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Aetna Health Plans of California, North, Earns NCQA Full Accreditation.


WALNUT CREEK, Calif.--(BUSINESS WIRE)--Oct. 28, 1996--Aetna Health Plans of California, Inc.-North was granted three-year, full accreditation from the National Committee for Quality Assurance National Committee for Quality Assurance Medical practice A private, not-for-profit organization which has become the leading accreditor of managed care plans; in site visits, NCQA reviewers evaluate a managed care plan in terms of quality management, physicians'  (NCQA NCQA National Committee on Quality Assurance, see there ), Aetna U.S. Healthcare announced today.

Three-year accreditation is the highest NCQA designation. It follows a series of thorough reviews that includes interviews with participating AHP AHP Assistant House Physician.  network physicians, quality committee members and Aetna's plan staff.

NCQA reviews health plans against 50 specific standards in the areas of quality management and improvement, credentialing, preventive health services health services Managed care The benefits covered under a health contract , utilization management, members' rights and responsibilities and medical records. This is not the first time Aetna Health Plans of California Inc.-North has been awarded NCQA full accreditation.

In its previous NCQA review, the health plan also received a full accreditation.

"We're extremely proud to receive three-year, full accreditation from the NCQA," said Paul Swenson, Aetna Health Plans Northern California general manager.

"It's a highly respected, independent confirmation that our HMO HMO health maintenance organization.

HMO
n.
A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial,
 is performing at the highest level in providing access to quality care and service to our members. In addition, the accreditation is recognized by employers as an important criteria in offering health plans to their employees."

In California, Aetna Health Plans (AHP) provides group health benefits through its managed care and traditional indemnity programs and government contracts to more than 1.2 million people. Nationally, Aetna U.S. Healthcare is the country's leading managed health care company.

Aetna U.S. Healthcare provides high-quality health care coverage through health maintenance organizations, preferred provider organizations preĀ·ferred provider organization
n.
Abbr. PPO A medical insurance plan in which members receive more coverage if they choose health care providers approved by or affiliated with the plan.
, point-of-service plans and traditional fee-for-service plans to more than 23 million Americans.

CONTACT: Aetna Health Plans

Sal Foti, 860/636-5760
COPYRIGHT 1996 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1996, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:Oct 28, 1996
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