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美国的国家医疗保险质量认证委员会(The National Committee for Quality Assurance NCQA)是一个独立的负责评估和报告管理型医疗保险计划质量的非盈利组织。NCQA的理事会成员包括雇主、雇员代表、顾客、健康计划、质量专家、政策制定者及医药组织的代表。NCQA的宗旨是为买主和消费者提供有关医疗保险计划质量的信息,以便他们选购医疗保险,以此鼓励各医疗保险计划组织通过提高质量而不是单纯通过价格来进行竞争。尽管NCQA的鉴定工作是自愿的和非常严格的,但美国一半以上的健康维护组织(HMO)加入了NCQA,以及全国90％的健康计划用NCQA的测量标准(HEDIS3.0软件)检测本组织的健康计划执行情况。目前,越来越多的顾客要求NCQA对其所加入的健康计划进行评估。
The National Committee for Quality Assurance NCQA is an independent not-for-profit organization responsible for evaluating and reporting on the quality of managed health insurance programs. NCQA’s board includes representatives from employers, employee representatives, customers, health plans, quality specialists, policymakers, and medical organizations. NCQA’s goal is to provide buyers and consumers with information about the quality of their health insurance plans so they can purchase health insurance to encourage health insurance planners to compete by improving quality rather than simply by price. Although the identification of NCQA is voluntary and very strict, more than half of the HMOs in the United States are enrolled in the NCQA and 90% of the nation’s health plans use the NCQA measurement (HEDIS 3.0 software) to test the Organization’s Health plan implementation. At present, more and more customers are asking NCQA to evaluate the health plans they are enrolled in.