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What does NCQA accreditation mean?

www.ncqa.org. The National Committee for Quality Assurance (NCQA) is an independent 501(c)(3) nonprofit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation.

How long is NCQA accreditation?

NCQA Health Plan Accreditation builds upon more than 25 years of experience to provide a current, rigorous and comprehensive framework for essential quality improvement and measurement. It is the only program in the industry that bases results on clinical performance and consumer experience (HEDIS® and CAHPS®).

What are NCQA standards?

NCQA standards are a roadmap for improvementorganizations use them to perform a gap analysis and align improvement activities with areas that are most important to states and employers, such as network adequacy and consumer protection. Standards evaluate plans on: Quality Management and Improvement.

What is health plan accreditation?

A health plan's accreditation status provides an impartial opinion about its quality. An impartial organization accredits a health plan when it determines that the health plan's practices meet national standards. ... A health plan's brochure cover will show its accreditation status and the accrediting organization.

What does NCQA measure?

NCQA measures quality so consumers can find good health care. NCQA gives consumers the information they need to find high-quality health care. We do this by measuring the quality of practices, providers, health plans and other health care organizations.

Why is NCQA important?

NCQA Health Plan Accreditation is a widely recognized, evidence-based program dedicated to quality improvement and measurement. It provides a comprehensive framework for organizations to align and improve operations in areas that are most important to states, employers and consumers.

What is the purpose of the NCQA?

The National Committee for Quality Assurance (NCQA) is an independent 501(c)(3) nonprofit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation.

What is hedis and why is it important?

HEDIS is a comprehensive set of standardized performance measures designed to provide purchasers and consumers with the information they need for reliable comparison of health plan performance. HEDIS Measures relate to many significant public health issues, such as cancer, heart disease, smoking, asthma, and diabetes.

What does it mean to be NCQA accredited?

Achieving an accreditation status of Commendable from NCQA is a sign that a health plan is serious about quality. It is awarded to plans whose service and clinical quality meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement.

What are NCQA guidelines?

NCQA developed advertising and marketing guidelines to help customers promote their NCQA achievements clearly and equitably. The guidelines also help protect the value and integrity of NCQA programs and our customers' achievements.
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