University of Utah Health Plans Receives NCQA Interim Accreditation

University of Utah Health Plans (UUHP) received its National Committee for Quality Assurance (NCQA) Interim Accreditation in January 2017 for its Individual Marketplace and Commercial health plans. NCQA is an independent, not-for-profit organization whose mission is to improve the quality of health care. NCQA Health Plan Accreditation is a nationally recognized evaluation that purchasers, regulators and consumers can use to assess health plans. Health Plan 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 the quality of care and services provided to its members. 

The quality team, led by Josette Dorius, MPH, BSN, Frances Serrano, and Dana Patterson, worked collectively with all departments in the organization to meet NCQA’s rigorous standards. This accreditation status will help us in continuing to grow our enrollment on the Individual Marketplace and with other payer groups. It supports UUHP’s commitment in transforming health care quality through analysis, transparency and accountability.


About NCQA Health Plan Accreditation
The NCQA seal is a widely recognized symbol of quality. For consumers and employers, the seal is a reliable indicator that an organization is well-managed and delivers high quality care and service. NCQA Accreditation is the most comprehensive evaluation in the industry.

Meets Employer Demands. Many employers – especially the fortune 500 – do business only with NCQA-Accredited plans. They and other purchasers want to maximize the value of their health care spending. The National Business Group on Health’s widely used eValue8 tool captures NCQA Accreditation status and HEDIS/CAHPs scores as an important indicator of a plan’s ability to improve health, and health care.   

Meets Regulator Demands. NCQA Accreditation contains all key elements that federal law and regulations require for State Health Insurance Marketplace plans. Forty-two states recognize NCQA Accreditation as meeting their requirements for Medicaid commercial plans; more than a dozen states mandate it for Medicaid. Also, the Federal Employees Health Benefits Program accepts NCQA Accreditation. 

Meets Consumer Demands. Consumers comparison-shop and want to know an insurer’s quality when they select a plan. This trend still grows as consumers become more responsible for managing their health care. Research by NCQA and Consumer Reports shows consumers value accreditation, especially when they know the depth and breadth of NCQA Accreditation.