Collective Health Achieves NCQA Accreditation for Care Navigation™ Program

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One of a few TPA complex case management programs to receive accreditation to meet rigorous service and quality standards

SAN MATEO, Calif.–(BUSINESS WIRE)–Today, Collective Health announced that it received its two-year case management accreditation from the National Committee for Quality Assurance (NCQA) for its Care Navigation™ program. Care Navigation™ plays a crucial role in helping people get the right support, at the right time, for a wide range of complex health needs. The NCQA accredits a wide range of healthcare organizations, and Collective Health is honored to be one of the few TPA complex case management programs to receive this accreditation.

“Our philosophy of care navigation is based on the principle of meeting members where they are, while giving them information and advice that will impact them years later,” said Dr. Ari Hoffman, clinical director at Collective Health. “We are very proud of this accreditation, which validates our efforts to build a care management and orientation program that meets the highest quality standards. Our team is truly dedicated to helping those in need navigate their benefits and care plans to live their healthiest lives.

The NCQA Case Management Accreditation is a nationally recognized assessment that provides a framework for implementing evidence-based best practices to ensure effective and efficient case management processes and service delivery. profitable. The NCQA Accreditation Standards are developed with input from researchers in the field, the Case Management Panel and Standing Committees, employers, purchasers and operators of case management programs, state regulators and federal officials and other experts.

“Accreditation in case management brings us closer to measuring the quality of population health management initiatives,” said Margaret E. O’Kane, president, NCQA. “Not only does this add value to existing quality improvement efforts; it also demonstrates an organization’s commitment to improving the quality of care provided to its patients to the highest degree.

Inconsistent care can lead to increased costs and a frustrating experience for members. Delivering the best holistic care management starts with the team. At Collective Health, Care Navigation™ is a comprehensive care management program made up of a team of pharmacists, social workers, nurses, dietitians and care coordinators who support people with chronic or serious illnesses helping them understand and navigate America’s disjointed healthcare system. . Collective Health leverages its role as employer plan administrator and its access to real-time claims and engagement data to quickly identify members in need of support and help them make informed choices about their health care – choices that result in better care and lower costs. Through the Care Navigation™ program, employers can see potential for 2x savings from clinical interventions in care management.

About collective health

Founded in 2013, Collective Health’s ecosystem of innovative care delivery and benefits partners, along with powerful and flexible technology, enables employees and their families to better understand, navigate and pay for health care. health. By reducing the administrative burden of delivering health benefits, providing an intuitive experience for members, and helping to improve health outcomes, the company guides employees to healthier lives and businesses to results. healthier. Collective Health is headquartered in San Mateo, CA, with offices in Chicago, IL, and Lehi, UT. To learn more, please visit

About the NCQA

NCQA is a private, nonprofit organization dedicated to improving the quality of health care. The NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key performance areas. The NCQA’s Healthcare Efficiency Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare. The NCQA website ( contains information to help consumers, employers and others make more informed healthcare choices. The NCQA is available online at, on Twitter @ncqa, on Facebook at and on LinkedIn at

Dana Schröder

[email protected]

Source: Collective health

Ryan H. Bowman