Press Release
Coral Gables, FL – Health Network One, a national leader in specialty care management and value‑based healthcare solutions, recently announced it earned a three‑year re‑accreditation for both Utilization Management and Credentialing from the National Committee for Quality Assurance (NCQA), an independent, not‑for‑profit organization dedicated to improving the quality of healthcare. Health Network One has maintained NCQA accreditation in both areas since 2014, reflecting a long‑standing commitment to quality, accountability, and evidence‑based decision‑making.
Accreditation in both Utilization Management and Credentialing confirms that Health Network One delivers timely, consistent, evidence‑based decisions supported by clinical expertise, qualified professional review, and comprehensive practitioner oversight. Together, these accreditations reflect the company’s comprehensive utilization management and credentialing processes, from evidence‑based clinical review to ongoing practitioner oversight.
“NCQA re‑accreditation affirms that our clinical decisions are evidence-based and consistently applied with the patient at the center,” said H. Kelley Riley, MD, Chief Medical Officer of Health Network One. “Standardized utilization management and credentialing practices help ensure members receive appropriate, timely specialty care, while supporting health plans and providers in delivering better health outcomes.”
Accreditation for both utilization management and credentialing demonstrates Health Network One’s ability to support cost‑effective decision‑making for health plans, reliable access to specialty care for members, and a consistent, positive experience for providers. NCQA has reviewed and accredited Health Network One’s Credentialing and Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.
As specialty care becomes an increasingly critical driver of healthcare quality and cost, Health Network One remains committed to supporting health plans and providers through disciplined processes, clinical expertise, and dependable operational oversight.
About NCQA
NCQA is a private, nonprofit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more informed healthcare choices. NCQA can be found online at ncqa.org, on X @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa.