Only Medicaid Plan in Pennsylvania to Earn Highest Accreditation
Status of Excellent
Health Partners Plans (HPP), a Pennsylvania-based managed care
organization, announced that as of September 26, 2017, its Medicaid plan
is among 11 Medicaid plans nationwide awarded an accreditation status of
excellent. This is the highest status bestowed by the National Committee
for Quality Assurance (NCQA). HPP is also the only Medicaid plan in
Pennsylvania to have earned an excellent accreditation status by NCQA,
the most widely-recognized accreditation program in the country.
NCQA only awards its highest status of excellent to organizations with
exceptional service and clinical quality programs that meet or exceed
its rigorous requirements for consumer protection and quality
improvement. Its evaluation process assesses the quality of health care
provided to consumers, giving them the ability to make decisions about
health plans based on extensive criteria that focus on demonstrated
value.
“It is partly a health plan’s members that determine whether it earns
NCQA’s Excellent Accreditation status,” said NCQA President Margaret E.
O’Kane. “Any plan that does so should be proud of its accomplishment. It
is a sign that the plan’s delivering great service and great care—it’s
met the toughest test in managed care.”
“We are extremely proud to receive this recognition from NCQA as one of
just 11 Medicaid plans in the country to have achieved this milestone,”
said President and CEO William S. George. “Our excellent accreditation
status affirms our continued commitment to Pennsylvanians to deliver
high-quality care through innovative programs that improve health
outcomes for our members.”
The excellent accreditation status also means HPP’s Medicaid plan is
among the highest in national performance for NCQA’s Healthcare
Effectiveness Data and Information Set (HEDIS®) and NCQA’s Consumer
Assessment of Healthcare Providers and Systems (CAHPS®). HEDIS® is the
most widely used performance measurement in health care while CAHPS®
evaluates consumer satisfaction.
NCQA’s Accreditation is the most comprehensive evaluation in the
industry, satisfying not only regulatory demands but also consumer
expectations. It is the only assessment that bases results on both
clinical performance and consumer experience and evaluates how well a
plan manages its physicians, hospitals, other providers and
administrative services. For more information, visit www.ncqa.org.
About National Committee for Quality Assurance (NCQA)
National Committee for Quality Assurance (NCQA) is a private, non-profit
organization dedicated to improving health care quality. NCQA accredits
and certifies a wide range of health care organizations and recognizes
clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used
performance measurement tool in health care. NCQA’s Web site (www.ncqa.org)
contains information to help consumers, employers and others make more
informed health care choices.
About Health Partners Plans
Health Partners Plans, an innovative not-for-profit managed care
organization, is the only Medicaid plan in Pennsylvania and is among
just 11 Medicaid plans nationwide with an accreditation status of
Excellent as of September 26, 2017. This is the highest status bestowed
by the National Committee for Quality Assurance. Health Partners Plans
serves more than 281,000 members in Southeastern Pennsylvania and the
Lehigh/Capital region. It provides a broad range of health coverage
options through Health Partners Medicare, Health Partners (Medicaid) and
KidzPartners (Children’s Health Insurance Program) plans. Founded more
than 30 years ago, Health Partners Plans is one of the few
hospital-owned health plans in the country. Learn more about how Health
Partners Plans is doing it right at HealthPartnersPlans.com,
twitter.com/HPPlans
and facebook.com/healthpartnersplans.
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