NCQA
Network Health Plan is pleased to announce it has been awarded an accreditation status of Excellent from the National Committee for Quality Assurance (NCQA), an independent, non-profit organization that assesses and reports on the quality of the nation’s managed care plans. Network Health Plan's accreditation status -- the highest possible level -- is based on a voluntary review of how a health plan ensures that its members are receiving high quality care.
“Achieving an accreditation status of Excellent is a significant achievement for a health plan,” said Margaret E. O’Kane, president of NCQA. “It is only awarded to those plans that both meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement and have HEDIS® results in the highest range of national performance.”
The NCQA Accreditation survey process includes on-site and off-site evaluations of more than 60 standards and selected HEDIS® performance measures conducted by a team of physicians and managed care experts. A committee of physicians analyzes the team’s finding and assigns an accreditation level based on the performance level of the plan being evaluated to NCQA’s standards.
“We are an organization committed to continuous quality improvement, and I believe that has been validated by NCQA,” said Sheila Jenkins, President of Network Health Plan. “Each of our employees, providers and management contributed to the NCQA accreditation process in some way, so we are extremely proud of this achievement.”
“This accreditation tells our members the care they receive and the physicians who provide that care meet or exceed the industry’s highest standards of quality,” said Jenkins. “Network Health Plan has a long and proud tradition of providing high-quality care. Receiving objective recognition is rewarding for all of us.”
The NCQA accreditation process evaluates how well a health plan manages quality throughout every part of its delivery system -- physicians, hospitals, affiliated providers, and administrative services -- to continuously improve health care for its members.
More than three-quarters of Americans enrolled in HMOs are in plans that have been reviewed by NCQA and many employers now mandate accreditation of the plans they offer their employees. No comparable evaluation exists for fee-for-service health care.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
