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Accreditation for Health Plans

Achieve national recognition

Put your members first. Achieving AAAHC Health Plan Accreditation sends a powerful signal to members, providers, regulators, and other key stakeholders that a health plan embraces quality and industry best practices with integrity and efficiency. The peer-reviewed survey provides a collaborative and educational exchange between surveyors and the health plan’s staff and leadership team.

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AAAHC presents relevant standards and survey processes. Numerous state and federal regulatory agencies and divisions recognize AAAHC Health Plan Accreditation to assess health plans in all aspects of its operations.

  • Member Rights, Responsibilities, and Protections
  • Governance
  • Administration
  • Delegation
  • Provider Network Credentialing
  • Network Adequacy
  • Care Management and Care Coordination
  • Health Education and Wellness Promotion
  • Quality Improvement and Management

The Office of Personal Management (OPM) recognizes AAAHC to accredit health plans under the Federal Employee Health Benefit (FEHB) program.

The Center for Consumer Information and Insurance Oversight (CCIIO) recognizes AAAHC as an accreditor of Qualified Health Plans (QHPs).

Our organization holds more than 35 years of recognition from federal and state regulators, as well as numerous recognitions by statute and administratively through state and insurance departments or regulators.

AAAHC Accreditation assesses the effectiveness of administering the delivery of appropriate, accessible, high-quality health care and services to a defined membership via provider networks and health care services.

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Achieving Accreditation

Strengthen your accreditation readiness

Achieving Accreditation is an interactive, immersive event designed to help you learn and prepare for your AAAHC survey while developing a deeper understanding of AAAHC Standards. We are facing the future together…1095 Strong!

Learn more about Achieving Accreditation

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Kershner Quality Improvement Award

Check out exemplary studies

Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space.

Learn more about QI innovation