Blogs
How Health Plans Can Improve Their HEDIS Measure Scores
Learn how to improve HEDIS scores to help your health plan boost NCQA star ratings, improve care delivery, and optimize member satisfaction. Discover strategies from the experts.
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Blogs
Preparing for NCQA’s Health Equity Accreditation: What Your Organization Needs 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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Case Studies
Boosting NCQA Compliance in Complex Case Management
Many Managed Care Plans (MCPs) are under pressure to meet evolving case management standards and achieve NCQA accreditation, opting to insource services for greater process control as their member populations grow.
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Blogs
Health Equity, a Cross-Functional Commitment
Health equity isn’t merely a single departmental function; it’s a collective responsibility for the entire health plan. Every person within the health plan holds the responsibility of identifying ways to increase access, improve efficiency and guarantee quality care for all members.
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Tip Sheets
5 Best Practices for Retaining and Engaging Your Members Amidst Redetermination
The unwinding of the Medicaid continuous enrollment provision is a stressful and complex process, but it’s critical that health plans empower, engage, and retain members throughout the initiative.
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Fact Sheets
SNP Complex Case Management
Health plans face unique challenges in providing high-quality care to members with complex needs. Building a comprehensive model of care for Special Needs Plans (SNPs), including Dual Eligible Special Needs Plans (D-SNPs) and Chronic Special Needs Plans (C-SNPs), is a significant achievement.
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