Comment Letters

Public Policy
NCQA Public Policy

To fulfill its mission to improve the quality of health care, NCQA works with federal and state lawmakers and executive agency personnel. NCQA Public Policy team provides information and comment letters for its government partners. Federal work includes on Medicare Advantage plans, health information technology, and on delivery system reforms such as Patient Centered Medical Home. The Public Policy Department works to educate state and federal policymakers on NCQA’s programs and how they can support health care policies. NCQA also work in coalition with other involved organizations to advance policies that will improve the quality and efficiency of the health care system.

Federal Policy

At the federal level, NCQA Accreditation and performance measures are valued components of health care policy. The new health care reform law has many provisions that connect to NCQA’s mission and capabilities. The law builds on many of NCQA’s successful activities over the past 20 years and challenges us to take more steps to work with federal and state policymakers to improve quality and value through measurement, accountability and transparency.

  • Medicare Advantage

    The federal Medicare program recognizes NCQA Accreditation as meeting many of its central quality standards for MCOs and PPOs.

  • Federal Employee Health Benefits Program

    The U.S. Office of Personnel Management requires its HMOs and fee-for-service plans offering PPOs to collect and report quality performance measures.

State Policy

  • State Recognition of NCQA

    Many states now recognize NCQA Accreditation as helping health plans meet state managed care requirements.

  • Medicaid Guidance for States

    NCQA’s Medicaid Managed Care Toolkit provides guidance on how NCQA's programs can support accreditation and can be incorporated into state Medicaid agencies.

  • Quality Solutions Group

    The Quality Solutions Group (QSG) provides assistance tailored to individual organizations and agencies from both the public and private sectors.

  • NCQA's Health Plan Report Cards

    Search NCQA’s public scorecard of accredited health plans and recognized providers by state.

NCQA Public Policy Conferences

NCQA Public Policy Conferences focus on hot topics, such as health care exchanges, health IT and the medical home. 

Learn about the 2011 policy conference - Exchanges: Driving a Value Agenda. 

Get updates on the upcoming 2012 policy conference.

The State of Health Care Quality Report

NCQA’s main analysis of the quality care of 118 million Americans—about 40% of the U.S. population. Download the report.
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