June 04, 2020
NCQA reaffirms Security Health Plan’s Excellent Accreditation status
“NCQA’s Excellent Accreditation status is reserved for the best health plans in the nation,” NCQA President Margaret E. O’Kane said. “It is only awarded to those plans that meet or exceed NCQA’S rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care.”
NCQA Health Plan Accreditation is a nationally recognized evaluation that purchasers, regulators and consumers can use to assess health plans. It 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.
“NCQA Accreditation shows our continued commitment to ensuring our programs and services exceed the expectation set forth by NCQA,” Security Health Plan Chief Executive Officer Julie Brussow said. “Receiving an Excellent Accreditation for our Medicare HMO-POS plans shows that our provider partners are serving members well and providing the high-quality care they expect. Our commitment to quality is reflected in our full 3-year Accreditation.”
The Health Plan’s Commercial, Medicaid and Exchange (also known as Marketplace) plans also received NCQA Accreditation.
While most health plans are accredited, NCQA reports one in four insured Americans receive care from health plans that have not demonstrated compliance with NCQA’s rigorous standards. To receive accreditation, each health plan must demonstrate its willingness to share data on how it performs as it relates to the consumer experience and clinical standards.
NCQA is the most widely-recognized accreditation program in the United States with the most comprehensive evaluation in the industry. Assessments base results on clinical performance and consumer experience. NCQA Health Plan Accreditation is a voluntary review process that includes rigorous on-site and off-site evaluations of over 60 standards and selected Healthcare Effectiveness Data and Information Set (HEDIS®) measures. A team of physicians and health plan experts conducts accreditation surveys. A national oversight committee of physicians analyzes the team’s findings and assigns an accreditation level based on the performance of each plan being evaluated to NCQA’s standards.
Security Health Plan Director of Health Plan Quality Shelley Kress explained that receiving NCQA Accreditation was especially important for the Security Health Plan options offered on the Health Insurance Marketplace.
“While we place high value on accreditation for all our plans, it’s a requirement to remain a Qualified Health Plan on the Marketplace,” Kress said. “It enables us to continue meeting the health insurance needs of individuals and families throughout central, north central and northwestern Wisconsin.”