-Clinical™ has been certified by NCQA for HEDIS® Measurement Year 2021 (MY 2021) reporting season with coverage of performance measures including administrative and hybrid measures, allowable adjustment, Electronic Clinical Data System (ECDS) rules and systematic sampling. HEDIS® is one of healthcare’s most widely used performance improvement tools with over 191 million people enrolled in plans that report HEDIS® 
results.

BI-Clinical covers one of the largest varieties of regulatory (HEDIS®, HCC, CMS, Star, Adult/Child Core Set, QRS, AHRQ, State & custom), contractual, operational and financial initiatives. It is powered by a rules engine that runs at the speed of business to meet and exceed payer and provider needs. BI-Clinical customers include leading Blue plans, multi state Medicaid plans, large provider sponsored health plans and large provider groups.

CitiusTech is releasing upgrades early in line with NCQA’s timeline shift making it possible for clients to run certified measures during the MY itself. “We are excited about the early release of measures so our customers can proactively improve not only their HEDIS® and Starscores but also leverage these measures in conjunction with their VBC contracts” says Jeffrey Springer, Senior Vice President of healthcare solutions at CitiusTech.

CitiusTech stands in alignment with NCQA’s focus towards digitizing quality measurement to help drive equitable outcomes and address social determinants of health while leveraging emerging interoperability standards.

BI-Clinical powers CitiusTech’s SCORE+, an end-to-end HEDIS performance management suite to help health plans accelerate quality reporting and enhance collaboration for gap closure.

About CitiusTech
CitiusTech is a leading provider of healthcare technology services, AI/ML & analytics capabilities, platforms and end-to-end packaged solutions to over 120 organizations across the payer, provider, medical technology and life sciences markets. With over 5,400 healthcare technology professionals worldwide, CitiusTech powers healthcare digital transformation through next-generation technologies, solutions and
accelerators. Key focus areas include healthcare interoperability data management, quality performance analytics, value-based care, omni channel member experience, connected health, virtual care delivery, realworld data solutions, clinical development, personalized medicine and population health management. CitiusTech has two subsidiaries, FluidEdge Consulting and SDLC Partners with deep expertise in healthcare consulting and payer technologies, respectively. CitiusTech’s cutting-edge technology expertise, deep healthcare domain expertise and a strong focus on digital transformation enables healthcare organizations to reinvent themselves to deliver better outcomes, accelerate growth, drive efficiencies, and ultimately make a meaningful impact to patients.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)

Media Contact for CitiusTech:
Priyal Shah
Lead – Corporate Marketing
Priyal.shah@citiustech.com