Managed Healthcare Resources (MHR), Inc. was founded and incorporated in 1991 by Susan K. Moore, RN, who holds the position of President and CEO. MHR is a boutique consulting firm helping organizations prepare for accreditation by the National Committee for Quality Assurance (NCQA). MHR is headquartered in southeast Michigan and operates throughout the US. MHR is the only woman-owned business with a niche of NCQA accreditation and supporting activities that uses only very experienced health plan accreditation staff and is comprised of a high volume of NCQA surveyors with extensive intellectual property of templates, tools, and training.

Who WE ARE

We cover 100 million members of clients we work with for NCQA accreditation readiness.

We are a team of high achieving, experienced, mostly surveyor consultants who are passionate about the NCQA standards and that they promote higher quality outcomes for members of insurance plans. We also believe in teaching, coaching, mentoring, and modeling how to meet the NCQA standards. To do this, clients can purchase templates, tools, and also trainings that teach the intent, nuances, and requirements of the standards. We also evaluate the adequacy of the staff allocated for accreditation needs to assure that sufficient resources are available for the highest level of success.

We also train non-client staff on the standards and how to structure and implement a quality and accreditation program since there are still organizations who have never been through accreditation and have no idea how to start, maintain, and sustain accreditation.

Our DIFFERENTIATORS

• Empowering Through Education: We prioritize teaching our clients how to navigate and apply NCQA standards effectively, enabling them to build sustainable expertise rather than relying on us for quick fixes. This approach ensures long-term success tailored to their unique needs.
• Integrity in  recommendations: We only propose services and solutions that are truly appropriate and beneficial for our clients, avoiding unnecessary or misaligned offerings. Our focus is always on aligning with their goals and the standards they aim to achieve.
• Training-Centered Approach: By deeply immersing clients in the NCQA standards, we help  them develop a clear understanding of how  these principles apply specifically to their organization, empowering them to implement and
  sustain meaningful change.
• Ethical and Responsible Stewardship: We are committed to using our clients' health care  resources wisely and responsibly, ensuring that our work supports—not strains—the broader health care system. Our ethical practices prioritize positive impacts for both clients and the populations they serve.

WHY We Do What We Do

Our journey began with a passion for making a difference in health care. Early in her nursing career, our CEO discovered the joy of providing 1:1 care—whether in hospitals, hemodialysis centers, or home health settings. But she envisioned making an even greater impact, not just on individual patients but on the entire health care system.

While raising two young children and working full-time as Director of Operations at a managed care company, she pursued her dream of advancing health care quality. She enrolled in a rigorous two-year executive master’s program in health care administration at the University of Michigan School of Public Health, managing to balance her full-time job and, ultimately, welcoming her third child during the program. This pivotal moment inspired her to fully commit to consulting, channeling her passion for health care quality into helping organizations achieve meaningful improvements.

Today, our work impacts nearly 90 million members through our accreditation services, with a bold goal of reaching 100 million by end of 2025. Our mission is to elevate care and services for members across the country—especially those who feel disenfranchised, struggle with access, or face barriers due to Medicaid limitations, disabilities, or living in rural and frontier areas.

By helping organizations meet  NCQA standards—recognized as best practices and sound business principles—we aim to uncover and address gaps in care and service. Together, we’re driving systemic change to create a health care landscape where every member feels supported, valued, and cared for.

Our CULTURE

At MHR, our consultants are drawn to our culture of integrity, ethics, creative  problem-solving, and a proven track record of delivering winning results for our clients. We foster a collaborative learning environment where knowledge and experience are shared freely, making the whole greater than the sum of its parts. Each team member brings unique life and work experiences that enrich both MHR and one another.

We are committed to excellence and attention to detail, ensuring that every aspect of our work upholds the MHR brand. By developing templates, tools, training materials, and blogs, we deepen our expertise, refine our understanding of NCQA
requirements, and elevate the quality of our consulting. This continuous learning process enhances our client work while
allowing us to mentor and support one another.

At MHR, we embrace humility—acknowledging that while we bring deep expertise, our clients are the true experts in their own organizations. We learn from each engagement, using each experience to refine our approach, grow  professionally, and enhance the services we provide year after year.

Collaboration is at the heart of our culture. Every team member has a voice in shaping our work, strengthening our operations, and driving excellence. We welcome diverse perspectives, recognizing that the thoughtful exchange of ideas leads to stronger solutions.

Our culture reflects continuous quality improvement, where feedback loops help us refine what works, discard what doesn’t, and push toward new heights of professional and personal excellence.

We foster a culture of autonomy and leadership, empowering each team member to take ownership of their work. Every consultant is responsible for managing their assigned clients, executing necessary tasks, and guiding organizations through the accreditation process with confidence and expertise. We encourage proactive leadership, ensuring that each client receives strategic direction and support throughout their accreditation journey.

Above all, we genuinely care for and support one another. We work as a united team, pulling together to help each other succeed—so that, in turn, we help our clients achieve their goals and timelines with confidence.