Blog
Preparing for NCQA’s Health Equity Accreditation: What Health Plans Need to Know
By seeking NCQA Health Equity Accreditation, plans can improve healthcare outcomes, increase member satisfaction, enhance care delivery, and contribute to building healthier communities. Don’t wait to get started on the path to achieving HEA accreditation.
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Guides
Population Health Management Guide for Health Plans
Targeted population health management is essential to manage member risk and provide integrated, coordinated care that enhances member engagement, health outcomes, and financial incentives and rewards.
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Case Studies
New Benefit Design & Implementation
Applied Behavioral Analysis (ABA) therapy health benefits are essential additions to health plans, as this therapy can improve and enhance the lives of the members and their families in addition to mitigating costly misaligned services.
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Blog
Breaking Down the Complexities of Behavioral Health
The United States spends extravagantly on healthcare, representing approximately 18 percent of the nation’s economy—nearly double what other developed countries spend—but despite what the United States spends on healthcare, we have worse health outcomes compared to other industrialized nations.
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Fact Sheets
Regulatory Compliance & Accreditation Readiness
Preparing your organization for compliance is essential, as more healthcare payers face a growing number of laws, regulations, and requirements in areas like health equity, quality, utilization management, and network development.
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Blog
The Evolution of Medicaid 1115 Waivers: Supporting SDOH & Health Equity
The first time you may have heard about 1115 waivers was in January of 2018 when the first KY-HEALTH 1115 Waiver was in development in Kentucky—requiring twenty hours of community service or employment.
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