Neighborhood consistently provides high-quality services for our members.
NCQA is a private, non-profit organization dedicated to improving health care quality.
Neighborhood first earned NCQA’s “Excellent” Accreditation status in 2001 for its Medicaid product and has distinction for 19 years. In 2020, NCQA removed “Excellent” status and the highest status a Plan can achieve is “Accredited.” In addition to being Accredited, Health Plans will now earn a Star Rating based on HEDIS and CAHPS results.
About NCQA Accreditation
NCQA Accreditation is a nationally recognized evaluation that purchasers, regulators, and consumers can use to assess managed care plans. NCQA Accreditation evaluates how well a health plan manages all parts of its delivery system – physicians, hospitals, other providers and administrative services – in order to continuously improve health care for its members. NCQA accreditation surveys include rigorous on-site and off-site evaluations of over 60 standards and selected HEDIS® performance measures.
These standards include the following categories:
- Quality Improvement and Management
- Network Management
- Utilization Management
- Credentialing and Recredentialing
- Members Experience
- Population Health Management
A team of physicians and managed care experts conducts accreditation surveys. A national oversight committee of physicians analyzes the team’s findings and assigns an accreditation level based on the performance level of each plan being evaluated according to NCQA’s standards. To learn more about NCQA, please visit the NCQA website.
Neighborhood’s Quality Improvement Program
Our quality improvement program strives to ensure that members have access to high quality health care services that are safe, effective, and responsive to their needs, resulting in positive health outcomes.