July 10, 2025
Washington, DC — The National Committee for Quality Assurance (NCQA) is proud to announce the participants in its newly formed AI Stakeholder Working Group, a convening of more than 30 health care organizations committed to exploring standards for responsible governance of artificial intelligence (AI) in health care.
The Working Group officially launched with an online kickoff meeting on June 25, 2025, convening representatives from health plans, health systems and AI solution vendors. The participants will continue to collaborate with NCQA to drive industry consensus around using AI in responsible and effective ways to drive quality and safety in health care operations and clinical care.
Working Group Goals
The AI Stakeholder Working Group is part of NCQA’s broader effort to build a shared accountability and monitoring model that promotes the safe, ethical and effective use of AI in health care. Over the next several months, participants will:
- Share real-world insights on how AI tools are deployed and monitored in health care operations and clinical delivery.
- Help NCQA identify criteria to evaluate responsible AI use and governance across the AI implementation lifecycle.
- Support the creation of a pilot program to review proposed monitoring standards for shared accountability, effectiveness and feasibility.
This effort builds on NCQA’s 35-year legacy of developing trusted health care standards and quality measurement tools, including HEDIS® and Health Plan Accreditation. The new AI initiative extends that commitment into the emerging frontier of artificial intelligence.
Participating Organizations
The inaugural Working Group includes organizations representing a diverse range of perspectives—from health systems using in-house AI models to technology firms offering commercial AI solutions. The full list of participants includes:
- American Academy of Family Physicians (AAFP)
- America’s Health Insurance Plans (AHIP)
- Astrata, Inc
- Basys.ai
- Blue Cross Blue Shield of Tennessee
- C the Signs
- Centene Corporation
- Coalition for Health AI (CHAI)
- Community Care Plan
- Covered California
- Empower Healthcare Solutions
- Equality Health
- Evidentli
- Gesund.ai
- Infinitus Systems, Inc.
- Inovalon, Inc.
- Kaiser Foundation Health Plan and Hospitals
- Logan Health
- MCG Health
- Merative- Micromedex
- Optum
- Oracle Health
- Pager Health (Onlife Health, Inc.)
- Paragon Health Institute
- SciEncephalon AI
- Tenasol Technologies, Inc.
- United HealthCare
- UPMC Health Plan Inc
- Xsolis
What’s Next
NCQA intends to use these insights to inform the potential development of an NCQA AI Governance offering. NCQA has recently launched an AI Digital Community to continue collaboration and information sharing, and will continue to grow working group membership. To learn more about NCQA’s AI initiatives or future opportunities to participate, please contact AI@ncqa.org.
About NCQA
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA Accredits and Certifies a wide range of health care organizations. It also Recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make informed health care choices. NCQA can also be found at Twitter/X @ncqa and on LinkedIn at linkedin.com/company/ncqa.
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