NCQA Accreditation

About NCQA Accreditation?

We believe better health care depends on how care is organized.

We create standards and guidelines to measure performance, so it makes sense that we believe in standardization: Trying to improve by doing certain things the right way, at the right time, every time.

• Measure. Analyze. Improve. Repeat: This is the heart of our work. We make measures and standards that health care professionals use to identify areas they can improve. Public reporting of performance against our measures and standards becomes the focus for groups we evaluate and for their customers. Releasing results to the public helps everyone set higher goals and continue improving.
• The Triple Aim: In some fields, getting more means paying more. But health care is different. The “triple aim” of lower costs, better health and better patient experience is an achievable ideal. Evidence shows that delivering coordinated care at the right time can cost less and lead to healthier and more satisfied patients.
• Effortless Experience: We try to be a great place to work with. Improving health care is hard; working with NCQA should be easy. We define good health care as the “right care, at the right time, every time,” and we want to give “the right answer, the first time, every time” to colleagues and customers.

Accreditation manuals available:

• Case Management
• Credentialing
• Credentials Verification Organization (CVO)
• Health Equity Accreditation
• Health Information Products
• Health Plan Accreditation
• Long-Term Services and Supports (LTSS)
• Managed Behavioral Healthcare Organization (MBHO)
• Physician and Hospital Quality
• Population Health Program Accreditation
• Provider Network
• Specialty Pharmacy Accreditation
• Utilization Management
• Wellness and Health Promotion