NCQA Offers ACO Accreditation Review
For example, ACOs can only be accredited if it has a sufficient number of certain types of providers to serve the population, if it collects and uses data to measure improvement, and if it has a way to protect patient privacy.
Also last November, the NCQA also set forth three levels of accreditation, Level 1 (50 points), Level 2 (70 points plus four "must pass" measures, and Level 3 (all of Level 2, shows improvement and maintains standards for three years).
With the latest announcement this month, the NCQA has identified the specific measures (Healthcare Effectiveness Data Information Set or HEDIS) and other criteria each ACO must meet. For example, practitioners must show that they maintain good blood pressure and cholesterol control for their patients who have cardiovascular disease.
These measures must be demonstrated throughout the provider ACO network, from physician's office to physician's office to clinic to acute care hospital to skilled nursing facility or hospice.
- Primary Care Docs Average More Hospital Revenue Than Specialists
- How Chargemaster Data May Affect Hospital Revenue
- House Lawmakers Grill CMS Over Health Exchange Navigators
- $6.4B Henry Ford, Beaumont Merger Failed on Cultural Hurdles
- 69% of Employers Plan to Offer Healthcare Coverage After 2014
- ED Physicians Key to Half of Hospital Admissions
- Insurer's App Aims to Lower Healthcare Costs, Securely
- Fortunately, Angelina Jolie Isn't On Medicare
- Don't Let Nurses Sink Your Bottom Line
- Q&A: Catholic Health Initiatives' New Senior VP for Capital Finance