The Agency monitors the Medicaid health plans’ performance through the HEDIS performance measures and Agency defined measures. These can be used to compare the performance of Medicaid health plans.
HEDIS measures are developed by the National Committee for Quality Assurance (NCQA), which is a private, not-for-profit organization dedicated to improving health care quality. NCQA develops quality standards and performance measures for a broad range of health care entities. These are the measures and standards that AHCA, like most managed care organizations, uses to help identify opportunities for improvement.
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For more information on Florida Medicaid Quality in Managed Care, please contact: