Healthmine has successfully received NCQA Wellness and Health Promotion (WHP) certification for Health Appraisal for our Health Risk Assessment (HRA) solution. We’re one of only 21 organizations nationwide with WHP certification for our HRA, a distinction that highlights the strength and credibility of our digital engagement solution. The standards are purposely set high to encourage wellness and health promotion organizations for continuous enhancement of their quality. No comparable evaluation exists for wellness and health promotion programs. At Healthmine, we take pride in being best-in-class for, a critical component of both accreditation readiness and member engagement.
“NCQA’s Wellness & Health Promotion Accreditation requires organizations to demonstrate their compliance with well-defined standards and quality measures,” said Margaret E. O’Kane, NCQA President. “The NCQA seal will provide employers and consumers with the information they need to choose the best program in their markets.”
The standards are intended to help organizations achieve the highest level of performance possible, increase healthy behavior change in eligible individuals and create an environment of continuous improvement.
In today’s healthcare environment, health plans face the challenge of balancing regulatory compliance, market credibility and member experience all while ensuring timely, effective care. One powerful tool that supports these priorities is a well-designed HRA. Beyond serving as a simple questionnaire, the HRA can be a strategic asset that drives accreditation readiness, strengthens trust and improves care delivery. Here’s why a strong HRA, backed by NCQA standards, creates strategic advantages for payers.
1. Proactive regulatory and accreditation compliance
For plans pursuing NCQA Health Plan Accreditation, a validated HRA can be a game-changer. Health plans that use an HRA that is certified by NCQA can earn auto credit for specific elements, streamlining the path toward compliance. At the same time, incorporating current, evidence-based HRA questions ensures that assessments stay relevant and accurate. This routine review and updating process not only maintains regulatory alignment but also positions the plan as forward-thinking and proactive.
For health plans pursuing Health Equity Accreditation, the HRA could be leveraged to show evidence the organization collects direct data for race/ethnicity, language and sexual orientation from members.
2. Build market credibility
Market trust is essential. Employers, regulators and provider networks want to partner with health plans that demonstrate credibility and reliability. By leveraging validated, user-friendly HRA questions, health plans can provide meaningful insights without overwhelming members with lengthy or confusing surveys. This balance enhances the member’s experience while reinforcing confidence across key stakeholders. A strong HRA isn’t just about collecting data, it’s about signaling the plan’s commitment to actionable insights and quality care. In addition, using an NCQA accredited solution demonstrates a dedication to quality and evidence-based best practices.
3. Enable timely and effective care
Perhaps the most critical advantage of a strong HRA is its impact on care delivery. A robust risk stratification process allows health plans to identify member needs quickly and accurately. This ensures that interventions are not only timely but also tailored to individual circumstances. By meeting members where they are, health plans can improve outcomes, reduce unnecessary costs, and deliver care that feels personalized and responsive.
An (HRA) is a foundational tool for population assessment and stratification. By collecting self-reported health status, behaviors and social determinants of health, the HRA creates a comprehensive member profile. This data enables health plans to segment populations into risk tiers — from low-risk to high-risk — and identify gaps in care, unmanaged conditions, or emerging risks.
When integrated into Population Health Management (PHM) programs, the HRA ensures that interventions are evidence-based and member-specific. Low-risk members may be directed to wellness and prevention programs, while higher-risk members can be prioritized for care coordination, disease management or complex case management.
What’s unique about Healthmine’s HRA
Healthmine’s digital-first HRA is more than just a task for members to complete. Designed to integrate seamlessly into the company’s full engagement platform, Quality Relationship Management™ (QRM®), Healthmine’s HRA becomes the foundation for ongoing, tailored engagement. It delivers a robust snapshot of each member’s health status — including provider visit history, vaccinations, lifestyle factors, social determinants (e.g., food security, housing, transportation), and demographic data such as race, ethnicity and language preference. Because the data flows automatically into plan-facing dashboards and is coded with LOINC and SNOMED for clinical relevance and intervention, health plans can instantly act on insights rather than waiting for manual data entry.
Learn more about our digital-first HRA.
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