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Quality Digest

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NCQA Standard for Managed Care Plans

Published: Tuesday, August 8, 2006 - 22:00

The National Committee for Quality Assurance recently added new requirements for health plans seeking accreditation to its Quality Plus program. The change becomes effective in 2007.Candidate health plans will have to demonstrate that they provide their members with information to help them navigate the care system, and that they have programs to promote wellness and the management of complex conditions. Since NCQA first launched the Quality Plus series in 2005, it has surveyed 130 health plans for voluntary compliance.

“Activating health care consumers and providing them with customized care management are critical to the future of affordable, quality health care,” says Margaret E. O’Kane, NCQA president. “Plans demonstrated their strong commitment to providing these services through their adoption of these programs when they were voluntary.”

Other changes for 2007 include the addition of a physician and hospital directories standard that assesses what information health plans provide members through Web-based directories, what search options the directories feature and how well the information is explained.

For more information, visit www.ncqa.org/communications/news/Accred_2007.htm


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For 40 years Quality Digest has been the go-to source for all things quality. Our newsletter, Quality Digest, shares expert commentary and relevant industry resources to assist our readers in their quest for continuous improvement. Our website includes every column and article from the newsletter since May 2009 as well as back issues of Quality Digest magazine to August 1995. We are committed to promoting a view wherein quality is not a niche, but an integral part of every phase of manufacturing and services.