What is NCQA?
The National Committee for Quality Assurance is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality. Since its founding in 1990, NCQA has been a central figure in driving improvement throughout the health care system, helping to elevate the issue of health care quality to the top of the national agenda.
NCQA Seal
The NCQA seal is a widely recognized symbol of quality. Organizations incorporating the seal into advertising and marketing materials must first pass a rigorous, comprehensive review and must annually report on their performance. For consumers and employers, the seal is a reliable indicator that an organization is well-managed and delivers high quality care and service.
NCQA has helped to build consensus around important health care quality issues by working with large employers, policymakers, doctors, patients and health plans to decide what’s important, how to measure it, and how to promote improvement. That consensus is invaluable — transforming our health care system requires the collected will and resources of all these constituencies and more.
What is ACO Accreditation?
NCQA ACO Accreditation helps health care organizations demonstrate their ability to improve quality, reduce costs and coordinate patient care. Built from our successful patient-centered medical home (PCMH) recognition program, NCQA’s ACO standards and guidelines incorporate whole-person care coordination throughout the health care system.
Automatic Credit Is Available for NCQA-Recognized Patient-Centered Medical Homes: PCMH Recognition automatic credit is awarded to organizations that apply for NCQA ACO Accreditation and have 70 percent or more of their patients attributed to NCQA-Recognized PCMH practices.
Accreditation Levels
Organizations beginning the transformation and providing the basic infrastructure and some of the capabilities to meet the triple aim of better patient experience, better health and lower per capita cost. The length of status is 2 years
Organizations demonstrating well-established capabilities outlined in the standards to meet the triple aim of better patient experience, better health and lower per capita cost. The length of status is 3 years.
Organizations meeting Level 2 criteria AND demonstrating strong performance or significant improvement in performance measures across the triple aim of better patient experience, better health and lower per capita cost. The length of status is 3 years
*To achieve a Level 3 accreditation, organizations must demonstrate strong or improved performance in a combination of triple aim measures through participation in an NCQA-approved regional collaborative or national measurement initiative. If there is no regional collaborative or national measurement initiative to which an organization can report performance measures, Level 2 is the highest level that organization can achieve.
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