NCQA’s reports include our Health Plan Ratings, Quality Compass® and State of Health Care Quality Report.
NCQA conducts independent research and studies on behalf of organizations, foundations and government agencies on a variety of health care issues.
The Learning Collaboratives are a systematic approach to process improvement, working with stakeholders to accelerate learning and broader implementation of best practices.
NCQA’s reports include our Health Plan Ratings, Quality Compass® and The State of Health Care Quality Report.
This document reports national benchmarks and national and regional thresholds for HEDIS measures and HEDIS/CAHPS 5.0H survey results and will be used to score health plans for Accreditation year 2019.
Read Benchmarks and Thresholds: 2019 Accreditation Mid-Year Update (posted August 12, 2019).
NCQA’s Health Plan Ratings
NCQA’s annual Health Plan Ratings include results for both Accredited and non-accredited health plans. Ratings are from 0–5, in 0.5 increments. This system is similar to the CMS Five-Star Quality Rating System.
NCQA conducts independent research and studies behalf of organizations, foundations and government agencies on a variety of health care issues.
How can organizations within systems better coordinate to achieve outcomes for individuals with behavioral health? NCQA proposes the use of a Behavioral Health Quality Framework to help systems set population health goals and align quality measurement efforts.
This study, and accompanying white paper, was funded by the California Health Care Foundation.
NCQA is conducting a project to develop performance measures for use in serious illness care accountability programs. The project is funded by the Gordon and Betty Moore Foundation.
NCQA and seven organizations are examining a new way to measure outcomes in older adults that focuses on person-driven outcomes—outcomes identified by individuals (and caregivers) as important.
Understanding what is most important to an individual is key to the concept of person-centered care. This report highlights in-the-field examples of keys to eliciting, understanding and attaining individual’s goals.
Read Goals to Care
People with complex needs—such as older adults with multiple chronic conditions and functional limitations as well as persons with physical, intellectual or developmental disabilities—often require combinations of medical care, behavioral health care and long-term services and supports (LTSS). Better integration of these health care services can improve care, improve quality and reduce costs.
Quality measurement can inform and encourage improvement in child health care. This issue brief proposes a measurement framework for comprehensive well-child care to capture a richer view of children’s health care and take a more efficient approach to data collection.
In this Multicultural Health Care Award program, NCQA explores strategies to tie cultural awareness into existing quality improvement efforts. This work is funded by The California Endowment and supported by CMS and The Office of Minority Health.
Studies show improving office systems and procedures can improve quality and outcomes of health care. The Robert Wood Johnson Foundation supported NCQA with grants to better understand the role of practice systems for providing high-quality care in the primary care practice setting.
The Centers for Medicare & Medicaid Services commissioned NCQA to assess whether Medicare Advantage plans that enroll a disproportionate number of vulnerable members are systematically disadvantaged by programs that use performance measures to assess quality.
This 2007 report examines Chlamydia screening in managed care organizations in the prevention of sexually transmitted diseases.
Contraception and reproductive health are important aspects of women’s health and of comprehensive, patient-centered care.
This issue brief summarizes the consensus of key opinion leaders whom NCQA convened, with support from Bayer, for a 2014 meeting on evidence-based approaches to reduce barriers to utilization of the most effective birth control methods.
This Policy addresses NCQA’s responsibility for ensuring objectivity in research in accordance with 42 CFR Part 50, Subpart F “Promoting Objectivity in Research,” and 45 CFR Part 94, “Responsible Prospective Contractors.”
This quality improvement project uses national HEDIS measures to encourage judicious use of antipsychotic medications and better depression management in youth.
The Digital Measures Collaborative is a joint effort between NCQA and its stakeholders to redefine quality measurement and learn how to support programs that use electronic clinical data for quality improvement. NCQA is expanding the Collaborative into a more interactive Digital Measurement Community in 2020. Please visit the link for more information on how to join and sign up.
With funding from SAMHSA, the Centers for Disease Control and Prevention (CDC) and FEi Systems, NCQA is working to improve the quality of care and health plan reporting of the Unhealthy Alcohol Use Screening and Follow Up measure through a Learning Collaborative.
NCQA convened a learning collaborative to help develop an innovative method to report HEDIS measures using data from ECDS. We piloted this new method with a set of measures for depression care.
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).