Latest news with #www.ncqa.org
Business Wire
08-07-2025
- Business
- Business Wire
Claritev's PHCS Network Receives Twelfth Consecutive NCQA Accreditation in Credentialing
MCLEAN, Va.--(BUSINESS WIRE)--Claritev Corporation ('Claritev' or the 'Company') (NYSE: CTEV) today announced that the PHCS Network, the largest primary PPO in the nation, received its 12th consecutive Accreditation in Credentialing from the National Committee for Quality Assurance (NCQA), a private nonprofit organization dedicated to improving health care quality. The PHCS Network is the only national independently contracted primary PPO with NCQA accreditation, demonstrating its unique commitment to the accurate and efficient credentialing of health care professionals. First certified in 2001, the PHCS Network underwent a rigorous review of its credentialing and recredentialing processes to maintain its NCQA Accreditation in Credentialing. The network was reaccredited for the maximum period of 3 years, which is valid through June 13, 2028. Through the accreditation process, the NCQA auditor specifically remarked that Claritev: Had dedicated and knowledgeable staff, Prepared files facilitating a smooth file review, and Made timely credentialing decisions. 'This twelfth consecutive NCQA Accreditation is a testament to the unwavering commitment and caliber of our team to uphold the highest standards in credentialing,' said Jerry Hogge, Chief Operating Officer of Claritev. 'It reflects our dedication to ensuring that healthcare professionals in the PHCS Network meet rigorous quality benchmarks, ultimately supporting better outcomes for the patients and partners we serve.' The PHCS Network provides health plan members with seamless access to healthcare services across the country, with more than a million participating practitioners, 4,600 acute care facilities and 92,000 ancillaries. About NCQA NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care, with over 60% of the US population enrolled in health plans that use the measure. NCQA can be found online at on Twitter @ncqa, on Facebook at and on LinkedIn at NCQA has reviewed and accredited Claritev's Credentialing functions for the PHCS Network only. For complete details on the scope of this review, visit About Claritev Claritev, formerly known as MultiPlan, is a healthcare technology, data, and insights company focused on delivering affordability, transparency, and quality. Led by a team of deeply experienced associates, data scientists, and innovators, Claritev provides cutting-edge solutions and services fueled by multiple data sources and over 40 years of claims repricing experience. Claritev utilizes world-class technology and AI solutions to power a robust enterprise platform that delivers meaningful insights to drive affordability in healthcare, brings price transparency and optimizes networks and benefits design. By focusing on purpose–built solutions that support all key players – including payors, employers, patients, providers and third parties – Claritev aims to make healthcare more accessible and affordable for all. For more information, visit
Yahoo
01-07-2025
- Business
- Yahoo
MedImpact Achieves NCQA UM Accreditation Three-Year Renewal
SAN DIEGO, July 01, 2025--(BUSINESS WIRE)--MedImpact, the nation's largest independent pharmacy benefit and health solutions company, announced today that it has earned a three-year reaccreditation in Utilization Management from the National Committee for Quality Assurance (NCQA). This marks MedImpact's fourth consecutive NCQA UM Accreditation. "Achieving NCQA Utilization Management Accreditation demonstrates that MedImpact has the systems, processes, and personnel in place to conduct utilization management in accordance with the strictest quality standards," stated Margaret E. O'Kane, President, NCQA. NCQA is an independent, nonprofit organization dedicated to improving healthcare quality through voluntary, objective, and evidence-based evaluations. NCQA accreditation is a key critical differentiator for pharmacy benefit managers (PBMs) seeking to partner with health plans, managed care organizations, and accountable care organizations. "For more than 35 years, MedImpact has ensured timely access to medications and supported improved health outcomes by putting our clients and members at the center of care," said Denise Burns, Chief Operations Officer at MedImpact. "NCQA represents the gold standard in healthcare quality, and this recognition reflects our continued commitment to clinical excellence, responsible utilization, and delivering connected care that supports both quality and affordability." MedImpact continues to lead the way in clinical innovation, investing heavily in a world-class clinical team, and delivering personalized care solutions. This forward-thinking approach drives effective utilization management, high-touch member engagement, and low year-over-year cost trend. Today, MedImpact supports more than 55 million consumers globally, including many of the nation's most recognizable health plans and self-insured employers. "MedImpact's successful NCQA UM Accreditation renewal and continued URAC PBM Accreditation validate the integrity of our clinical programs and operational excellence, reinforce our commitment to uphold the highest standards of quality and transparency, and reaffirm our position as a trusted healthcare leader," Burns said. NCQA has reviewed and accredited MedImpact's Utilization Management functions only. For complete details on the scope of this review, visit About MedImpact MedImpact Healthcare Systems, Inc., based in San Diego, is the nation's largest independent health solutions, technology, and pharmacy benefit management provider. For 35 years, MedImpact has partnered with commercial and government healthcare payers to improve member health, manage pharmacy benefits, and reduce drug costs. The company serves more than 55 million consumers globally and processes over $40 billion in pharmacy transactions annually. To learn more, visit us online, follow us on LinkedIn, or contact us at info@ About NCQA NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare. NCQA's website ( contains information to help consumers, employers and others make more informed health care choices. NCQA can be found online at on X (Twitter) @ncqa, on Facebook at and on LinkedIn at View source version on Contacts Jennifer Krolljkroll@ Sign in to access your portfolio
Business Wire
01-07-2025
- Business
- Business Wire
MedImpact Achieves NCQA UM Accreditation Three-Year Renewal
SAN DIEGO--(BUSINESS WIRE)-- MedImpact, the nation's largest independent pharmacy benefit and health solutions company, announced today that it has earned a three-year reaccreditation in Utilization Management from the National Committee for Quality Assurance (NCQA). This marks MedImpact's fourth consecutive NCQA UM Accreditation. 'Achieving NCQA Utilization Management Accreditation demonstrates that MedImpact has the systems, processes, and personnel in place to conduct utilization management in accordance with the strictest quality standards,' stated Margaret E. O'Kane, President, NCQA. NCQA is an independent, nonprofit organization dedicated to improving healthcare quality through voluntary, objective, and evidence-based evaluations. NCQA accreditation is a key critical differentiator for pharmacy benefit managers (PBMs) seeking to partner with health plans, managed care organizations, and accountable care organizations. 'For more than 35 years, MedImpact has ensured timely access to medications and supported improved health outcomes by putting our clients and members at the center of care,' said Denise Burns, Chief Operations Officer at MedImpact. 'NCQA represents the gold standard in healthcare quality, and this recognition reflects our continued commitment to clinical excellence, responsible utilization, and delivering connected care that supports both quality and affordability.' MedImpact continues to lead the way in clinical innovation, investing heavily in a world-class clinical team, and delivering personalized care solutions. This forward-thinking approach drives effective utilization management, high-touch member engagement, and low year-over-year cost trend. Today, MedImpact supports more than 55 million consumers globally, including many of the nation's most recognizable health plans and self-insured employers. 'MedImpact's successful NCQA UM Accreditation renewal and continued URAC PBM Accreditation validate the integrity of our clinical programs and operational excellence, reinforce our commitment to uphold the highest standards of quality and transparency, and reaffirm our position as a trusted healthcare leader,' Burns said. NCQA has reviewed and accredited MedImpact's Utilization Management functions only. For complete details on the scope of this review, visit About MedImpact MedImpact Healthcare Systems, Inc., based in San Diego, is the nation's largest independent health solutions, technology, and pharmacy benefit management provider. For 35 years, MedImpact has partnered with commercial and government healthcare payers to improve member health, manage pharmacy benefits, and reduce drug costs. The company serves more than 55 million consumers globally and processes over $40 billion in pharmacy transactions annually. To learn more, visit us online, follow us on LinkedIn, or contact us at info@ About NCQA NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare. NCQA's website ( contains information to help consumers, employers and others make more informed health care choices. NCQA can be found online at on X (Twitter) @ncqa, on Facebook at and on LinkedIn at
