Health Partners Plans Among 11 Medicaid Plans in Nation Awarded “Excellent” by NCQA

Business Wire

Only Medicaid Plan in Pennsylvania to Earn Highest Accreditation Status of Excellent

PHILADELPHIA--(BUSINESS WIRE)-- 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.