National Committee for Quality Assurance (NCQA)
NCQA Is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care organizations, managed behavioral healthcare organizations, physician organizations and credentials verification organizations.
Physician/Provider Credentialing
The National Committee for Quality Assurance (NCQA) has certified EPIC Management’s credentialing department who oversees the credentialing of all Pinnacle Medical Group physicians and providers. The NCQA is an independent, non-profit organization that certifies physician organizations, and accredits managed care organizations and preferred provider organizations. A National Oversight Committee of Physicians then analyze the survey team's findings and assigned our Certification status based on our performance compared to NCQA regulatory standards. The Physician Organization Certification (POC) in Credentialing means that EPIC Management's Credentialing process has exceeded NCQA's rigorous requirements for consumer protection and quality improvement.
P4P – Pay for Performance
California Pay for Performance (P4P) is a statewide collaboration that creates the business case for physician organization (PO) quality. EPIC Management, LP and Pinnacle Medical Group successfully completed an audit review by NCQA for P4P performance.
The Integrated Healthcare Association (IHA), a nonprofit, statewide health care leadership group engages various sectors of health care delivery in dialogue and collective action to develop policy and special projects centered on integrated health care and managed care. IHA helps California’s Health Plans reward POs for performance in clinical care, information technology (IT) adoption and patient experience by providing a clear set of health plan expectations, using common metrics and public reporting.
NCQA, IHA’s data aggregator for the P4P Program, coordinates, collects, aggregates, analyzes and reports both health plan and PO clinical quality measures and Information Technology Development data. These data are integrated with patient experience data and reported to help health plans determine the financial reward paid to participating California POs. NCQA also is technical advisor and consultant in P4P measure development, testing and implementation.
NCQA P4P Audit ReviewTM is a trademark of the National Committee for Quality Assurance (NCQA)