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Getting the latest healthcare news for you
Getting the latest healthcare news for you
Quality measures are getting a tech upgrade. The National Committee for Quality Assurance (NCQA) is partnering with AI company Komodo Health to modernize how HEDIS measures are built, using a dataset of 330 million patient journeys and an AI platform to speed up testing. The goal: faster, more accurate quality measures that reflect real-world care across Medicare, Medicaid, and commercial populations.
Quality measures are getting a tech upgrade. The National Committee for Quality Assurance (NCQA) has announced a multi-year strategic partnership with Komodo Health, an AI-powered healthcare intelligence company, to modernize how HEDIS quality measures are developed and tested. NCQA researchers will gain access to Komodo's Healthcare Map — a longitudinal dataset of over 330 million de-identified patient journeys — along with its AI platform, Marmot, to analyze care patterns across insurance types and patient populations from a single, consistent data source.
Historically, developing new HEDIS measures meant pulling from fragmented datasets and running separate analyses for each population, a process that could take two to three months. With Komodo's platform, that timeline has already been cut nearly in half. The partnership has already proven its value: Komodo supported development of the Follow-Up After Positive Colorectal Cancer Non-Invasive Screening Test (COF-E) measure, set for implementation in Measurement Year 2027.
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Why it matters: HEDIS measures shape how healthcare organizations assess and improve performance. Faster, real-world-evidence-backed measure development means quality standards can keep pace with how care is actually delivered — benefiting payers, providers, and ultimately patients.
