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Blue Cross and Blue Shield Health Care Plan of Georgia and Quality Care Providers, Inc. Continue Quality Commitment.


Business Editors/Health/Medical Writers

ATLANTA--(BUSINESS WIRE)--Feb. 18, 2003

Since 1995, Blue Cross and Blue Shield Health Care Plan of Georgia, Inc. and Quality Care Providers, Inc. (QCPI QCPI Quality Conformance Preliminary Inspection ) through BlueChoice Healthcare Plan and the more than 900 primary care physicians participating in Blue Choice network in the Atlanta area have maintained their commitment to quality and affordable health care coverage to their respective members and patients in a number of ways, including a physician quality program.

This physician quality program through QCPI is based upon preventive health measurements, patient satisfaction and quality goals. These include increasing the number of women receiving mammograms, increasing the number of diabetic patients receiving proper testing and follow-up, increasing the number of children and senior citizens receiving appropriate vaccinations and utilizing antibiotics appropriately. Network physicians are then reviewed on an annual basis in determining their overall performance under the program.

Adam Leaderman, M.D. of QCPI said, "Since our beginning seven years ago, we have maintained our commitment to the patient's needs through recognizing and rewarding physicians for quality improvements in the delivery of health care services to over 500,000 members of the BlueChoice Healthcare Plan in metropolitan Atlanta."

John Watts, president and chief executive officer of Blue Cross and Blue Shield Health Care Plan of Georgia said, "We are proud of QCPI's long-standing commitment to quality improvements through its primary care physician network. The program has played a significant role in our receiving a rating of excellent 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 ), its highest accreditation. Our strong 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,
 membership growth is due in large measure to the quality of our physician network."

Alan Gottlieb, M.D. of QCPI said, "We are proud of this NCQA accreditation. To achieve this rating, the health plan's HEDIS HEDIS Health Plan Employer Data & Information Set Managed care An initiative by the National Committee on Quality Assurance to develop, collect, standardize, and report measures of health plan performances.  results were in the highest range of national performance."

HEDIS (the Health Plan Employer Data and Information Set The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance. ) is an NCQA tool that is used by health plans to collect data about quality of care, access to care and member satisfaction with the health plan and physicians.

Blue Cross and Blue Shield Health Care Plan of Georgia, Inc. provides HMO and HMO POS (1) See point of sale and packet over SONET.

(2) "Parent over shoulder." See digispeak.

POS - point of sale
 products to over 747,000 members throughout Georgia. Blue Cross and Blue Shield of Georgia serves more than 2.2 million medical members and is the oldest and largest health benefits company in Georgia. Blue Cross and Blue Shield of Georgia is an operating subsidiary of WellPoint Health Networks Inc., one of the nation's largest publicly traded health care companies serving the health care needs of more than 13 million medical members and approximately 48 million specialty members nationally. WellPoint offers a broad spectrum of quality network-based health products including open access PPO PPO
abbr.
preferred provider organization


PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there
, POS and hybrid products, HMO and specialty products. Specialty products include pharmacy benefit management A Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims. , dental, utilization management, vision, mental health, life and disability insurance, long term care insurance, flexible spending accounts, COBRA administration, and Medicare supplements. Blue Cross and Blue Shield of Georgia may be found on the web at www.bcbsga.com. Blue Cross and Blue Shield of Georgia is an independent licensee of the Blue Cross and Blue Shield Association
Blue Cross redirects here. For other uses, see Blue Cross (disambiguation)
The Blue Cross and Blue Shield Association (BCBSA) is a American federation of 39 independent, community-based and locally operated Blue Cross and Blue Shield healthcare
.
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Copyright 2003, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:Feb 18, 2003
Words:524
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