Capital BlueCross Products Receive Excellent National Accreditation
Company performs exceptionally well in key clinical categories
June 22, 2012
HARRISBURG – Capital BlueCross product lines received Excellent Health Plan Accreditation from The National Committee for Quality Assurance (NCQA). The NCQA is an independent, not-for-profit organization dedicated to improving the quality of America’s health care.
The company’s commercial and Medicare (SeniorBlue) Health Maintenance Organization (HMO) products, issued by Keystone Health Plan Central; and Point of Service (POS) product, issued by Capital Advantage Insurance Company, received high overall ratings in five categories that are often viewed as key indicators of a plan’s success. They were rated as to the quality of access to care and service; the excellence of our provider network; the ability to help consumers stay healthy with innovative health and wellness programs; the ability to help people get better when they do get sick and need services; and on our chronic illness management programs.
Within these categories, the company performed exceptionally well in the following key clinical areas: using a progressive approach to health care delivery, implementing robust intervention and measurement of complex case management, employing innovative technologies to manage the health status of individuals as well as populations, and comprehensive oversight of clinical vendors.
The accreditation process, which takes place every three years, encompassed a comprehensive review of Capital BlueCross’ business functions and initiatives, including the quality program, clinical programs, health education and wellness, coordination of care programs such as Accountable Care Arrangements, utilization management practices, marketing and communication, customer service, privacy compliance and ethics oversight, and Web technology. Capital BlueCross has a history of performing well.
“Capital BlueCross strives for excellence throughout all of our business and in every way we impact the lives of others. That is why this accreditation is a critical independent industry measure as to whether we are successful in those efforts,” said Gary D. St. Hilaire, Capital BlueCross President. “This honor is reflective of the commitment our exceptional employees have to providing the very best products, services and programs to the consumers of central Pennsylvania and the Lehigh Valley. Something we have been doing consistently for nearly 75 years.”
About Capital BlueCross
Capital BlueCross is the leading health insurer in its region, providing health insurance coverage to residents in central Pennsylvania and the Lehigh Valley. Capital BlueCross is committed to making health insurance simple for its customers and members through all the stages of life by offering nationally acclaimed customer service and a full range of innovative benefit programs for groups and individuals at competitive prices. By establishing a culture of caring, Capital BlueCross constantly strives to do more in order to deliver more for the men, women and children who depend on the company for their health insurance needs. Capital BlueCross has been providing medical value to the people and communities of central Pennsylvania and the Lehigh Valley for more than 70 years and employs over 1,800 people in the region. Headquartered in Harrisburg, Pa., Capital BlueCross is an independent licensee of the Blue Cross and Blue Shield Association.
More information about Capital BlueCross and its subsidiaries can be found by going to www.capbluecross.com.
The Blue Cross and Blue Shield Association is a national federation of 37 independent, community-based and locally-operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for nearly 105 million members – one-in-three Americans. For more information on the Blue Cross and Blue Shield Association and its member companies, please visit bcbs.com. We encourage you to connect with us on Facebook, check out our videos on YouTube, follow us on Twitter and check out The BCBS Blog, for up-to-date information about BCBSA.