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