State Quality Solutions

Technical Assistance and Support for Your Health Care Quality Priorities.

WHAT WE DO

NCQA offers states unparalleled expertise for measuring and improving quality. With nearly 30 years’ experience and the national leader in driving health care improvement through quality measurement, transparency, and accountability, we are uniquely positioned to help advance your state quality priorities.

Expertise

Measure Development for innovative concepts or gaps (e.g., LTSS, eMeasures)
Selection & Alignment for value-based purchasing, public reporting, evaluation
Guidance on P4P, how to address HEDIS changes and reporting challenges

Quality Ratings/Report Card methodology design (measures, scaling approach)
Consumer Guides development, stakeholder engagement and maintenance

Primary Care Transformation such as new criteria, custom reporting
Surveys including development, maintenance and validation
Custom Evaluation Design for focused populations

Research including qualitative & quantitative methods (e.g., special populations)
Analysis to identify high performers & trends, brenchmarks, risk adjustment methods

Data Collection of HEDIS and non-HEDIS measures to standardize reporting efforts
Data Validation including methodology, protocols and application for quality assurance
Information Products such as Quality Compass (HEDIS benchmarks)

Stakeholder Engagement including consensus building and learning collaboratives
Education and Training
Marketing and Branding

OUR CLIENTS

- California Office of the
  Patient Advocate
  
  NCQA supports annual report card methodology design for commercial HMO’s and medical groups.
- California Safety Net
  Institute
  
  NCQA supports the QIP & PRIME programs with design and implementation, including measure development, testing and guidance.
- California Integrated
  Healthcare Association
  
  NCQA supports Align.Measure.Perform. program implementation, formerly known as VBP4P, including measure development, selection, guidance.
- Delaware Health &
  Human Services
  
  NCQA supports the state’s SIM transparency initiative, including scorecard methodology design, measure selection, guidance and analysis.

- Indiana Family and
  Social Services Administration
  
  NCQA supports the state’s 1115 demonstration waiver evaluation, including measure guidance and selection.
- Massachusetts Health
  Policy Commission
  
  NCQA created 13 behavioral health integration criteria for the PCMH PRIME Certification Program and conduct evaluations.
- Minnesota Department
  of Health & Human Services
  
  NCQA conducts HEDIS data collection for 39 plans to ensure standardized collection.
- New York State
  Department of Health
  
  NCQA created NY PCMH to unify state primary care transformation efforts, including modified criteria and scoring.

New York State
Department of Financial Services

NCQA supports with annual production of Consumer Guides on Health Insurers to help consumers in decision making.
Tennessee Division
of TennCare

NCQA supports SIM PCMH program implementation including custom reports on practice progress against milestones.
Texas Center for
Health Statistics

NCQA conducts HEDIS data collection for the state’s commercial HMO plans.
Virginia Health
Information

NCQA conducts HEDIS data collection for the state’s commercial HMO plans.

DIRECT CONTRACTING & TEAMING

NCQA supports states through direct contract arrangements.

NCQA also teams with other organizations to respond to state solicitations. We are experienced in serving in both prime and subcontractor roles. Our expertise can enhance state proposals and give your proposal team a competitive edge.