NCQA

JANUARY 15, 2025

But the screening rate was 55% for Medicaid plans, highlighting the need for more screening education and support. The good news is that unnecessary screenings reached an all-time low in 2023: 0.42% for commercial plans and 0.40% for Medicaid plans. Learn more by visiting the National Cancer Institutes website.

Quality Assurance 59

Quality Assurance Medicaid Quality of Care Population Health 59

NCQA

NOVEMBER 15, 2024

About Health Plan Ratings and Public Comment NCQA’s Health Plan Ratings evaluate the quality of care provided by commercial, Medicare Advantage and Medicaid health plans. HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Quality Assurance 52

Quality Assurance Medicaid Medicare Quality of Care 52

NASHP

MARCH 14, 2022

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

NCQA

DECEMBER 18, 2024

For Measurement Year 2024, we will publicly report nine HEDIS measures stratified by race and ethnicity, and provide state, regional and national benchmarks for plans to compare their performance and identify areas that might benefit from targeted quality improvement efforts. NCQA believes that high-quality care is equitable care.

Quality Assurance 52

Quality Assurance Accountability Quality Improvement Pharmaceuticals 52

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. million Medicaid participants. million Medicaid enrollees.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

NCQA

JULY 31, 2024

Many of our HEDIS measures are used in quality reporting and value-based purchasing by Medicare, Medicaid and commercial insurance plans. Defining the Behavioral Health Access Problem The need for behavioral health treatment has never been more pressing, but there are wide disparities in access to care.

Quality Assurance 52

Quality Assurance Regulations Quality of Care Medicaid 52

NCQA

SEPTEMBER 17, 2024

This year, 1,019 commercial, Medicare and Medicaid health plans earned a rating from NCQA. There was a slight increase in Medicare and Medicaid plans that achieved 4- and 4.5-star star ratings, demonstrating improvement across several health quality measures. Learn more about that change here.

Quality Assurance 52

Quality Assurance Medicaid Medicare Patient Experience 52