CVS Health earns NCQA utilization management accreditation
CVS Health’s pharmacy benefits manager CVS Caremark has been accredited by the National Committee for Quality Assurance in utilization management.
The NCQA utilization management accreditation is earned through a quality assessment program focused on protecting consumers and improving customer service. Its standards recognize applicants with open access networks that can use customized structures to meet purchaser needs while improving service quality.
“At CVS Caremark, we are pleased to maintain our NCQA Utilization Management Accreditation, which we've held continuously for the past several years,” CVS Health COO Jonathan Roberts said. “This accreditation affirms that our program provides high quality service and care to our PBM clients and their members as we strive to ensure that members access clinically appropriate and cost effective therapies to help improve health outcomes and lower costs.”
CVS Caremark’s utilization management program is designed to encourage appropriate and effective medication use. The company said that it identifies optimal drug use and promotes drug benefit plans that are cost-effective by using evidence-based drug information, as well as published guidelines, consensus statements and standards of medical practice.
“Achieving utilization management accreditation from NCQA demonstrates that CVS Health has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards,” NCQA president Margaret O'Kane said.
The accreditation process involves an evaluation that is conducted by a team of physicians and managed care experts, whose findings are then analyzed by an independent oversight committee of physicians, which then assigns an accreditation status based on an organization’s performance against standards.
The NCQA utilization management accreditation is earned through a quality assessment program focused on protecting consumers and improving customer service. Its standards recognize applicants with open access networks that can use customized structures to meet purchaser needs while improving service quality.
“At CVS Caremark, we are pleased to maintain our NCQA Utilization Management Accreditation, which we've held continuously for the past several years,” CVS Health COO Jonathan Roberts said. “This accreditation affirms that our program provides high quality service and care to our PBM clients and their members as we strive to ensure that members access clinically appropriate and cost effective therapies to help improve health outcomes and lower costs.”
CVS Caremark’s utilization management program is designed to encourage appropriate and effective medication use. The company said that it identifies optimal drug use and promotes drug benefit plans that are cost-effective by using evidence-based drug information, as well as published guidelines, consensus statements and standards of medical practice.
“Achieving utilization management accreditation from NCQA demonstrates that CVS Health has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards,” NCQA president Margaret O'Kane said.
The accreditation process involves an evaluation that is conducted by a team of physicians and managed care experts, whose findings are then analyzed by an independent oversight committee of physicians, which then assigns an accreditation status based on an organization’s performance against standards.