NCQA - National Committee for Quality Assurance

03/17/2026

Utilization management requirements continue to evolve, making it essential for organizations pursuing NCQA Accreditation to stay current and prepared. NCQA’s Accreditation in Utilization Management course offers a practical, self-paced overview of recent Accreditation updates, guided by NCQA surveyors and faculty expert Clint Koenig, MD.

Through real-world scenarios, expert insights and applied learning, participants gain a clearer understanding of what compliance looks like in practice, from quality improvement and delegate collaboration to privacy, confidentiality and timely decision-making. Designed for health plans, health systems, consultants and health care leaders, the course helps teams evaluate current utilization management programs and identify opportunities to strengthen performance.

Learn more and register: https://bit.ly/4dqVery

Self-paced Expires: August 30, 2026 As a framework for implementing best practices, NCQA standards for health care organizations provide value-centric guidance for improving performance.

03/17/2026

NCQA Chief People Officer Tia Butler recently joined an industry leader panel at Cozeva's annual User Group Meeting, sharing insights on integrating people, policy and evidence to drive clinical excellence. During the discussion, Butler highlighted that as healthcare continues to evolve digitally, sustained quality outcomes still depend on how organizations design roles, develop leaders and support teams. Her perspective underscored the critical role talent strategy plays in advancing high-quality care.

03/16/2026

NCQA’s 2025 and 2026 Health Plan Ratings datasets provide full access to trusted Ratings data for accredited and nonaccredited commercial, Medicare and Medicaid health plans, including composite and measure-level results based on HEDIS® and CAHPS®. Use one authoritative source to benchmark performance, track trends over time and support quality improvement planning, accreditation strategy and executive reporting. Both datasets are available in a convenient Excel format for internal analysis.

2025 Health Plan Ratings: https://bit.ly/4lttZ1w

2026 Health Plan Ratings: https://bit.ly/4bJMI5Q

03/13/2026

is just days away! We’re thrilled that NCQA President & CEO Vivek Garg, MD, MBA will take the stage on Tuesday, March 17, for a Quality Speaker Spotlight panel to discuss the state of quality and safety in healthcare today and how , and industry partners can accelerate improvement for clinicians and patients.

Learn more today: https://bit.ly/3P9q7Xw

03/13/2026

In recognition of Colorectal Cancer Awareness Month, NCQA is sharing an update on efforts to develop a new HEDIS® measure focused on follow-up care after positive colorectal cancer screening results. While routine screening can save lives, gaps in timely diagnostic follow-up remain a critical quality issue. Learn how this proposed measure aims to close that gap in the latest Quality Matters newsletter.

Subscribe to Quality Matters, our bi-weekly newsletter, and stay updated on emerging trends and research impacting healthcare quality: https://bit.ly/4bHKeVu

03/12/2026

⏰ You still have one day to leave your feedback on our HEDIS Public Comment!

HEDIS® Public Comment gives stakeholders a chance to weigh in on proposed updates to the nation’s most widely used quality measures. NCQA is seeking feedback on seven new measures and revisions to three existing measures.

Submit your comments by 5:00 pm (ET), Friday, March 13, 2026 here: https://bit.ly/2VmgpSH

03/12/2026

Join for a free webinar to explore updates to the program and the proposed Wellness and Condition Management Program. Our NCQA experts will review changes open for public comment and highlight a new, streamlined experience. Register today: https://bit.ly/47IDmVs

03/12/2026

's Health Plan Accreditation provides a current, rigorous and comprehensive framework for essential quality improvement and measurement. Congratulations to Antidote Health on achieving this accreditation and demonstrating your commitment to quality!

Learn more about the latest updates in Health Plan accreditation here: https://bit.ly/3PxsKT3

A commitment to quality is at the heart of what we do.

That’s why our team has been working hard behind the scenes. We’re proud to share that Antidote Health has earned Health Plan Accreditation from the NCQA, an independent organization that sets high standards for healthcare.

For us, this isn't a finish line. It's a foundational step and a promise to our members that we will continue to build a health plan you can count on.

03/10/2026

Utilization management plays a critical role in ensuring patients receive appropriate, timely care without unnecessary use of resources.

NCQA’s Utilization Management Accreditation helps organizations demonstrate that utilization decisions are grounded in objective, evidence-based best practices and aligned with state requirements. The accreditation provides a proven quality improvement framework to support fair, consistent evaluations led by qualified health professionals.

Ready to strengthen your utilization management program? Learn how NCQA Utilization Management Accreditation can support quality, efficiency and credibility:

With the ever-increasing emphasis on reducing costs while improving patient outcomes, utilization management companies are taking on new importance. Using objective and evidence-based criteria they evaluate requested health care services to make fair and timely determinations (on behalf of their cli...

03/09/2026

Advance your NCQA credentialing expertise with NCQA Advanced Credentialing: Strategies Beyond Compliance, a live webinar on March 12, 1–4 p.m. ET.

Designed for experienced credentialing professionals, this advanced course explores real-world scenarios, ongoing monitoring and data-driven quality improvement strategies aligned with NCQA standards.

Register today and gain practical tools you can apply immediately: https://bit.ly/4aAQEoX

03/09/2026

Healthcare quality is accelerating, and digital innovation is leading the way. Join us at HIMSS as Edward Yurcisin explores how Bulk FHIR® and real world collaboration are scaling digital quality measurement for a more connected, real time future.

Want to talk trends shaping 2026 and beyond? Let’s connect at HIMSS: https://bit.ly/4u9CAdI

03/09/2026

's HEDIS MY 2026 Volume 2 Publication is the technical resource teams lean on when they need to move from interpretation to ex*****on: complete measure specifications; data collection and reporting guidance; and step-by-step calculation and sampling instructions all in one place.

This publication provides:
- Clear, standardized guidance across clinical, utilization, and experience-of-care measures
- Rules for Allowable Adjustments of HEDIS, supporting responsible use beyond traditional health plan reporting
- Access to the HEDIS Value Set Directory (VSD) to support more efficient, transparent measure calculation

Whether you’re tightening workflows ahead of reporting season or aligning teams across quality, analytics and compliance, Volume 2 helps reduce rework and strengthen confidence in your results. Access HEDIS MY 2026 Volume 2: https://bit.ly/4d43AFm

HEDIS MY 2026 Volume 2 (epub)