Press release

eQHealth Solutions Develops First – and Only – CMS Certified Care Management Technology

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eQHealth Solutions, a leader in population health management for
commercial and government entities, today announced it has developed the
first-ever care management technology certified by the Centers for
Medicare and Medicaid Services (CMS).

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The Certification was given to the Software as a Service (SaaS) solution
eQHealth Solutions created for the care management business area of the
State of Vermont’s Medicaid program. The newly certified technology is
based on eQHealth Solutions’ commercial off the shelf product which
currently serves the needs of a wide range of payers in commercial and
government-sponsored health plans. CMS offers significant long-term
funding on a 90/10 basis for IT projects that are certified to deliver
“highly interoperable systems to maximize value and minimize burden on
beneficiaries and costs on providers,” and can impose substantial
penalties on those that do not meet its criteria.

“Demonstrating that you meet CMS’ strict requirements is a long and
arduous process that is challenging for even the largest internal IT
departments within state government,” said Sean Marchiafava, Chief
Information and Technology Officer at eQHealth Solutions. “It requires a
tremendous investment in human and financial resources at a time when
states have a huge backlog of essential technology projects to complete.
Earning this certification means we can now offer state Medicaid
administrators a solution that is already pre-approved and backed by an
organization that knows what it takes to achieve it. The result is they
can redirect those resources where they belong – serving the Medicaid
members in their states – without risking financial penalties.”
According to eQHealth leadership, this Certification is expected to
create a ripple-effect of efficiencies in the healthcare space as state
and commercial payers anticipate and benefit from solutions that uphold
the rigorous standards that CMS mandates and eQHealth delivers.

To secure CMS certification, the State of Vermont project had to meet
functional requirements of the Medicaid Enterprise Certification Toolkit
(MECT), which is a component of the Medicaid Enterprise Certification
Lifecycle, including Service Oriented Architecture (SOA), real-time
integration capabilities, data dictionaries, HIPAAx12 transaction
capabilities, NPPES integration, industry standard business rules
engine, role-based security, HITRUST certification requirements,
industry standard code and data sets, system performance monitoring,
workflow and event driven business processing, strong data analytics and
canned and ad-hoc reporting to name a few.

“Population health management is an important factor throughout all of
healthcare, but nowhere does it play a larger role than in Medicaid
because of its impact on moving from volume to value,” said Glen Golemi,
Chief Executive Officer at eQHealth Solutions. “The demand for Medicaid
continues to grow while budgets often shrink or remain flat at best,
which creates additional pressure on the entire system, especially since
the sickest members require more resources. By keeping populations
healthier, a state can stretch its budgeted dollars further while
actually improving the quality of care. We are grateful to work with a
great partner like the State of Vermont, and proud to be the first
organization in the country to have its care management technology
certified by CMS.”

About eQHealth Solutions

Founded in 1986, eQHealth Solutions is a population health management
and technology solutions company that touches millions of lives annually
throughout the nation. Our high-tech and high-touch models include
innovative technology solutions and care coordination services and focus
on outcomes and optimization of provider and payer networks. eQHealth
serves a variety of entities including federal, state and commercial
clients. www.eqhs.com