News and Commentary

NCQA Takes Initial Steps To Examine Quality of PPOs


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.