MedImpact Achieves NCQA UM Accreditation Three-Year Renewal

SAN DIEGO--(BUSINESS WIRE)--MedImpact, the nation’s largest independent pharmacy benefit and health solutions company, announced today that it has earned a three-year reaccreditation in Utilization Management from the National Committee for Quality Assurance (NCQA). This marks MedImpact’s fourth consecutive NCQA UM Accreditation.

“Achieving NCQA Utilization Management Accreditation demonstrates that MedImpact has the systems, processes, and personnel in place to conduct utilization management in accordance with the strictest quality standards,” stated Margaret E. O’Kane, President, NCQA.

NCQA is an independent, nonprofit organization dedicated to improving healthcare quality through voluntary, objective, and evidence-based evaluations. NCQA accreditation is a key critical differentiator for pharmacy benefit managers (PBMs) seeking to partner with health plans, managed care organizations, and accountable care organizations.

“For more than 35 years, MedImpact has ensured timely access to medications and supported improved health outcomes by putting our clients and members at the center of care,” said Denise Burns, Chief Operations Officer at MedImpact. “NCQA represents the gold standard in healthcare quality, and this recognition reflects our continued commitment to clinical excellence, responsible utilization, and delivering connected care that supports both quality and affordability.”

MedImpact continues to lead the way in clinical innovation, investing heavily in a world-class clinical team, and delivering personalized care solutions. This forward-thinking approach drives effective utilization management, high-touch member engagement, and low year-over-year cost trend. Today, MedImpact supports more than 55 million consumers globally, including many of the nation’s most recognizable health plans and self-insured employers.

“MedImpact’s successful NCQA UM Accreditation renewal and continued URAC PBM Accreditation validate the integrity of our clinical programs and operational excellence, reinforce our commitment to uphold the highest standards of quality and transparency, and reaffirm our position as a trusted healthcare leader,” Burns said.

NCQA has reviewed and accredited MedImpact’s Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.

About MedImpact

MedImpact Healthcare Systems, Inc., based in San Diego, is the nation’s largest independent health solutions, technology, and pharmacy benefit management provider. For 35 years, MedImpact has partnered with commercial and government healthcare payers to improve member health, manage pharmacy benefits, and reduce drug costs. The company serves more than 55 million consumers globally and processes over $40 billion in pharmacy transactions annually. To learn more, visit us online, follow us on LinkedIn, or contact us at [e-mail].

About NCQA

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care 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 health care choices. NCQA can be found online at ncqa.org, on X (Twitter) @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa.