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Digital Health Navigators Help Solve Quality Problems
ncqa.org/blog/digital-health-navigators-help-solve-quality-problems/We’re excited that the emerging workforce category of Digital Health Navigators (DHN) can help solve quality problems by: Expanding community health workers’ scope to make…
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As Seen in HBR: How to Use Digital Health Data to Improve Outcomes
ncqa.org/blog/as-seen-in-hbr-how-to-use-digital-health-data-to-improve-outcomes/NCQA’s Peggy O’Kane, Brad Ryan, Eric Schneider and board member John Glaser co-authored an illuminating essay for Harvard Business Review, How to Use Digital Health…
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Network Health’s Strong Data Infrastructure and Continuous Monitoring Leads to 5-Star Health Plan Rating
ncqa.org/blog/network-healths-strong-data-infrastructure-leads-to-top-health-plan-rating/What does high-quality health care look like—and what does it take to get there? We gathered insights and success stories from the top-performing plans in…
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NCQA’s 2025 Health Plan Ratings: Highest-Rated Health Plans by State
ncqa.org/blog/ncqas-2025-health-plan-ratings-highest-rated-health-plans-by-state/Each year, NCQA rates commercial, Medicare and Medicaid health plans in all 50 states, U.S. territories and the District of Columbia. Ratings offer valuable insights…
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Group Health Cooperative of South Central Wisconsin Integrates Health Insurance and Health Care for a Better Member Experience
ncqa.org/blog/group-health-cooperative-of-south-central-wisconsin-integrates-health-insurance-and-health-care-for-a-better-member-experience/What does high-quality health care look like—and what does it take to get there? We gathered insights and success stories from the top-performing plans in…
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Customer Success Story: How Verifiable Helps Organizations Modernize Credentialing Processes to Meet NCQA Standards
ncqa.org/blog/how-verifiable-helps-organizations-modernize-credentialing-processes/Efficient credentialing processes can help improve access to health care and protect patient safety. Everyone has a stake in the process: Health plans want to…
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Contra Costa Health Plan Delivers High-Quality, Publicly Accountable, Community-Driven Care
ncqa.org/blog/contra-costa-health-plan-delivers-high-quality-publicly-accountable-community-driven-care/What does high-quality health care look like—and what does it take to get there? We gathered insights and success stories from the top-performing plans in…
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Why You Need to Ask, “Is this Health Plan Accredited?"
ncqa.org/blog/why-you-need-to-ask-is-this-health-plan-accredited/When an employer is looking to select a health plan, one of the first questions they ask should be, “Is this health plan accredited?” Accredited…
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NCQA Releases 2025 Health Plan Ratings
ncqa.org/blog/ncqa-releases-2025-health-plan-ratings/NCQA’s 2025 Health Plan Ratings are here! Ratings offer valuable insights into how well plans perform on key health measures and how satisfied members are…
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NCQA Researchers Share Findings on Emerging Topics in Health Care
ncqa.org/blog/ncqa-researchers-share-findings-on-emerging-topics-in-health-care/NCQA presented nine research topics at the AcademyHealth Annual Research Meeting (ARM) this summer. The ARM is a leading venue for health services researchers and…
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Breaking Down Silos in Utilization Management: A Data-Driven Approach
ncqa.org/blog/breaking-down-silos-in-utilization-management-a-data-driven-approach/Utilization management is a hot-button issue in the health care industry. Health plans view prior authorization as an essential function that protects patient safety, conserves…
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“Living the Dream” With PCMH Recognition
ncqa.org/blog/living-the-dream-with-pcmh-recognition/We all know the United States has a primary care crisis. Practices struggle with resource challenges, new technologies…