Managed Healthcare Resources is an NCQA accreditation consulting firm with a team of master’s prepared consultants, many of whom are registered nurses. One or more of the consultants assist organizations through the NCQA accreditation process through assessment of beginning and ongoing status and tracking, identification of risks and barriers to accreditation, and steps to achieve accreditation. The consultants mentor, coach, train and transfer knowledge to the plan staff regarding the intent and requirements of the NCQA standards to achieve successful accreditation. The consultants understand that organizations have differing regulatory environments, structure, staff, payment models, and affiliations that require a flexible approach to consulting. Most of the team includes current NCQA surveyors, many of whom have been involved in NCQA’s internal surveyor training, feedback to NCQA on standards through committees, and provision of external education to plans. The founder and one of the other consultants have been surveyors for 22 years, providing a wealth of experience and insider knowledge of past and present NCQA. Although the firm serves all product lines, many of the health plan clients throughout the 27 years of existence have been Medicaid-only health plans in ma wide variety of states, all of whom have successfully reached accreditation.
Susan K. Moore
W: 248-627-3082 C: 248-330-1565
1785 Bird Road
Ortonville, MI 48462-9082