Simplify NCQA Compliance with Modular Solutions
Navigating the complexities of NCQA accreditation can be daunting. PDHI's integrated platform offers health plans a seamless solution to meet NCQA standards efficiently— designed to enhance care quality, ensure compliance, and elevate member engagement.
Stay Compliance Ready Saving Time and Reducing Risk
PDHI’s NCQA certified Health Appraisal and Self Management Tools are purpose-built to help health plans meet evolving quality and equity standards—quickly and efficiently.
Achieve plan auto-credit using Health Appraisals and Self-Management Tools
Streamline compliance with built-in workflows and documentation
Reduce administrative burden through automation
Demonstrate measurable member-level and population-level impact
“Plans with NCQA Accreditation experience a 16% average increase in member trust and are 20% more likely to meet HEDIS benchmarks.”
— NCQA Health Plan Accreditation Data, 2023
Certified, Configurable, Compliance-ready Health Appraisals
PDHI’s NCQA-certified health appraisal is trusted by health plans nationwide to meet CMS and NCQA standards. With Sexual Orientation and Gender Identity (SOGI) and Social Determinants of Health (SDoH) built-in, our HRA helps plans meet accreditation standards and better assess risk across diverse populations.
Certified question sets for Medicare, Medicaid, and Commercial lines
Tailored assessments by population or program
Secure, omnichannel delivery (web, mobile, phone, paper)
Reporting and data exchange that supports plan documentation and care coordination
From Assessment to Action: Help Members Take the Next Step
Our NCQA-certified Self-Management Tools deliver 13 self-guided learning experiences—covering and exceeding NCQA’s 7 required health topics. Personalized based on HRA results, these interactive plans help members understand their risks and take measurable steps toward better health.
13 self-learning modules covering NCQA’s 7 required health topics
Educational content triggered by individual HRA results
Optional coaching and care referrals to support follow-through
Real-time tracking of completion and progress
Integrated Tools Maximize Participation and Improve Outcomes
PDHI’s Platform offers a suite of optional modules to boost HRA and Self-Management Tools effectiveness— all white-labeled and modular, to match your plan’s branding and ensure seamless member experience.
Rewards + Incentives
Encourage member participation with automated reward tracking and fulfillment.
Outreach Support
Leverage PDHI’s print, phone, and digital communication services to drive completions.
Health Education Content
Recommend educational videos and articles based on member responses.
Personalized Dashboard
Provide a tailored wellness journey to encourage healthy’ action.
See More Solutions
PDHI’s Platform supports a wide range of configurable solutions across markets:
Health Plans
Customize and adapt your HRA, collect actionable data to engage members, reward actions and drive better outcomes.
Wellness Service Providers
Deliver ultra-tailored services, unique wellness programs and digital engagement tools to every client across your book of business.
Employers
Create a culture of wellness and employee engagement, rewarding them for taking care of their health and using their benefits.
Ensure Compliance at Every Member Touchpoint
Let PDHI help your health plan meet NCQA accreditation standards while improving care quality, member engagement, and operational efficiency.
