Contact us Menu Search for: Quality & Accreditation Services Home / Services / Quality & Accreditation Services The world of healthcare quality is advancing. HMA keeps you ahead of the curve. State and federal entities are relying more on independent measures of health plan quality to compare Medicare and Medicaid managed care organizations (MCOs). These measures are now linked to billions of dollars in performance revenue. HMA’s quality and accreditation services can help you leverage these quality measures to maximize value-based contracts, win requests for proposals, increase membership, and optimize member experience. Jump ahead to: The HMA approach to quality Meet some of our quality and accreditation experts Accreditation: The HMA Survey Ready Model Clinical Quality Measurements: Maximizing HEDIS® and other ratings Member experience and CAHPS® scores: Optimizing the journey The HMA approach to quality. HMA’s quality solutions are tailored to the unique needs of our clients, and emphasize four key areas: Accreditation and Regulatory Performance: States are increasingly looking to accreditation programs to hold health plans accountable for the standards in which they deliver care. HMA’s Survey Ready Model will prepare you for the accreditation process–and keep your organization achieving accreditation standards every day. Clinical Quality Measurements: We’ll help you navigate key measurement systems such as HEDIS® and state-specific quality measures. Member Experience and CAHPS®: Increasing weight is being put on the member experience of care through surveys such as CAHPS and HOS. HMA can show you how to improve and optimize the member experience using a data-driven approach. Quality Performance Programs: Using our vast experience in the Medicare and Medicaid space, HMA can help you maximize ratings in programs like Medicare STARS and Medicaid quality performance. HMA can support multiple projects and engagements within the quality space, from short-term to long-term needs, including temporary staffing, if requested. See chart below Meet some of our quality and accreditation experts. Our experts in the quality space come from a variety of backgrounds: National Committee for Quality Assurance (NCQA) surveyors Former HEDIS auditors Health plan and provider senior quality staff (vice presidents and chief quality officers) Former Medicare/Medicaid leaders Their in-depth experience allows them to understand the complex quality improvement needs of healthcare entities. Anthony Davis Diana Criss VIEW ALL HMA EXPERTS Accreditation: The HMA Survey Ready Model. At HMA, we believe accreditation standards represent how an organization should do business every day, creating a culture of quality that will lower costs while improving care for members. Toward this end, we use our industry-leading Survey Ready approach to help clients obtain accreditation, implement transformational change, and stay competitive. GET STARTED WITH THE SURVEY READY APPROACH Our accreditation experts give you a competitive edge. HMA’s accreditation experts work alongside commercial, Medicare and Medicaid health plans every step of the way, from determining the right accreditation for your organization to achieving a successful outcome. Whether you are seeking NCQA, AAAHC or URAC accreditation, or other certifications or distinctions, our experts’ insights and in-depth knowledge of the accreditation process will give you an edge that leads to better ratings – and more business. Utilizing our Survey Ready Model, we’ll help your organization stay survey-ready year-round. Our Expertise: Accreditation Support Services: Training Opportunities: Client Results Accreditation Association for Ambulatory Healthcare READ NOW Clinical Quality Measurements: Maximizing HEDIS and other ratings. Navigating changing requirements for health plans can be challenging. There are now multiple quality measurement systems, including: HEDIS CMS Medicare Star Ratings NCQA Star Ratings Marketplace Star Ratings Other state-/federal-based performance incentives and initiatives focused on clinical outcomes and performance-based standards HMA’s approach drives improvement in these critical measures using four core strategies: Data/Analytics Organizational Alignment Member Interventions Provider Interventions By designing strategic initiatives across these broad areas, HMA has had significant success in helping health plans, vendors, and providers achieve year-over-year results in HEDIS and other clinical measurement improvement in core quality metrics. Our clinical measurement expertise: Member experience and CAHPS scores: Optimizing the journey. HMA tailors solutions to address member experience and CAHPS improvement, based on the unique demographic and social characteristics of the populations being served. We take a strategic and data-driven approach to CAHPS improvement initiatives, developing a “CAHPS game plan” that can be used to continuously improve performance while creating actionable data. This plan will spur incremental year-over-year changes in member experience measures. CAHPS improvement services: HMA consultants are professional and hard working. They are constantly trying to add value wherever they can. Absolutely outstanding across the board. – Current HMA Client Ready to talk to a Quality and Accreditation expert? SCHEDULE A CONSULTATION First Name Last Name Company Name Email Address Phone Number Notes Recent Reports HMA report compares quality outcomes across state Medicaid program delivery models November 22, 2021 A recently completed analysis of the impact of Medicaid managed care on key quality indicators found managed care organizations (MCO) outperformed fee-for-service (FFS) and primary care case… READ MORE VIEW ALL REPORTS Blog Missouri Releases Medicaid Managed Care RFP December 2, 2021 This week our In Focus reviews the Missouri MO HealthNet (MHD) Medicaid Managed Care Program request for proposals (RFP), released on November 19, 2021, by the Department… READ MORE VIEW ALL POSTS Locations Corporate Office 120 North Washington Square Suite 705 Lansing, MI 48933 Telephone: (517) 482-9236 Fax: (517) 482-0920 VIEW LOCATIONS NATIONWIDE ©2021 Health Management Associates. All rights reserved. Career Opportunities | Contact Us | Privacy Policy