NCQA Health Plan Accreditation evaluates how well a health plan manages all parts of its delivery system -- physicians, hospitals, other providers, and administrative services -- in order to continuously improve the quality of care and services provided to its members.
"Earning Excellent Accreditation reflects a health plan's ability to work with its members' physicians to improve the quality of clinical care. It shows that the plan is building the kinds of partnerships that are critical to delivering great care and great service," said
This most recent evaluation focused on a number of critical operational areas including: quality improvement, network management, utilization management, credentialing, members' rights and responsibilities, and member connections.
"The recognition of our health plans by