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Information Page 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.
Information Page 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.…
Information Page Get Started - Case Management Accreditation
ncqa.org/programs/health-plans/case-management-cm/get-started/NCQA Case Management Accreditation addresses the delivery of case management services, not just the internal processes. HOW DOES MY ORGANIZATION BENEFIT? Use the NCQA Case…
Information Page Get Started - Managed Behavioral Healthcare Organization Accreditation
ncqa.org/programs/health-plans/managed-behavioral-healthcare-organizations-mbho/get-started/HOW DOES MY ORGANIZATION BENEFIT? Managing behavioral health plays a key role in the current emphasis for health care providers to deliver care that incorporates…
Information Page Get Started - Utilization Management Accreditation
ncqa.org/programs/health-plans/utilization-management/get-started/With the ever-increasing emphasis on reducing costs while improving patient outcomes, utilization management companies are taking on new importance. Using objective and evidence-based criteria they…
Information Page Get Started - Wellness and Health Promotion Accreditation/Certification
ncqa.org/programs/health-plans/wellness-and-health-promotion-whp/get-started/A QUALITY IMPROVEMENT FRAMEWORK For decades, employers have offered wellness and health promotion programs to boost morale, increase productivity and address healthcare costs. These programs…
Information Page Get Started - Provider Network Accreditation
ncqa.org/programs/health-plans/provider-network/get-started/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…
Information Page Get Started - Credentialing Accreditation
ncqa.org/programs/health-plans/credentialing/get-started/Credentialing is more than a “check-the-box” regulatory duty, it’s an essential safety component of the health care system. Health care organizations must establish the qualifications…
Information Page Get Started - Population Health Program Accreditation
ncqa.org/programs/health-plans/population-health-program-accreditation/get-started/If a patient’s journey through the health care system is fragmented and uncoordinated, the result can be increased costs and poorer outcomes. Population health activities…
Information Page New Accreditation Designed for Higher Quality Virtual Health Care
ncqa.org/programs/health-care-providers-practices/virtual-primary-care-and-urgent-care-accreditation/get-started/NCQA’s Virtual Care Accreditation includes standards built on structural components of virtual care delivery. These standards can position organizations to identify gaps in their virtual…
Information Page New Accreditation Designed for Certified Community Behavioral Health Clinics
ncqa.org/programs/health-care-providers-practices/certified-community-behavioral-health-clinics-accreditation/get-started/NCQA’s Certified Community Behavioral Health Clinics Accreditation program is designed to help organizations meet SAMHSA’s CCBHC certification criteria through a standardized, streamlined survey process that…
Information Page Policy: NCQA Accreditation and Certification
ncqa.org/programs/health-plans/policy-accreditation-and-certification/Latest News Changes to the NCQA Accreditation Standards for the 2024 and 2025 Standards Years (July 22, 2024) Modifications to Scoring for NCQA Accreditation Surveys…