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NCQA To Accredit DM Programs, HEDIS Software

MANAGED CARE July 2000. © MediMedia USA
News and Commentary

NCQA To Accredit DM Programs, HEDIS Software

MANAGED CARE July 2000. ©2000 MediMedia USA

The National Committee for Quality Assurance will soon offer its blessing to disease management programs. NCQA is developing a DM certification program intended to recognize regimens that effectively manage chronic illnesses. The program will go live next year.

Stand-alone DM vendors will be eligible for certification, as will in-house DM programs at health plans. Though NCQA is the second organization to enter the field of DM evaluation, it may be first to the finish line. The Disease Management Association of America, a DM trade group, has been discussing a DM accreditation program since its inception early last year; while no program has evolved, DMAA has issued "standards of care." DM vendors are split over whether accreditation is a necessity, and what it means in expense and administrative burden.

Meanwhile, NCQA is moving forward with two other initiatives. One will encourage makers of HEDIS-related software to vie for its approval. The plan is to certify private vendors' HEDIS-compliance software that correctly handles NCQA-supplied test cases. The certification program is to begin next year.

NCQA's other new venture tries to nudge health plans into doing what they can to make the practice of medicine safer. Beginning next year, NCQA will require plans that seek accreditation to show that they are using care-management expertise to address such issues as adverse drug interactions and coordination of care. Such a system would, in essence, require plans to work more closely with their hospitals and physicians.

Meetings

2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015