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NMMRA Announces Affiliation with Utah-based HealthInsight

The New Mexico Medical Review Association (NMMRA), the Medicare Quality Improvement Organization (QIO) and External Quality Review Organization (EQRO) for New Mexico, recently announced that the organization is now legally affiliated with HealthInsight, a management corporation based in Salt Lake City, Utah.

“This affiliation is not a merger,” explains Dan Jaco, NMMRA chief executive officer (CEO), “rather, NMMRA is now interlocked with the HealthInsight Management Corporation. This corporation oversees separate not-for-profit corporations in Nevada and Utah—HealthInsight Nevada and HealthInsight Utah—which are similar in mission and scope to NMMRA.”

“Bringing this affiliation to fruition was the result of a year-long careful and methodical process and reflected the courage of the two boards to implement a strategic vision that synergizes the capabilities of three states while strengthening sustainability and viability in the years ahead,” added Jaco. “I would be surprised if this model does not take hold with similar organizations elsewhere in the country.”

The Nevada and Utah organizations serve respectively as the Medicare QIOs in each of those states and the Health Information Technology Regional Extension Center (HITREC) for both Nevada and Utah. In Nevada, HealthInsight has formed a Health Information Exchange (HIE) to mobilize health care information electronically across organizations within that area. In addition, HealthInsight Utah was awarded one of the $15 million Beacon Community Grants in the Salt Lake City Metropolitan Statistical Area to use health information technology to help tackle leading health problems. HealthInsight’s CEO Marc Bennett has led that organization for more than a decade. He has also served as past president of the American Health Quality Association (the trade association for QIOs), member of the National Advisory Board for the Center for Healthcare Quality and Payment Reform, chair of the Utah Health Information Network, the HIE in Utah, and vice chair of the Nevada Governor’s Blue Ribbon Task Force on HIT.

HealthInsight is a leader in facilitating dialogue with its area providers around payment reform and for promoting the use of human factors to improve health care quality,” Jaco adds. “The three state organizations will consolidate over time the various overhead functions to improve operational efficiency and reduce indirect costs while becoming a more robust learning environment for staff and stakeholders. Equally important, the addition of NMMRA to HealthInsight’s already-solid operation will create expanded opportunities to grow quality improvement work into a larger Western region.”

NMMRA will continue as New Mexico’s Medicare QIO, EQRO, a major subcontractor for HITREC, and the lead for one of the 16 prestigious Robert Wood Johnson Foundation Aligning Forces for Quality initiatives. NMMRA also will continue work on its various other contracts and grants, most notably those with the New Mexico Department of Health to support efforts to reduce health care-associated infections in hospitals and to address the sometimes under-resourced quality improvement needs of rural and critical access hospitals in the state and its work with the New Mexico Prescription Improvement Coalition to promote improved prescription drug safety and medication therapy management. NMMRA plans to eventually transition to the name HealthInsight New Mexico.