About NCQA

Learn more about the National Committee for Quality Assurance (NCQA).

WHY WE’RE HERE

Our Mission: Improve the quality of health care.

Our Vision: Better health care. Better choices. Better health.

NCQA:

  • Points the way to health care that science says works.
  • Studies how well health plans and doctors provide scientifically recommended care.
  • Identifies organizations that are run in ways that make care better.

Our Work:

  • Saves thousands of lives.
  • Helps millions of people stay healthy.
  • Saves the country billions of dollars.

Before NCQA, health care was operating data-free and “in the dark.

We were founded as an independent nonprofit in 1990 to “turn on the lights.

Signs beside the elevators in our Washington, DC offices tell visitors who we are and what we’re about.

WHAT WE DO

We use measurement, transparency and accountability to highlight top performers and drive improvement.

We began in the early 1990’s by measuring and then accrediting health plans.

Since 2008, our mission has brought us closer to where care is delivered: We’ve grown to measure the quality of medical providers and practices.

Most of our employees work on HEDIS and our Accreditation, Certification and Recognition programs.

Government and private sector clients hire us through contracts and grants to help them measure and improve quality.

We succeed on the basis of our quality products and services and the ethical way we do business. NCQA’s maintains a reputation for high ethical standards. NCQA’s Code of Conduct documents our commitment to such ethical behavior.

Accomplishments

What we are most proud of:

 

HEDIS

More than 236 million people72% of the US population—are enrolled in health plans that report quality results using our Healthcare Effectiveness Data and Information Set. Americans receive better care and can lead healthier lives thanks to the accountability and benchmarking that HEDIS makes possible.

Health Plan Accreditation

Our industry-leading accreditation is a rigorous assessment of health plans’ structure and processAccreditation standards: Assess whether health plan is organized in ways that protect and improve quality.Accreditation standards: Assess whether health plan is organized in ways that protect and improve quality., clinical qualityHEDIS measures: Calculate the “rate” or proportion of people who receive recommended tests, screenings or treatments.HEDIS measures: Calculate the “rate” or proportion of people who receive recommended tests, screenings or treatments. and patient satisfactionCAHPS® survey: Consumer Assessment of Healthcare Providers and Systems.CAHPS® survey: Consumer Assessment of Healthcare Providers and Systems.. More than 192 million people are enrolled in NCQA-Accredited health plans.

Patient-Centered Medical Home (PCMH) Recognition

A medical home is not a place, but a way to organize primary care so it’s “the way patients want it to be.” Since 2008 we have built the most widely used medical home model. More than 10,000 practice sites and 50,000 clinicians have earned the NCQA PCMH Recognition seal.

High Country Community Health Center CEO Alice Salthouse shares her thoughts about PCMH in the video below.

Quality Solutions Group

Our consulting team works with hundreds of organizations to help them measure and improve quality. Different departments at NCQA work on about 50 consulting contracts at a time.

Latest NCQA Blog Posts

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

CAHPS® is a registered trademark of the Agency for Healthcare Quality and Research (AHRQ).

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