NCQA

NCQA Updates Health Plan Accreditation for 2020

Improvements to evaluating health plans and increasing transparency. Focus on implementing standards and achieving outcomes. Reducing the administrative burdens for health plans. These are all prominent goals for NCQAs Health…

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NCQA Distinction: Helping Coordinate LTSS

More than 3 million people in the United States rely on Medicaid for Long-Term Services and Support (LTSS) in nursing homes, home care, and community-based settings. LTSS supports people with…

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What Do NCQA’s Five-Star Ratings Mean?

There are numerous rating systems these days: Rating the top movies, the best restaurants, or that little yellow full-or-half-star on popular e-commerce sites that indicate how satisfied customers were with…

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Challenges with Health Plan Re-accreditation

As NCQA Health Plan re-accreditation quickly approaches for many health plans this year, in addition to ensuring certain areas are accreditation ready, the quality and clinical teams at your health…

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Understanding NCQA’s Population Health IT Prevalidation Program

Is your organization an NCQA-accredited health plan, or a managed behavioral health, care management or population health vendor? Is your healthcare organization shopping for a new population health IT vendor?…

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Suggested Timelines when Preparing to Implement a Population Health System

Health plans tend to keep their care management systems for a long time. When it’s time to replace the system, many health plans struggle with the best way to make…

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Building Confidence: What to do Before Implementing a Population Health System

After using a care management system with its unique nuances, familiarity, and what everyone’s comfortable with, a health plan decides it is time to adopt new tools to help manage…

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