Case Study

Achieving NCQA HPA

Achieving NCQA HPA

Pages 1 Pages

Use Case The National Committee for Quality Assurance (NCQA) Health Plan Accreditation (HPA) is considered to be the gold standard for health plans. As NCQA HPA is the only such program in the industry that bases results on clinical performance and consumer experience (HEDIS ® and CAHPS ® ), both individuals and employers use this publicly reported accreditation to identify high-quality health plans. One mid-size payer in the Midwest found itself unexpectedly in need of assistance for NCQA re- accreditation. With only a few months to go before the survey, the health plan needed assistance with three lines of business and had minimal resources to complete its mission. Although the HPA preparation process is perpetual, the 12 months leading up to the accreditation determinat

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