Factors Influencing NCQA Accreditation Decisions of HMOs

This paper describes how National Committee for Quality Assurance (NCQA) accreditation of a managed care plan can be used as a signal of plan quality. A model is then developed examining the factors affecting the probability that a plan will be accredited. Larger and older plans are more likely to be accredited. For-profit plans are also more likely to be accredited. Competition in the marketplace from other accredited plans increases the probability of a plan being accredited. The results indicate that plans that have lower costs of accrediting as proxied by size and age are more likely to be accredited.