Health Plan Accreditation with SY 2026 Updates

About this Webinar Training

Health Plan Accreditation with SY 2026 Updates Series

NCQA Health Plan Accreditation is the only program in the industry that bases results on clinical performance and consumer experience (HEDIS® and CAHPS®). These courses will focus on taking a deep dive into all the relevant updates for the newly released standards. Our experienced presenters will provide learners with insight to interpret the requirements, navigate the standards, and avoid misconceptions. In addition to answering live questions, presenters address generalized scenarios and provide examples based on performance improvement opportunities from prior NCQA surveys.

Organizations that acquire the 2026 Health Plan Accreditation Survey Readiness Package must purchase additional registrations for learners exceeding the two (2) learner limit offered through the package.

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

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

Early Bird rate: $1995; Use Code: HP-26-SERIES. Ends July 28th!

Course Resources

• Presentation slides.
• Recording of live session.
• Scenarios for applied learning.
• NCQA surveyor’s perspective of the standards.

What You Will Learn

Learning Objectives

Throughout this course, learners will: 

• Describe the updates and changes to the standards and requirements, and their implications.
• Interpret the intent of requirements for health plan accreditation.
• Describe relationships and themes across the standards.
• Recognize requirement implications and considerations for stakeholders.
• Define performance improvement opportunities.

Course Outcomes

After completing this course, learners will be able to:

·   Conduct a gap analysis regarding organizational performance against standards.

·   Prioritize initiatives and action items for improving performance.

·   Manage internal and external stakeholder expectations for service delivery.                                                                                                                                                                     

Who Should Attend

Clinicians, executives, managers, specialists, consultants, delegates, and vendors who are employed or contracted by health plans with responsibilities related to case management operations, including:

·   Accreditation or Compliance

·   Case Management

·   Social Work

·   Population Health

·   Quality Assurance

·   Utilization Management

Faculty

Clint Koenig, MD | NCQA Physician Surveyor

Irv Koehler, RN | NCQA Nurse Surveyor

Joseph Stankaitis, MD | NCQA Physician Surveyor

Continuing Education

These live courses grant 1.0 Continuing Education Unit (CEU) points, each,  for PCMH Certified Content Experts.

This is a non AMA PRA Category 1 Credit^TM, ANA CNE, ACPE activity.

* Please note – You must attend the entire program to be eligible for total number of contact hours.

Disclosure of Relevant Financial Relationships

The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.

For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution.  For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.

Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist with the following companies/organizations:

Faculty:

Clint Koenig, MD

Irv Koehler, RN

Joseph Stankaitis, MD

Gerald Stewart

Additional Planning Committee Members:
Vince Pereira: None

Felicia Khaalid: None

This program was developed in part by NCQA staff.

Event Type

1. Live Online