NCQA Accreditation Consulting

 

Experience from the 1990s

Integral Healthcare Solutions’ roots in NCQA Accreditation go all the way back to the earliest years of NCQA, when IHS’s founder, Dr. Thomas Goddard, was General Counsel of an NCQA-accredited health plan in the mid-1990s. For the last dozen years, IHS has provided expert consulting work to NCQA applicants for accreditation and reaccreditation in health plan, utilization management, and case management. We’ve relied on multiple-decade-experienced NCQA consultant-reviewers who have worked on both sides of the NCQA process, reviewer and applicant.

Our current NCQA expert consultant, Maureen Plumstead, has worked as an NCQA reviewer since 1996. Her experience as both a NCQA reviewer and as consultant to applicants for NCQA accreditation covers the following accreditation programs:

  • National and regional Health Plans for commercial, Medicare, Medicaid, and Marketplace

  • Managed Behavioral Health

  • Credentialing Organizations

  • Case Management

  • Disease Management

  • Multicultural Health Care

  • Wellness Programs

  • Physician Organizations

  • Long-Term Services and Support

  • Patient Centered Medical Homes

The level of success for the firms for which she has consulted is off the charts. If your organization would benefit from our deep expertise in any of these NCQA programs, please schedule a meeting with us to see if we can be of assistance.