Blue Cross of California Receives ``Excellent'' NCQA Accreditation for Medicaid Business.THOUSAND OAKS Thousand Oaks, residential city (1990 pop. 104,352), Ventura co., S Calif., in a farm area; inc. 1964. Avocados, citrus, vegetables, strawberries, and nursery products are grown. , Calif. -- Health Plan is First in State to Receive "Excellent" Accreditation Status for Medicaid Program Blue Cross of California (Blue Cross) today announced that it was awarded Excellent 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 ) for its Medicaid (Medi-Cal) business. Excellent is the highest rating possible for this state sponsored plan, and is granted to those health plans that have programs for service and clinical quality that meet or exceed NCQA's rigorous standards for consumer protection and quality improvement. Blue Cross is the first and only health plan in the state to have achieved the status of Excellent for its Medicaid product. NCQA is an independent, not-for-profit organization dedicated to measuring the quality of America's health care. NCQA's mission is to provide information that enables purchasers and consumers of managed health care to distinguish among plans based on quality, thereby allowing them to make more informed decisions. "We are very pleased with the Excellent Accreditation that we have received from NCQA because it reflects our continued focus on customer service and our commitment to working with physicians to help them improve the clinical health care that our members receive," said John Monahan, Blue Cross senior vice president, state sponsored programs. "This accreditation truly demonstrates our commitment to providing our customers with health care plans that are among the best in the country." "Quality is a critical factor in the delivery of health care services," said Dr. Dawn Wood, Blue Cross vice president and corporate medical director, state sponsored programs. "The results of NCQA's assessment of Blue Cross' clinical and service operations helps differentiate us from the competition." Blue Cross' is the largest health coverage provider of state managed programs in California serving approximately 847,000 Medi-Cal members and more than 270,000 Healthy Family Program members. Blue Cross of California and its California affiliates, serving more than 7.5 million medical members, is an operating subsidiary An operating subsidiary is a business term frequently used within the United States railroad industry. In the case of a railroad, it refers to a company that is a subsidiary but operates with its own identity and rolling stock. of WellPoint Health Networks Inc., the nation's second largest publicly traded health care company. WellPoint serves the health care needs of more than 15.3 million medical members and approximately 46 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 (1) See point of sale and packet over SONET. (2) "Parent over shoulder." See digispeak. POS - point of sale and hybrid products, 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, 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 flexible spending account, n an employee reimbursement account primarily funded with employee-designated salary reductions. Funds are reimbursed to the employee for health care (medical and/or dental), dependent care, and/or legal expenses and are , COBRA administration, and Medicare supplements. Blue Cross of California can be found on the web at www.bluecrossca.com. Blue Cross of California is an independent licensee of the Blue Cross Association. |
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