What is NCQA accreditation?
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 does the NCQA do?
The National Committee for Quality Assurance (NCQA) exists to improve the quality of health care. We work for better health care, better choices and better health.
Who owns NCQA?
Margaret E. O’Kane
Our 12-person Leadership Team includes our founder, Margaret E. O’Kane. She started NCQA almost 30 years ago, working by herself in a borrowed office.
What is the difference between Joint Commission and NCQA?
The NCQA seal is a widely recognized symbol of quality. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.
What is NCQA standards for credentialing?
NCQA Credentialing Accreditation is designed to ensure that organizations can maintain a high-quality network for members and contracted clients. Requirements cover these key areas: An internal QI process. Ensuring appropriate agreements and collaboration with clients.
How often is NCQA certification?
Accredited-3 years: NCQA awards a status of Accredited – 3 years to organizations that demonstrate strong performance of the functions outlined in the standards for CM-LTSS accreditation.
What type of care does NCQA oversee?
patient-centered care
NCQA recognizes practices that deliver—and excel in—patient-centered care. Our Patient-Centered Medical Home (PCMH) Recognition program highlights primary care providers who prove that they can coordinate care among every doctor and nurse a patient sees.
What type s of credentialing services does the NCQA offer?
NCQA Credentialing Accreditation is a comprehensive program that evaluates the operations of organizations providing full-scope credentialing services, which include verifying practitioner credentials, designated credentialing-committee review of practitioners and monitoring practitioner sanctions.
What is NCQA credentialing standards?
NCQA Credentialing Accreditation is designed to ensure that organizations can maintain a high-quality network for members and contracted clients. Requirements cover these key areas: An internal QI process. Ensuring appropriate agreements and collaboration with clients. Protecting credentialing information.
How do I maintain NCQA accreditation?
To renew your credential, you must complete required trainings and select continuing education events or activities to earn a total of 30 Continuing Education Unit (CEU) points within the two-year certification period. See the full criteria document for maintaining certification.
What are the 6 domains of care for HEDIS?
HEDIS® includes more than 90 measures across 6 domains of care:
- Effectiveness of Care.
- Access/Availability of Care.
- Experience of Care.
- Utilization and Risk Adjusted Utilization.
- Health Plan Descriptive Information.
- Measures Reported Using Electronic Clinical Data Systems.
Who uses NCQA?
NCQA has the most widely used and respected tool for measuring quality: The Healthcare Effectiveness Data and Information Set (HEDIS®). It is used by more than 1,000 health plans, covering 57% of the U.S. population.
What is NCQA Health Plan Accreditation?
The National Committee for Quality Assurance (NCQA) exists to improve the quality of health care. We work for better health care, better choices and better health. NCQA released standards and scoring updates for Health Plan Accreditation 2020.
What does NCQA do?
The National Committee for Quality Assurance (NCQA) exists to improve the quality of health care. We work for better health care, better choices and better health. High quality care is equitable care.
How many people are enrolled in NCQA-accredited health plans?
More than 173 million people are enrolled in NCQA-Accredited health plans. A medical home is not a place, but a way to organize primary care so it’s “the way patients want it to be.”
What is NCQA’s reputation?
NCQA’s maintains a reputation for high ethical standards. NCQA’s Code of Conduct documents our commitment to such ethical behavior. More than 191 million people — over half our country’s population —are enrolled in health plans that report quality results using our Healthcare Effectiveness Data and Information Set.