From Susan

As we approach the end of 2024, I am excited about what 2025 holds. The MHR Team will continue collaborating with our current clients to support their ongoing success while also welcoming new clients to guide them through their NCQA Accreditation journey.

I speak directly with many leaders in health insurance and related companies, asking about our consulting services. Deciding to hire an NCQA consultant does not come lightly for organizations fraught with the lack of bandwidth, internal expertise, and budget constraints.

Regardless of your situation, chances are, MHR has already seen it, from missing data, vague reporting, out-of-date policies, no committee oversight, and confusion on legal entities to organizations that may have failed their survey or are now on corrective action.

For all NCQA consulting firms you are considering, I recommend using our free downloadable checklist on Choosing an NCQA Accreditation Consultant.  Having worked with over 120 organizations and conducted more than 200 surveys with a 100% pass rate, I am confident that MHR will stand out as the top choice!

Speaking of 2025, if you haven’t done so already, ensure that your organization’s goals are explicitly stated to drive healthcare quality one NCQA Accreditation at a time. Here is how.

• Make NCQA Accreditation a corporate goal
• Cascade performance goals to the divisional, departmental, and individual levels
• Ensure goals are SMART (Specific, Measurable, Achievable, Realistic, and Time-bound)
• Tie an incentive structure to performance goals

One tool to help you monitor your 2025 quality goals is MHR’s QI Work Plan Calendar. This template lists documents for committee review by standard and is customizable to your needs. Organizations enter monthly tasks such as collecting data, conducting a meeting on methodology, or auditing denial files.

On behalf of the MHR Team, we are truly grateful for your continued trust in us, and wish you a very Happy Thanksgiving!

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You may have noticed new activity on my LinkedIn page and MHR’s Company page. Be sure to follow me for my personal insights about healthcare quality and other news about MHR.

In the News

For more highlights on NCQA’s Summit, click on the following links:

Advancing Behavioral Health Care at the Health Innovation Summit (NCQA)

More Medicare Advantage Beneficiaries are Filing Appeals for Denied Services or Treatments (The Commonwealth Fund)

Monitoring the Impact of CAHPS® Surveys on Stars Ratings (RISE)

Webinars and Events

December 13, 2024: MHR Client Webinar Training (noon ET) It’s time to register

March 6, 2025: Update to the 2025 NCQA standards (2:00 ET) Save the date

April 7-8, 2025: NCQA Health Equity Forum 2025 (Baltimore, MD)