MHR Newsletter 2024 #13
Managed Healthcare Resources, Inc.
Partnering, guiding and mentoring organizations to achieve successful NCQA accreditation.
Driving healthcare quality one NCQA accreditation at a time??????????????? 2024 #13
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Regardless of your situation, chances are, MHR has already seen it, from missing data, vague reporting, out-of-date policies, no committee oversight, and confusion on legal entities to organizations that may have failed their survey or are now on corrective action.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.
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!
Are You Following Me on LinkedIn??
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.
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In the News
More Medicare Advantage Beneficiaries are Filing Appeals for Denied Services or Treatments (The Commonwealth Fund)
Templates, Tools, and Training – 2025 Updates
Some organizations have asked about updates to our templates and tools based on the 2025 standards.? Be assured that our consultants are working through the changes and will have them ready in the first quarter of?2025.? If you have a high priority “now,” please let us know.
Health Equity Templates, Tools and Training
On September 27, 2024, MHR Consultant Sonia Frazier conducted a webinar titled "Overcoming Challenges with NCQA Health Equity Accreditation." One of the most significant challenges organizations face is collecting and analyzing data from various internal and external sources. MHR offers resources designed to guide you on the path to Accreditation, starting with our comprehensive Health Equity guide. Additionally, we offer four templates for annual reports covering disparities, language services, network responsiveness, and language profiles, all aimed at easing these challenges. For more information, contact your MHR Consultant or send us an email at [email protected]
Model of Care (MOC) Reviews for Special Needs Plans (SNPs)
Now is the time to request a review of a CMS MOC for Special Need Plans. NCQA is designated by CMS to review MOCs before they are submitted to CMS. MHR Consultant Jean Lockington conducts these reviews for MHR non-clients, avoiding any potential conflict of interest.
Webinars and Events
December 13, 2024: MHR Client Webinar Training (noon ET) It’s time to register
Register at: 12/13/2024 MHR Triennial Client Update
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)
To reach us at MHR, please contact your Consultant or send an email to [email protected]