Evolent Health Receives NCQA Certification for Utilization Management
Feb 10, 2015

Evolent Health Receives NCQA Certification for Utilization Management

By Evolent Health | February 10, 2015

Washington, D.C. (February 10, 2015) – Evolent Health, the leader in helping progressive health care systems build and own the path to value-based care, today announced that it was certified by the National Committee for Quality Assurance (NCQA) in Utilization Management. Utilization management encompasses the evaluation of the medical necessity, appropriateness and efficiency of the use of health care services, procedure, and facilities under the provisions of an applicable health benefits plan.

“We are honored to receive NCQA certification,” said Frank Williams, Chief Executive Officer of Evolent. “It underscores our commitment to providing exceptional utilization management services that help our partner health systems succeed in delivering high value care to their patients.”

NCQA Utilization Management Certification focuses on consumer protection and improvement in service to customers. Standards recognize that organizations that apply for certification have open access networks, and can improve service quality and utilize customized structures to meet purchaser needs. NCQA has reviewed and certified Evolent’s Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.

“Achieving Utilization Management certification from NCQA demonstrates that Evolent Health has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards,” said Margaret E. O’Kane, President of NCQA.

About NCQA

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.

About Evolent Health

Evolent Health partners with leading health systems to drive value-based care transformation. By providing clinical, analytical and financial capabilities, Evolent helps physicians and systems achieve superior quality and cost results. The Company’s approach breaks down barriers, aligns incentives and powers a new model of care delivery resulting in meaningful alignment between providers, payers, physicians and patients. Named among Forbes’ 2014 and 2015 America’s Most Promising Companies and Glassdoor’s 2015 Best Places to Work, Evolent Health is a private, high-growth company headquartered in Arlington, Virginia. For more information, visit evolenthealth.com.


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Rob Cronin