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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 - 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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Learn How: Novant Health Is Advancing Health Equity Initiatives
ncqa.org/learn-how-novant-health-is-advancing-health-equity-initiatives/Improving health equity requires engagement and partnerships across the entire health care industry as well as with industry stakeholders such as employers, regulators and community-based…
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Provider Network
ncqa.org/programs/health-plans/provider-network/Provider Network Accreditation NCQA Provider Network Accreditation creates a framework for organizations to provide efficient, accurate and consistent network management and credentialing services.
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Standards - HPA
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/benefits-and-support/standards/Health Plan Accreditation Requirements NCQA Health Plan Accreditation evaluates organizations providing managed health care services. Your organization must meet the program criteria to pursue accreditation.