Nov 5, 2025 · NCQA is the leading health care accreditation organization, trusted by physicians, hospitals, and health insurance companies. We set national standards for quality care and performance.

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.

Jul 1, 2025 · An in-depth look at NCQA’s Credentialing Accreditation and Certification Programs. Credentialing is more than a “check the box” regulatory burden, it is an essential safety component of …

5 days ago · NCQA offers several related programs for organizations eligible for Health Plan Accreditation. Each program helps organizations improve their operations and initiatives in targeted …

5 days ago · Measurement Certification Programs NCQA screens, trains and certifies organizations that collect or audit data for health plans and providers. HEDIS Reports and Research Accountable …

Discover how NCQA’s Patient-Centered Medical Home (PCMH) program helps health care providers improve care coordination, patient outcomes, and practice efficiency.

Organizations that earn a seal from NCQA show that they are serious about quality health care. Use the report cards to find health plans, practices, clinicians or other partners that meet NCQA standards …

Aug 7, 2024 · NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS ®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information …

Nov 15, 2024 · Recognizing that HEDIS measures have traditionally been specified for health plan reporting, NCQA developed the Rules for Allowable Adjustment of HEDIS to accommodate the …

Commercial, Medicare and Medicaid plans are rated based on their combined HEDIS® and CAHPS® scores and NCQA Accreditation status. NCQA evaluates health plans on the quality of care patients …