Resources

HEDIS

NCQA Main
Learn about HEDIS audits, health plan report cards, and public policy

Plan Rankings
Understand health plan performance in satisfaction, prevention and treatment



CMS

CMS Main
Access statistics, trends, reports and manuals

CMS Star Ratings
See which health plans are high performing, or low performing

CMS Data Validation
Download the latest procedures and tools

CMS Special Needs Plans
Obtain resources and insights on SNPs and see related HEDIS measures

CMS IAV
Understand the steps of the IA validation process

CMS Internet Only Manual
Reference the Medicare Managed Care Manual and find the full library of subchapters that guide the DV process



HHS RADV Under ACA

RADV Benefit Year 2016 Notice
Learn about HHS RADV implementation and enforcement for 2017

HHS RADV History and Purpose
Learn the history and purpose of the HHS RADV program



URAC

URAC Main
Access the tools and resources available to consumers and healthcare organizations

Pharmacy Accreditation Programs
Understand the terms of accreditation