Excellus BlueCross BlueShield Earns Highest National Accreditation For Quality
March 27, 2012
ROCHESTER – The managed care plans of Excellus BlueCross BlueShield have again received the highest accreditation status available, a rating of “Excellent,” from the National Committee for Quality Assurance (NCQA). The Excellent rating applies to all Excellus BCBS commercial (HMO/POS combined and PPO), Medicaid (HMO) and Medicare (HMO and PPO) plans.
NCQA is a private, nonprofit organization dedicated to improving health care quality. Employers and consumers use information from NCQA to make more informed health care choices. NCQA’s Excellent Accreditation status is reserved for the best health plans in the nation. It’s only awarded to those plans that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care.
To become accredited by NCQA, a health plan must undergo a rigorous evaluation of more than 60 standards designed to evaluate its clinical and administrative systems. NCQA 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. Full accreditation is effective for a three-year period.
“The NCQA seal of excellence affirms that our members are receiving a high quality of care,” said Christopher Booth, president and chief operating officer, Excellus BCBS. “It not only reflects the hard work and dedication of our employees, but also reflects the quality of our community’s doctors and hospitals.”
Health plans earning Excellent Accreditation must also achieve NCQA’s Health Effectiveness Data and Information Set (HEDIS®) results that are in the highest range of national or regional performance. HEDIS is the nation’s most widely used set of clinical quality measures.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
About Excellus BlueCross Blue Shield
Excellus BlueCross BlueShield, a nonprofit independent licensee of the BlueCross BlueShield Association, is part of a family of companies that finances and delivers vital health care services to 1.8 million people across upstate New York. Excellus BlueCross BlueShield provides access to high-quality, affordable health coverage, including valuable health-related resources that our members use every day, such as cost-saving prescription drug discounts and wellness tracking tools in our Step Up program. To learn more, visit www.excellusbcbs.com.
The Blue Cross and Blue Shield Association is a national federation of 38 independent, community-based and locally-operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for 100 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.