March 7, 2018
WASHINGTON, DC—The National Committee for Quality Assurance (NCQA) invites the public to comment on the new Population Health Management Accreditation program for population health management and disease management organizations. Each year, NCQA opens a public comment period for all updates to accreditation products, including newly proposed products. Customer and stakeholder feedback help NCQA create more effective programs.
NCQA proposes a Population Health Management Accreditation program that includes two evaluation types, for different program and organizational structures:
- Option 1: Evaluates organizations that have attained (or that plan to seek) Wellness and Health Promotion Accreditation and Case Management Accreditation, and want an additional population health management review to demonstrate their capability to manage populations at all risk levels.
- Option 2: Evaluates population health management programs that take a whole-person approach to selected subpopulations, such as those with a specific condition (e.g., diabetes management). Accreditation demonstrates that these organizations can manage subpopulations according to population health management standards.
Proposed Accreditation Details
The new Population Health Management Accreditation will:
- Help organizations contracting with health plans achieve population health management goals.
- Closely align with standards introduced in the population health management category for Health Plan Accreditation 2018.
- Convey automatic credit to Health Plan Accreditation for organizations performing population health management functions for health plans.
- Meet the triple aim. Requirements focus on meeting two areas of the triple aim: population health and patient-centeredness.
- Evolve the previous single-condition approach in Disease Management Accreditation toward a holistic evaluation model that aligns with current Health Plan Accreditation standards.
The NCQA Advantage
With the Population Health Management Accreditation, population health management organizations can demonstrate to clients their ability to execute whole-person, targeted interventions that consider patients’ needs throughout the care journey.
How to Participate in Public Comment
Access the proposed updates here. Once you review these proposed updates, you can give feedback on NCQA’s public comment web site.
The public comment period begins at 8 a.m. ET on March 5 and ends at 5 p.m. ET on April 3. Population Health Management Accreditation will be released in November 2018.