NCQA Takes Initial Steps To Examine Quality of PPOs

MANAGED CARE August 1999. ©1999 MediMedia USA

The National Committee for Quality Assurance, which has long wrestled with how to measure the quality of PPOs, has settled on a way to begin.

Late this year, NCQA will track member satisfaction; next year, it will unveil a full accreditation program for PPOs, which are less centralized than HMOs. NCQA will examine core systems, including medical review, quality improvement, appeals procedures, and provider evaluation.