Helh Plan Audits for State and NCQA Compliance Requirements
NCQA Accreditation is the most comprehensive evaluation in the industry, and the only assessment that bases results of clinical performance (i.e., HEDIS measures) and consumer experience (i.e., CAHPS measures). Health Plan leadership seeking help in preparing their organizations for NCQA’s Health Plan Accreditation requirements have access to an experienced consulting firm that has helped middle market and national insurers in the audit preparedness processes. Cherye Morgan LLC and team have supported health plan executives in the planning and communication, program management and coordination related to NCQA audits. Additionally, we have experience in leading plans through aggressive efforts to build new capabilities required for NCQA compliance remediation efforts due to past audit findings.
We are committed to improving the managed care compliance operations and recognize that hundreds of plans that cover more than 136 million people (43 percent of the U.S. population) are NCQA accredited. With our experience we have enabled clients to build capabilities that meet the rigorous standards that apply to all types of health plans, including HMOs, PPOs, EPOs and POS plans.