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NCQA Innovation Awards
ncqa.org/about-ncqa/sponsorship/ncqa-innovation-awards/NCQA Innovation and Best Practice Awards recognize organizations for implementing leading-edge strategies that improve quality and value, and for supporting delivery system redesign and patient…
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NCQA’s Health Plan Ratings 2023
ncqa.org/hedis/reports-and-research/ncqas-health-plan-ratings-2023/RESOURCES FOR HEALTH PLANS NCQA’s 2023 Health Plan Ratings include commercial, Medicare and Medicaid health plans. The overall rating is the weighted average of a…
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NCQA’s Health Plan Ratings 2024
ncqa.org/hedis/reports-and-research/ncqas-health-plan-ratings-2024/RESOURCES FOR HEALTH PLANS NCQA’s 2024 Health Plan Ratings include commercial, Medicare and Medicaid health plans. The overall rating is the weighted average of a…
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Virtual Care Accreditation Q&As
ncqa.org/programs/health-care-providers-practices/virtual-primary-care-and-urgent-care-accreditation/virtual-care-accreditation-qas/Virtual Care Accreditation Q&As If you don’t see what you’re looking for in the Q&As below, you can ask a question through My NCQA.
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Utilization Management
ncqa.org/programs/health-plans/utilization-management/Utilization Management Accreditation Utilization management helps ensure that patients have the proper care and the required services without overusing resources. NCQA Utilization Management Accreditation helps…
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FAQs: Patient-Centered Medical Home Recognition Program
ncqa.org/programs/health-care-providers-practices/patient-centered-medical-home-pcmh/faqs/FAQs: Patient-Centered Medical Home Recognition Program Here are some of the most frequently asked questions about the NCQA Patient-Centered Medical Home Recognition program. If you…
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Population Health Program Accreditation
ncqa.org/programs/health-plans/population-health-program-accreditation/Population Health Program Accreditation Helping improve integration of population health principles into management of defined populations.
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FAQ Directory: Population Health Program Accreditation
ncqa.org/programs/health-plans/population-health-program-accreditation/faqs/all/FAQ Directory: Population Health Program Accreditation
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Accreditation of Case Management for LTSS
ncqa.org/programs/health-plans/long-term-services-and-supports/accreditation-of-case-management-for-ltss/Accreditation of Case Management for LTSS States and MCOs need assurance that their partners can coordinate care effectively across medical, behavioral and social services to…
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Get Started - Health Plan Accreditation
ncqa.org/programs/health-plans/health-plan-accreditation-hpa/get-started/Health plans must support care that keeps members at their optimum level of health while also keeping costs down and meeting government and purchaser requirements.…
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Get Started - Accreditation of Case Management for Long-Term Services and Supports
ncqa.org/programs/health-plans/long-term-services-and-supports/accreditation-of-case-management-for-ltss/get-started/As the population ages, more states are seeking to increase accountability, improve quality and promote a cost-effective service delivery system. States and managed care organizations…
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Case Management Accreditation for LTSS-only Health Plans
ncqa.org/programs/health-plans/long-term-services-and-supports/case-management-accreditation-for-ltss-only-health-plans/Accreditation of Case Management for LTSS (LTSS-only Plans) The population is aging and more states are requiring integrated, person-centered, managed long-term services and supports (LTSS).