Many health insurers rely on tiered and narrow networks to manage costs, and use third-party organizations to validate their networks. In response to these network designs, states and the federal government implemented regulations requiring a minimum level of access to care and services. NCQA Provider Network Accreditation creates a framework for organizations to provide efficient, accurate and consistent network management and credentialing services.
HOW DOES MY ORGANIZATION BENEFIT?
Use evidence-based standards to perform a gap analysis and determine improvement areas.
The standards, provide a framework for implementing industry best practices to ensure:
- Network accessibility and transparency.
- Consistent monitoring of practitioner availability and accessibility of services.
- Efficient collection and analysis of member-experience data.
- Appropriate credentialing of practitioners and providers.
Learn more today. Fill out the form to the right to receive more information about this program or to speak to an NCQA program expert.