Company intelligence
Managed Healthcare Resources, Inc.
Partnering, guiding and mentoring organizations to achieve successful NCQA & URAC accreditation.
About Managed Healthcare Resources, Inc.
MHR is a boutique healthcare accreditation consulting firm specializing in NCQA and URAC accreditation, readiness, and continuous quality improvement. Our experienced team includes former NCQA Surveyors and URAC Reviewers who understand both the standards and what it takes to successfully implement them. We believe accreditation is more than preparing for a survey. It is an opportunity to strengthen quality, improve operations, and build sustainable processes that support long-term success. Our collaborative, practical approach helps organizations pursuing initial or renewal accreditation build internal knowledge and confidence while achieving compliance. We have supported organizations nationwide, from single-product health plans serving approximately 2,000 members to large, multi-state managed care organizations serving millions. How We Help • Accreditation readiness assessments • Gap analyses and documentation reviews • Policy and procedure development • File reviews • Standards training and interpretation • Project management • Strategic guidance • Staff mentoring Our expertise includes Health Plan, Behavioral Health, Population Health Program (PHP), Utilization Management (UM), Credentialing, Provider Network (PN), Health Outcomes, Community-Focused Care, and Wellness and Health Promotion (WHP) accreditation. We also support Commercial, Medicare, Medicaid, and Exchange product lines, along with Model of Care (MOC), Special Needs Plans (SNPs), Case Management (CM), and Long-Term Services and Supports (LTSS). At MHR, we don't just help organizations earn accreditation. We help build stronger programs that continue to improve long after the survey is complete.
Verified activity
Signals from Managed Healthcare Resources, Inc.
5 published signals
People
Managed Healthcare Resources, Inc. recognizes Malinda Sant as an independent consultant with over 17 years of managed care experience, including over a decade of leadership across Medicaid, Long-Term Services and Supports, Utilization Management, Case Management, and Population Health Management.
Reported by Susan K. Moore, MHSA, RN
People
Managed Healthcare Resources, Inc. recognizes Malinda Sant as a new NCQA surveyor for Model of Care reviews for 2027.
Reported by Susan K. Moore, MHSA, RN
People
Managed Healthcare Resources, Inc. welcomed Shannon Barnes, PhD, as part of the MHR consulting team.
Reported by Susan K. Moore, MHSA, RN
Research & Knowledge
Managed Healthcare Resources, Inc. published a blog post detailing the addition of a new requirement to evaluate social needs referrals and interventions in the Community-Focused Care standards.
Reported by Managed Healthcare Resources, Inc.
Research & Knowledge
Managed Healthcare Resources, Inc. published an article breaking down the key 2026 changes in NCQA's LTSS Distinction, including addressing health disparities, measurable improvement, person-centered care, and documentation.
Reported by Managed Healthcare Resources, Inc.