Sleepless Nights

What keeps health plan managers up at night? Those concerns are shifting—in part due to new metrics for health plan (and provider organization) success.

That was my take away from a recent interview with Margaret Mays, formerly Vice President of Staff Accreditation for Carelon (Beacon Health Options), who has just rejoined our OPEN MINDS team. Those big concerns? Health equity accreditation, low Health Effectiveness Data and Information Set (HEDIS) scores of Medicaid health plans, digital measurement of HEDIS performance data, and access to care.

One big issue for health plan managers is the new NCQA health equity accreditation program . . .