News

The latest on managing care, value-based care, insurance markets, payers & providers

NCQA Unveils New PPO Accreditation Program, HEDIS '01

The National Committee for Quality Assurance has released a draft of its long-awaited PPO accreditation program. NCQA plans to evaluate PPOs on such aspects as access to care, provider credentialing, consumer protections, and oversight of medical groups and others to whom the PPO delegates responsibility for care.

Member satisfaction will also be part of NCQA's review.

Meanwhile, NCQA released a draft of its year 2001 HEDIS program. A new measure reports percentage of members age 65 and older who receive pneumonia vaccines. NCQA also made administrative changes in HEDIS that it says should make it easier for plans when reporting on pre- and postnatal care measures.

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

  • Doug Jones and the ACA, Epic misses a White House meeting, and man caves for man-flu sufferers
  • CVS-Aetna deal may trigger merger mania, Johns Hopkins criticized for lack of asthma prevention, & Columbia sees free-ride future for all of its med students

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.