White Papers

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  1. Population Health Management 02.01.2021

    Keys to Success in Meeting the Demand
    for Value in Health Care

    What essential capabilities do population health management providers need to meet the demand for value-based care? Development of a comprehensive population health management strategy is critical to an organization’s ability to drive outcome improvements and to succeed under value-based payment models. Over the last decade, federal, state and private sector activities have driven population health […]

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  2. 01.26.2021

    Optimizing Care for Patients With
    Type 2 Diabetes and Heart Failure

    Adults affected by diabetes are at higher risk of developing heart failure—in fact, these conditions frequently occur simultaneously. Patients with type 2 diabetes and heart failure (T2DM+HF) receive care in a complex environment with limited resources and efforts aimed at their complicated care needs.

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  3. Population Health Management 10.09.2020

    Social Determinants of Health Resource Guide

    The NCQA Social Determinants of Health Resource Guide is a reference for health plans, clinically integrated networks, and clinicians to design and implement strategies that address social determinants of health (SDOH) for commercially insured populations. The SDOH Resource Guide centers around SDOH strategy and is organized into six sections: 1. Assessment Design. 2. SDOH Data. […]

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  4. Population Health Management 11.21.2019

    Population Health Management Roadmap for Integrated Delivery Networks

    A practical guide for helping Integrated Delivery Networks and other provider organizations understand population health management in achieving value-based care. Accountable Care Organizations and Integrated Delivery Networks are working to deliver value-based care through population health management, spearheading the movement away from fee-for-service. The transition for the industry towards value-based care is complex and challenging. […]

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  5. State Policy 10.30.2019

    Electronic Quality Reporting for States:
    A Roadmap for Moving Forward

    This white paper builds on discussions from states, health plans, providers, tech firms and others to explore how the health care system can align electronic reporting initiatives across all programs and settings to support state electronic clinical quality measure reporting

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  6. Value-Based Care 08.07.2019

    Comparison of eCQM Certification Programs

    Diameter Health compared the Office of the National Coordinator for Health IT (ONC) Project Cypress tool for certifying software that performs electronic clinical quality measure (eCQM) calculation with NCQA’s ONC-approved eCQM certification program and found that NCQA’s program is much more robust. That is because NCQA’s program, unlike Project Cypress that ONC and all other […]

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  7. Value-Based Care 07.31.2019

    Rheumatoid Arthritis: Transforming Care Delivery to a Value-Based Model

    Rheumatoid arthritis is a chronic, progressive, inflammatory condition that imposes a high burden on the patient and on the health care system. In 2018, NCQA hosted a working group at the 2018 Digital Quality Summit. During a subsequent NCQA roundtable, key opinion leaders in RA treatment, patient advocacy and digital measures discussed issues in outcome […]

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  8. PCMH 03.14.2019

    How NCQA Patient-Centered Medical Homes Address Disparities

    This paper describes how NCQA PCMH standards can help practices build capacity to address disparities.

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  9. Population Health Management 05.31.2018

    Population Health Management Resource Guide

    A practical guide for health plans seeking to incorporate population health management principles into their organizations.

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  10. LTSS 11.09.2017

    Trends in Medicaid Long-Term Services and Supports: A Move to Accountable Managed Care

    This white paper explores how LTSS home and community-based services providers can demonstrate their value as trusted resources in this shifting environment, as well as what new skills and infrastructure HCBS and managed care organizations must develop to participate in new financing and delivery system arrangements.

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