We set national standards for. The NCQA offers a long-term services and supports (LTSS) distinction to organizations that provide managed health services and coordinate social services for the LTSS. The National Quality Control Committee (NCQA) has certified the EPIC Management accreditation department, which oversees the accreditation of all Pinnacle Medical Group doctors and providers. The NCQA is an independent, not-for-profit organization that certifies physician organizations and accredits managed care organizations and preferred provider organizations.
Then, a National Medical Oversight Committee reviews the survey team's findings and assigns our certification status based on our performance compared to NCQA regulatory standards. The certification of a medical organization (POC) for accreditation means that the EPIC Management accreditation process has exceeded NCQA's rigorous requirements for consumer protection and quality improvement. The Joint Commission for Accreditation of Healthcare Organizations (JCAHO) is responsible for accrediting managed care organizations and other healthcare entities. Established in 1951, it ensures that organizations meet strict quality standards to improve healthcare delivery.
Accreditation by the JCAHO is crucial for organizations to improve their reputation and participate in government health programs. The interest in quality is reinforced by consumer demand and empowerment, professional ethics, legal and regulatory interpretation of citizen rights, and attempts by employers to increase the value of their investment in healthcare and satisfy their employees in a competitive healthcare market. The NCQA was created in 1979 by two managed care associations, the Group Health Association of America and the American Managed Care and Review Association (now merged and renamed the American Health Plan Association). In 1951, the Joint Commission for Hospital Accreditation (JCAH) was created in collaboration with the American College of Surgeons, the American College of Physicians, the American Medical Association and the Canadian Medical Association.
Some private payers, such as the Digital Equipment Corporation, have developed their own standards for HMOs and other managed care organizations that provide care and also urge contracted organizations to publicly collect and report performance information. The COA has developed standards for more than 50 services, including outpatient mental health and substance abuse services, day care, foster care and day care for children, services for people with developmental disabilities, services for victims of domestic violence, adoption services, vocational and employment services, and others. The mission of the NCQA is “to provide information that allows buyers and consumers of managed care to distinguish between plans based on quality, allowing them to make more informed health care purchasing decisions.” Learn how NCQA virtual care accreditation can help your organization build trust and improve the quality of care. The URAC was formed in 1990 after a series of meetings with the American Managed Care and Review Association and industry representatives indicated that standards for utilization review and an independent accreditation organization were needed.
