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Accountable Care Organization Accreditation

NCQA ACO Accreditation helps health care organizations demonstrate their ability to improve quality, reduce costs and coordinate patient care. Built from our successful patient-centered medical home (PCMH) recognition program, NCQA’s ACO standards and guidelines incorporate whole-person care coordination throughout the health care system.

Is your organization eligible to apply for NCQA’s ACO Accreditation program? 

Find out

Automatic Credit Is Available for NCQA-Recognized Patient-Centered Medical Homes: PCMH Recognition automatic credit is awarded to organizations that apply for NCQA ACO Accreditation and have 70 percent or more of their patients attributed to NCQA-Recognized PCMH practices.

Why ACO Accreditation?

Serves both providers and payers: NCQA’s ACO Accreditation provides a roadmap for provider organizations to demonstrate their capability to function as ACOs. The program can also be used by public and private payers that seek to distinguish among organizations offering to be accountable providers.

NCQA’s ACO Accreditation program aims to align health plan, employer and state and federal purchaser expectations to create leverage for prompting organizations to transform how they provide care. ACO accreditation helps determine if an organization has the infrastructure for accountability.

Offers transparency and drives quality improvement: As a voluntary program, ACO accreditation signals an organization’s intent to be transparent about its capabilities and performance. Accredited ACOs will be transparent about performance-based payment arrangements with providers. NCQA requires ACOs to publicly report their performance and to provide performance reports to providers for quality improvement. Not only is transparency important as a concept, it is also the foundation for initiating improvement in the measures.

Transparent: NCQA Accreditation provides independent evaluation of an organization’s ability to coordinate care and be accountable for high-quality, efficient, patient-centered care that is expected from ACOs. Learn more about the ACO Program Details.

Flexible: Like many our accreditation and recognition programs, ACO Accreditation is not prescriptive. NCQA ACO Accreditation has different levels that demonstrate varying degrees of readiness to be ACOs.

Respected: NCQA ACO Accreditation was developed by a consensus-driven process that was informed by public comment and pilot testing. The result is a program that meets the needs of patients, consumers, private purchasers and public payers.

Relevant: NCQA Accreditation aligns with many expectations of providers, consumers, and private and public purchasers (e.g., Centers for Medicare & Medicaid Services [CMS] programs, including the Medicare Shared Savings Program [MSSP] and [Pioneer]).

Progressive: NCQA revises and updates accreditation standards regularly, reflecting clinical advances, incorporating evolving stakeholder needs and continuously improving program administration for realistic health care solutions.

Components of ACO Accreditation

  • Standards that evaluate ACO structure and processes

Learn more

  • ACO HEDIS evaluates an organization’s capability to report performance results

Learn more

  • ACO HEDIS Pilot

Learn more

 

Send questions about ACO Accreditation to aco@ncqa.org

ACO Policy Updates

ACO (2012) Policy Update(07.31.13)

Purchase ACO Products

Purchase ACO Products

Purchase HEDIS ACO Products

Free ACO Application
Includes a link to the agreement, pricing methodology, policies and procedures and ACO workbook.

Application Fee Check Cover Sheet

Credit Card Form

ACO Brochure

Click here to download the brochure.

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NCQA Policy Support

Policy Updates

Corrections, clarifications and policy changes to our stated Standards and Guidelines 

FAQs
New FAQs are posted on the 15th of every month and provide answers to our most commonly asked questions. 

Policy Clarification Support (PCS)
If you cannot find an answer to your question in our FAQs or Policy Updates, submit your inquiry here