NCQA seeks input on HPA changes

March 27, 2015
Credentialing Resource Center Digest

NCQA is accepting public comments through April 8 on proposed changes to its Health Plan Accreditation (HPA) program with the aim of encouraging plans to focus more on value-based strategies. Insurers, consumers, employers, and other stakeholders are welcome to advise NCQA on the primary way it evaluates health plans. Proposed changes include:

  • A new Network Management category of standards
  • New requirements to strengthen NCQA’s ability to detect systematic issues related to Utilization Management

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Source: NCQA

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Medical Staff Leadership and Governance