CVS Caremark Earns NCQA Re-Accreditation for Utilization Management

CVS Health’s pharmacy benefit manager (PBM) CVS Caremark, earned the NCQA — or National Committee for Quality Assurance — Utilization Management Accreditation for another two years. This is the third consecutive accreditation since 2014. The NCQA quality assessment program focuses on consumer protection and customer service improvement. Its standards recognize that accredited organizations have open access networks, and can improve service quality and utilize customized structures to meet purchaser needs.

The Accreditation Survey includes a rigorous evaluation conducted by a team of physicians and managed care experts. An independent review oversight committee of physicians analyzes the team’s findings and assigns an accreditation status based on the organization’s performance against standards.

Achieving independent, third-party accreditations is part of our commitment to meeting the strictest quality standards and ensuring that plan members have access to clinically appropriate, cost-effective therapies that help improve outcomes and lower costs. Maintaining accreditations is a reflection of our overall focus on ongoing improvement and continuous learning, and ensuring that we provide high-quality patient and member care over the long term. It also helps ensure we are helping payors meet their goals of patient safety and improved health outcomes — both of which are key to lowering overall health care costs.

We have long led the industry in seeking independent verification of quality and meeting — or exceeding — such standards. CVS Pharmacy was the first retail pharmacy to receive URAC’s Community Pharmacy accreditation and MinuteClinic was the first retail health care provider to be accredited by The Joint Commission.https://www.jointcommission.org/accreditation/accreditation_main.aspx. March 2018.