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.

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HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

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