A health plan's accreditation status provides an impartial opinion about its quality. An impartial organization accredits a health plan when it determines that the health plan's practices meet national standards.
The following independent, private, not-for-profit organizations dedicated to measuring the quality of health care organizations accredit health plans in the FEHB Program. A health plan's brochure cover will show its accreditation status and the accrediting organization.
The Accreditation Association for Ambulatory Health Care (AAAHC) is a private, not-for-profit organization dedicated to improving health care quality and patient safety. AAAHC evaluates how health care is delivered through accreditation programs based on nationally recognized Standards and a unique peer-based review system. AAAHC Standards for health plans are reviewed annually by member organizations, resulting in accreditation criteria that reflect current best practices relevant to the full range of ambulatory health care settings.
The survey process is founded on a collaborative, consultative, educational approach to on-site review of each organization seeking accreditation.
The National Committee for Quality Assurance (NCQA) is a private, not-for-profit organization dedicated to assessing and reporting the quality of health plans. Employers, consumer and labor representatives, health plans, quality experts, policy makers, and representatives from organized medicine work together to provide information that enables purchasers and consumers to distinguish among plans based on quality. Their accreditation status helps consumers make more informed health care decision. The levels of accreditation are listed below:
URAC, is an independent, nonprofit organization that promotes health care quality through its accreditation programs. URAC offers a wide range of quality programs and services that keep pace with the rapid changes in the health care system. URAC's accreditation assures a health plan's commitment to quality and accountability.