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Health Systems
ncqa.org/health-equity/health-systems/Health Systems NCQA programs help health systems identify disparities in care and close gaps for your populations while supporting the priorities of contracting partners.
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Health Plans
ncqa.org/report-cards/health-plans/Health Plan Performance Diverse products and projects share what we learn about health plans.
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Population Health Management Prevalidation
ncqa.org/programs/data-and-information-technology/hit-and-data-certification/population-health-management-prevalidation/NCQA Population Health Management Prevalidation supports four NCQA Accreditation programs: Health Plan, Managed Behavioral Healthcare Organization, Case Management and Population Health. More than 175 million…
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Process - UMCR - Other
ncqa.org/programs/health-plans/utilization-management/process/The Utilization Management Accreditation Process This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation. The typical evaluation time…
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Process - CVO - Other
ncqa.org/programs/health-plans/credentials-verification-organization-cvo/process/Credentials Verification Organization Certification Process This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation. The typical evaluation time…
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Process - WHP - Other
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/process/The Wellness and Health Promotion Accreditation/Certification Process This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation. The typical…
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Process - PN
ncqa.org/programs/health-plans/provider-network/process/The Provider Network Accreditation Process This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation. The typical evaluation time…
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Process - MBHO
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/process/Managed Behavioral Healthcare Organization Accreditation Process This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation.  The typical evaluation time…
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Process - CM
ncqa.org/programs/health-plans/case-management-cm/process/The Case Management Accreditation Process This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation. The typical evaluation time…
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Process
ncqa.org/programs/health-plans/population-health-program-accreditation/process/Population Health Program Accreditation Process This process helps organizations plan and execute activities to ensure they are ready for NCQA evaluation. The typical evaluation time…
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NCQA’s Health Plan Ratings 2021
ncqa.org/hedis/reports-and-research/ncqas-health-plan-ratings-2021/RESOURCES FOR HEALTH PLANS NCQA’s Health Plan Ratings 2021 includes commercial, Medicare and Medicaid health plans. The overall rating is the weighted average of a…
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Interactive Review Tool (IRT)
ncqa.org/programs/health-plans/interactive-review-tool-irt/NCQA video training tutorials help you understand how to use the Interactive Review Tool (IRT) - NCQA’s updated web-based workflow system for managing the end-to-end…