Data: Purchase and Licensing

Use NCQA Data to Benchmark and Analyze Quality.

NCQA makes its data available for purchase by health plans, provider organizations, states, pharmaceutical organizations, consultants and researchers to promote better understanding of key metrics in evaluating quality improvement.

 

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Quality Compass®

Quality Compass® is an indispensable tool for selecting a health plan, conducting competitor analysis, examining quality improvement and benchmarking plan performance.

You can also generate custom reports by selecting (depending on license) commercial (private), Medicaid and Medicare plans, measures (HEDIS® and CAHPS®) and benchmarks (averages and percentiles) for up to 3 trended years.

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Quality Compass Exchange

The Quality Compass Exchange data file contains individual plan level performance and benchmarks for Exchange health plans delivered via an MS Excel file.

Quality Compass Exchange data allows users to conduct competitor analysis, examine quality improvement and benchmark plan performance for Quality Ratings System (QRS) measure indicators.

PURCHASE QUALITY COMPASS EXCHANGE

Member Experience Data Set

Member Experience Data Set Commercial and Medicaid Licenses contain detailed Member Satisfaction Data using the HEDIS/CAHPS 5.1H Adult Survey. This blinded member-level data is collected using the HEDIS/CAHPS 5.1H Adult Survey. Organizations contract with NCQA-Certified Survey Vendors to administer surveys using HEDIS survey specifications, and to submit collected data to NCQA for calculation of HEDIS survey results.

The Member Experience Data Set is offered as a CSV file and is ideal for research and analysis.

PURCHASE QUALITY COMPASS Member Experience Data Set

Custom Data Licenses

NCQA offers custom data licenses for its health plan performance data, including HEDIS performance measures and CAHPS member satisfaction results, tailored to your specific need.

Versatile performance data licenses are designed for consultants, employers, software vendors and other health care stakeholders and for various uses, including self-built report cards and benefit communication tools. They are the perfect complement to any health care research or quality improvement initiative.

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Health Plan Ratings Excel Download

NCQA’s Health Insurance Plan Ratings list private, Medicare and Medicaid health insurance plans based on their combined HEDIS, CAHPS and NCQA Accreditation standards scores.

Ratings classify plans into ratings from 0–5 in 0.5 increments–a system similar to the CMS Five-Star Quality Rating System.

Purchase Health Plan Ratings Excel Download

Recognition Program Data Access

NCQA Recognition programs help employers, health plans, patients and consumers make informed heath care decisions based on quality. Participation in an NCQA Recognition program demonstrates that a provider or practice values quality health care delivery and uses the latest clinical protocols to ensure that patients receive the best care, at the right time.

This data file provides access to all descriptive data for each recognized clinician in an easy-to-use Excel format for different analytical needs. All data are updated regularly.

Purchase Recognition Program Data Access