About Managed Healthcare Resources
Managed Healthcare Resources (MHR), Inc. was founded in 1991 by Susan K. Moore, RN, President and CEO. MHR provides NCQA and URAC accreditation consulting to organizations across the United States.
For more than three decades, MHR has helped organizations understand where they stand, identify accreditation gaps, determine the resources needed, and develop a clear path forward for achieving and sustaining accreditation.
Our consultants who lead the work are current NCQA Surveyors and former URAC Reviewers. They bring extensive accreditation and operational experience to organizations pursuing initial accreditation, preparing for an NCQA survey or URAC review, or working to sustain readiness throughout the accreditation cycle.
35+ Years
Since 1991
800+
Successful Submissions
112 Million
Lives Affected
NCQA + URAC
Experienced Consultants
How MHR Helps Organizations Move Forward
Accreditation can become overwhelming when an organization does not know the size of the work ahead, whether it has the internal resources to manage it, or how to proceed.
MHR helps bring clarity to that process.
Depending on an organization's needs, our consultants help assess readiness, identify documentation and operational gaps, develop a gap assessment and work plan, interpret NCQA and URAC standards, prepare for submission or review, and strengthen ongoing accreditation readiness.
We believe organizations should understand the work, not simply complete a checklist. That is why teaching, coaching, and knowledge-sharing are central to the way MHR works with clients.
Experience That Extends Beyond Consulting
MHR consultants bring experience from accreditation, clinical care, managed care, quality, operations, and other areas that influence how accreditation requirements are implemented in day-to-day work.
That practical perspective helps clients connect NCQA and URAC standards to their own operations rather than treating accreditation as a separate project that only receives attention when a survey or review approaches.
MHR also provides tools, templates, and training resources to help organizations understand requirements, strengthen documentation, and maintain accreditation readiness.
What Makes MHR Different
We Teach, Not Just Tell
Our goal is to help clients understand the intent and requirements behind NCQA and URAC standards so their teams can apply that knowledge long after an engagement ends.
We Start With What the Organization Actually Needs
Not every organization needs the same level of support. MHR helps clients understand where they stand, the size of the gaps they need to address, and the time and internal resources required before determining the appropriate path forward.
We Connect Accreditation to Operations
Policies, documentation, monitoring, and day-to-day practices need to align. Our consultants help organizations identify where those connections may be breaking down and what needs attention before accreditation becomes a last-minute fire drill.
We Focus on Sustainable Readiness
Accreditation is not a one-time project. MHR helps organizations develop the knowledge, resources, and practices needed to sustain readiness throughout the accreditation cycle.
"One of the things I reflected on in my decision was how much I enjoy partnering with our MHR team. Not only do you all bring such a depth of expertise, but the ability to keep members centered in the NCQA framework and to guide us in our journey. I am so proud we got a 100% in our last survey, and credit MHR so much for Ā our ability to demonstrate our quality commitment and still know we can continue to improve.Ā "
Laura L., Accreditation Manager from a large west coast multi-product health plan.
Why We Do This Work
MHR was founded on the belief that accreditation can be more than meeting requirements.
Susan K. Moore's early career as a Registered Nurse, followed by leadership roles in quality, compliance, managed care, claims, and utilization management, shaped MHR's approach to accreditation. The standards matter because of what they are intended to improve for the people organizations serve.
Today, MHR's work affects 112 million lives through the organizations and programs we support.
By helping organizations understand and apply NCQA and URAC standards, MHR works to strengthen quality, identify gaps in care and service, and support meaningful improvements that extend beyond the accreditation process itself.
How We Work
MHR's culture is grounded in integrity, ethics, collaboration, attention to detail, and continuous improvement.
Our consultants bring different professional and accreditation experiences to the team and freely share that knowledge with one another. At the same time, we recognize that our clients are the experts in their own organizations.
That combination matters. MHR brings accreditation expertise. The client brings operational knowledge. Together, we determine what needs attention, what is already working, and what will help the organization move forward.
Driving healthcare quality one NCQA and URAC accreditation at a time.
