Company Research Report: National Committee for Quality Assurance (NCQA)

Company Overview

Name:

National Committee for Quality Assurance (NCQA)

Mission of the Company:

To improve the quality of health care.

Vision:

Better health care. Better choices. Better health.

When Was the Company Founded and by Whom:

Founded in 1990 by Margaret E. O’Kane.

Key People in the Company:

• Margaret E. O’Kane - President and Founder

• Tom Fluegel - Chief Operating Officer

• Sharon King Donohue - General Counsel

• Daniel O’Connor - Chief Financial Officer

• Eric Schneider, MD, M.Sc. - EVP of Quality Measurement and Research Group

• Tia Butler - Chief People and Diversity Officer

• Lori Ferguson - Senior VP, Product and Customer Operations

• Krishna Kandula - Chief Product Officer

• Brad Ryan, MD - Chief Growth Officer

• Vik Wadhwani - Chief Transformation Officer

• Edward Yurcisin - Chief Technology Officer

Where is the Company Headquartered:

1100 13th St. NW, Third Floor, Washington, D.C. 20005

Number of Employees:

400+ full-time employees

Revenue of the Company:

No information is available

What is the Company Known For:

NCQA is known for its accreditation, quality measurement, and continuous improvement services in healthcare. Programs like HEDIS® (Healthcare Effectiveness Data and Information Set), Health Plan Accreditation, and Patient-Centered Medical Home Recognition are widely adopted.

Products

Health Plan Accreditation

• Description: Accreditation for health plans to support optimal health and cost control while meeting government and purchaser requirements.

• Key Features:

• Quality Management and Improvement

• Population Health Management

• Network Management

• Utilization Management

• Credentialing and Recredentialing

• Members’ Rights and Responsibilities

• Member Connections

HEDIS® Measures

• Description: A set of standardized performance measures designed to provide purchasers and consumers with the information needed to compare the performance of health plans.

• Key Features:

• Focuses on clinical quality and patient satisfaction

• Used by over 216 million people in the U.S.

• Provides benchmarks for quality care and improved health outcomes

Patient-Centered Medical Home (PCMH) Recognition

• Description: Recognition program for practices that use team-based care to build better relationships between patients and clinical care teams.

• Key Features:

• Enhances care quality and patient experience

• Financial incentives for recognized practices

• Focus on continuous quality improvement

Distinction in Behavioral Health Integration

• Description: Recognizes primary care practices for integrating behavioral health resources, protocols, and tools.

• Key Features:

• Supports patients with behavioral health conditions

• Emphasizes coordination between primary care and behavioral health services

Quality Solutions Group

• Description: Consulting team that helps organizations measure and improve quality.

• Key Features:

• Provides expertise in evaluation and continuous improvement

• Manages approximately 50 consulting contracts at a time

Recent Developments

What are the Recent Developments in the Company:

• Updates to 2025 Credentialing Product Suite (Aug 7, 2024)

• Ensures consistent and effective qualification verification process.

• NCQA Joins AHIP for Promoting Health Through Prevention (PHtP) (June 18, 2024)

• Part of a coalition to raise awareness and boost uptake of no-cost preventive health services.

• Extension of HEDIS MY 2023 Deadline (April 29, 2024)

• Deadline extended to June 28, 2024.

What are the New Products Launched:

• Launch of Guides to Address Health-Related Social Needs (April 4, 2024)

• Resources for forming cross-sector partnerships to address health-related social needs.

What are the New Features Added to Existing Products:

• Preparation for the Audit Webinar (July 30, 2024)

• Portfolio includes data aggregation guidance for audit preparation.

• Power Up Your Health Plan with Validated Data Webinar (August 6, 2024)

• Enhancement to data validation processes for health plans.

Any New Partnerships:

• NCQA Joins New Digital Health Collaborative (February 21, 2024)

• Multi-stakeholder collaboration to accelerate adoption of equitable digital health solutions.

This report is prepared to provide an extensive overview of the National Committee for Quality Assurance (NCQA), highlighting its mission, leadership, and contributions to healthcare quality through various accreditation and measurement programs.