Statements (33)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
gptkb:certification
|
| gptkbp:appliesTo |
Health Plan
|
| gptkbp:awardedBy |
gptkb:Accreditation_Association_for_Ambulatory_Health_Care
gptkb:URAC gptkb:National_Committee_for_Quality_Assurance |
| gptkbp:criteria |
Patient safety
Quality improvement Case management Appeals and grievances Credentialing Member rights and responsibilities Network adequacy Preventive health services Utilization management |
| gptkbp:frequency |
Every 3 years
|
| https://www.w3.org/2000/01/rdf-schema#label |
Health Plan Accreditation
|
| gptkbp:improves |
Regulatory compliance
Consumer confidence Plan performance |
| gptkbp:originatedIn |
gptkb:United_States
|
| gptkbp:purpose |
Quality assurance
Regulatory compliance |
| gptkbp:recognizedBy |
gptkb:Centers_for_Medicare_&_Medicaid_Services
State insurance regulators |
| gptkbp:requires |
Performance measurement
Documented policies and procedures On-site survey |
| gptkbp:usedBy |
Medicaid plans
Medicare Advantage plans Health insurance companies Managed care organizations |
| gptkbp:bfsParent |
gptkb:NCQA
|
| gptkbp:bfsLayer |
7
|