Case Study
Midwest Midsize Payer Achieves National Committee for Quality Assurance Health Plan Accreditation
Customer Midwest Midsize Payer Challenge National Committee for Quality Assurance (NCQA) Health Plan Accreditation (HPA) standards had significantly changed, and new components required the plan to create new positions and roles. In addition to the new personnel, the client was also facing staffing transitions in key positions. Services Change Healthcare Consulting Results The health plan achieved NCQA HPA for all three lines of business, and the organization was able to stay on track for its next accreditation. Solution Achieving the Gold Standard The NCQA HPA is considered the gold standard of health plans, as it is the only program in the industry that bases results on clinical performance and consumer experience (HEDIS ® and CAHPS ® ), and both individuals and employer