NCQA - National Committee for Quality Assurance

03/31/2026

What does quality look like in action? Sometimes, it starts with a conversation.

During a visit to the CareFirst BlueCross BlueShield Engagement Center, we learned how face-to-face connections can strengthen health literacy and help close gaps in care. By engaging directly with members, CareFirst teams turn everyday moments, like replacing an ID card, into opportunities that support better understanding, engagement, and outcomes.

Watch the full video on our YouTube channel to see quality in action: https://bit.ly/3S8Fv4K

Interested in how structured, outcomes-focused approaches can drive meaningful improvement? Learn how NCQA’s Health Outcomes Accreditation helps organizations measure what matters and advance better health: https://bit.ly/3Qa6i2I

03/31/2026

Credentialing isn’t just a compliance task. It’s a core safeguard for patients, providers and health plans.

NCQA’s Credentialing Certification program evaluates 11 distinct credentialing verification products, all required for NCQA‑Accredited health plans and behavioral health organizations. That level of rigor helps ensure credentialing decisions are accurate, consistent and defensible across the healthcare system.

Whether your organization provides full‑scope credentialing services or focuses on primary source verification, NCQA’s Credentialing Accreditation and Certification programs offer a proven quality improvement framework to strengthen consumer protection, align with state requirements and support new contracting opportunities.

Learn how NCQA Credentialing programs can help your organization improve credentialing practices and prepare for the 2025 Credentialing Standards & Guidelines: https://bit.ly/419u4OK

NCQA Credentialing Accreditation helps improve credentialing and protects consumers by ensuring a consistent, effective and diligent credentialing process.

03/30/2026

At , NCQA's Eric Musser and Rachel Harrington, PhD, shared how NCQA’s priorities for 2026 and beyond are aligning with CMS’ push for measurable outcomes, reduced administrative burden, and greater transparency in quality oversight. As CMS works to streamline its measure set by cutting 12 process‑heavy measures and increasing the weighting of HEDIS® measures to 50% of Medicare Advantage Star Rating, the discussion highlighted a clear shift toward outcomes, access, and patient experience.

The session also underscored growing alignment around digital quality measurement, interoperable clinical data, responsible AI governance, and strengthening primary care. As CMS advances interoperability and prior authorization reforms, NCQA is modernizing accreditation and measurement frameworks to support real‑time data, simplify the patient experience, and ensure quality measurement better informs care delivery, not just reporting.

Read the full RISE National conference recap to explore these insights and what they could mean for your organization: https://bit.ly/41HcW2V

03/27/2026

Confidence in your clinical data is the foundation of digital quality reporting.

With industry estimates suggesting healthcare generates more than 30% of the world’s data, trust in that data has never been more critical. NCQA’s Data Quality programs help organizations assess, validate, and trust the data used for HEDIS®, supporting scalable, standards based approaches to data integrity from ingestion through reporting. Learn how NCQA helps organizations strengthen trust in their data and demonstrate independent assurance.

Explore NCQA Data Quality programs: https://bit.ly/3Q2OVRk

03/26/2026

Patient-centered care is a proven approach to improving quality, access and outcomes.

’s Patient-Centered Medical Home (PCMH) Recognition helps practices strengthen care coordination, improve patient experience and support value-based care efforts. Learn how PCMH Recognition can support your practice’s transformation and long-term success: https://bit.ly/4rXJpwO

NCQA-recognized Patient-Centered Medical Homes deliver high quality care that research has shown can lead to lower costs, improved patient experience and better health outcomes.

03/26/2026

Cardiac rehabilitation after a qualifying cardiac event is linked to better long-term outcomes, yet only 5.4% of publicly reported Medicare plans perform above the 95th percentile on this HEDIS® measure.

Understanding where your plan stands is critical to closing care gaps and improving outcomes. Quality Compass® gives healthcare organizations access to HEDIS® and CAHPS® benchmarks to compare performance, identify opportunities for improvement, and track progress over time.

See how your organization measures up: https://bit.ly/3PKve0y

03/26/2026

More than 40 million people in the U.S. are living with diabetes, yet national data continue to show gaps between recommended care and real-world outcomes. Improving performance starts with understanding how diabetes care is measured and how those measures support better decision-making.

NCQA’s Diabetes Recognition Program 2026 self-paced education course breaks down the evidence-based measures behind quality diabetes care, helping clinicians and care teams interpret results, apply data confidently and strengthen care delivery.

Learn how a clearer understanding of measurement supports better outcomes for patients with diabetes: https://bit.ly/3PHPY9d

Self Paced Expires: June 30, 2027 The Diabetes Recognition Program recognizes clinicians who use evidence-based measures to provide quality care to their patients with diabetes.

03/25/2026

's Utilization Management Accreditation supports utilization management best practices by promoting fair, timely decisions grounded in objective, evidence-based criteria. This quality improvement framework helps organizations apply consistent clinical review processes, use qualified health professionals, and align utilization management operations with state requirements.

Get started with Utilization Management Accreditation today: https://bit.ly/4kNavVo

With the ever-increasing emphasis on reducing costs while improving patient outcomes, utilization management companies are taking on new importance. Using objective and evidence-based criteria they evaluate requested health care services to make fair and timely determinations (on behalf of their cli...

03/25/2026

What does advanced primary care look like in practice?

Jefferson Health is helping answer that question as a participant in NCQA’s Advanced Primary Care Pilot Program. In a recent interview with Healthcare Innovation, Anna Flattau shared why standardized, meaningful measures and feasible data reporting are essential to reducing administrative burden and supporting relationship-based, team-driven primary care. Read how their experience is shaping the future of primary care measurement: https://bit.ly/4rTbt4o

Jefferson’s Anna Flattau, M.D., M.S., says the NCQA program focuses not only on the content of the metrics but also on data reporting challenges

03/25/2026

Better outcomes don’t happen by chance. They’re built through intentional data use and community-centered care.

’s 2026 Health Outcomes Accreditation Program Standards lay out a clear, actionable framework to help organizations reduce disparities, strengthen language and disability access, and translate social needs data into measurable impact.

If your organization is serious about advancing real-world health outcomes, these standards provide the roadmap. Explore the full standards and guidelines today: https://bit.ly/4lTD30b

03/24/2026

Take your PCMH expertise to the next level with ’s Advanced PCMH Online Course 2026.

Designed for professionals already working with PCMH standards, this self-paced course offers a deeper dive into requirements, evidence, and advanced topics like behavioral health integration and eCQMs.

Enroll now to strengthen your strategy and support successful practice transformation: https://bit.ly/4cENrpE

Self Paced Expires: December 31, 2026 The NCQA PCMH Recognition program plays an integral role in practice transformation and improving the quality of health care.

03/24/2026

Struggling with complex HEDIS® reporting and fragmented data?

NCQA’s Digital HEDIS® helps health plans, providers, and health IT teams streamline quality reporting with patient‑level insight so you can identify care gaps faster and improve outcomes. Built on FHIR® and CQL standards, the secure, cloud‑based platform integrates with existing workflows and supports analytics that turn data into action.

Learn more about simplifying HEDIS reporting and driving quality improvement: https://bit.ly/3UqUOqG