Advantmed’s Nurse Practitioner Credentialing Process Earns Full NCQA Accreditation

IRVINE, Calif.--(BUSINESS WIRE)--Aug 5, 2025--

Advantmed, LLC is proud to announce that it is now accredited by the National Committee for Quality Assurance (NCQA) in Credentialing. This prestigious three-year accreditation validates the thoroughness and integrity of Advantmed’s Nurse Practitioner credentialing process, confirming the company’s strict adherence to the highest national standards and its ongoing commitment to clinical excellence and quality assurance. The accreditation is effective from July 15, 2025, through July 15, 2028.

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“Earning NCQA Credentialing Accreditation is a significant milestone that reflects Advantmed’s unwavering commitment to clinical excellence, data integrity, and provider trust,” said Akash Patel, CEO of Advantmed. “One of our top priorities is delivering the highest quality of service to our clients, and this recognition affirms the rigorous standards we uphold across the organization. It’s a testament to our team’s diligence, expertise, and dedication to supporting healthcare organizations with thoroughly vetted Nurse Practitioners who meet the highest standards in patient care. As we continue to partner in delivering quality, value-based care, this accreditation reinforces our ongoing commitment to improving health outcomes in the communities we serve.”

NCQA is an independent, nationally recognized nonprofit that evaluates healthcare organizations and promotes continuous improvement through transparent, rigorous measurement standards. Earning NCQA’s Credentialing Accreditation requires a detailed review of an organization’s policies, procedures, and operational effectiveness.

“Achieving NCQA Credentialing Accreditation demonstrates that Advantmed has the systems, process and personnel in place to conduct credentialing in accordance with the strictest quality standards,” said Margaret E. O’Kane, NCQA President.

With this achievement, Advantmed joins a select group of healthcare organizations nationwide with fully accredited credentialing programs for advanced practice providers. As Advantmed broadens its clinical services, this accreditation further solidifies the company’s reputation as a trusted leader in delivering exceptional care through innovative in-home and telehealth solutions.

About Advantmed:

Founded in 2005, Advantmed is the industry-leading provider of medical record retrieval, medical record review, health assessment, and analytics solutions for health plans and providers. Through a tailored, cost-effective suite of services addressing risk adjustment and quality needs, Advantmed seeks to improve healthcare outcomes and performance across the organizations it serves. For more information about Advantmed’s services, visit www.advantmed.com.

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 health care. In recognition for its leadership in diversity, equity and inclusion, NCQA has won the Excellence in Diversity Award from the Chesapeake Human Resources Association. 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 @ncqa, and on LinkedIn at linkedin.com/company/ncqa.

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

NCQA is a private, non-profit organization dedicated to improving health care quality.

NEW YORK (AP) — Thursday was the final day to select an Affordable Care Act health insurance plan across much of the country, as the expiration of federal subsidies drives up health costs and lawmakers remain locked in a debate over how to address the issue.

That's when the open enrollment window ends in most states for plans that start in February. About 10 states that run their own marketplaces have later deadlines, or have extended them to the end of the month to give their residents more time.

The date is a crucial one for millions of small business owners, gig workers, farmers, ranchers and others who don't get their health insurance from a job and therefore rely on marketplace plans. A record 24 million Americans purchased Affordable Care Act health plans last year.

But this year, their decisions over health coverage have been more difficult than usual as clarity over how much it will cost is hard to come by. And so far, enrollment is lagging behind last year's numbers — with about 22.8 million Americans having signed up so far, according to federal data.

Last year, for months, it was unclear whether Congress would allow for the end-of-year expiration of COVID-era expanded subsidies that had offset costs for more than 90% of enrollees. Democrats forced a record-long government shutdown over the issue, but still couldn't get a deal done. So the subsidies expired Jan. 1, leaving the average subsidized enrollee with more than double the monthly premium costs for 2026, according to an analysis from the health care nonprofit KFF.

Still, the question of whether Congress would resurrect the tax credits loomed over Washington. Several enrollees told The Associated Press they have either delayed signing up for coverage or signed up with a plan to cancel as they anxiously watch what's happening on Capitol Hill.

Last week, the House passed a three-year extension of the subsidies after 17 Republicans joined with Democrats against the wishes of Republican leaders. But the Senate rejected a similar bill last year.

Sen. Bernie Moreno, R-Ohio, has been leading a bipartisan group of 12 senators trying to devise a compromise and said this week that he expects to have a proposal by the end of the month. The contours of the senators’ bipartisan plan involves a two-year deal that would extend the enhanced subsidies while adding new limits on who can receive them. The proposal would also create the option, in the second year, of a new health savings account that President Donald Trump and Republicans prefer.

Under the deal being discussed, the ACA open enrollment period would be extended to March 1 of this year to allow people more time to figure out their coverage plans after the disruption.

Still, Republicans and Democrats say they have not completed the plan, and the two sides have yet to agree if there should be new limits on whether states can use separate funds for abortion coverage.

President Donald Trump on Thursday announced outlines of a plan he wants Congress to consider that would. It would, among other things, redirect ACA subsidies into health savings accounts that go directly to consumers. Democrats have largely rebuffed this idea as inadequate for offsetting health costs for most people.

Associated Press writers Mary Clare Jalonick and Lisa Mascaro contributed from Washington.

FILE - Pages from the U.S. Affordable Care Act health insurance website healthcare.gov are seen on a computer screen in New York, Aug. 19, 2025. (AP Photo/Patrick Sison, File)