NCQA
Definition
The National Committee for Quality Assurance (NCQA) is a private nonprofit that accredits health plans and other healthcare organizations and maintains the HEDIS quality measures. Its standards cover credentialing and network management, including provider directory information.
By the Candor Health team
Last reviewed
Also called National Committee for Quality Assurance and NCQA accreditation
What does NCQA do?
It sets standards and accredits health plans, credentialing organizations and others. Many employers and states expect plans to hold NCQA accreditation.
How does NCQA relate to provider data?
NCQA standards include credentialing and recredentialing of practitioners and requirements for the network information plans give members. Credentials verification organizations can be certified by NCQA.
HEDIS
NCQA also maintains HEDIS, the most widely used set of health plan performance measures.