CompcareBlue Awarded Top NCQA Accreditation.MILWAUKEE -- CompcareBlue, the 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, subsidiary of Blue Cross Blue Shield Blue Shield A US not-for-profit health care insurer that is a reimbursement intermediary for physicians. Cf Blue Cross. of Wisconsin (BCBSWi), announced today that it was awarded "Excellent" Accreditation status for its commercial HMO and POS (1) See point of sale and packet over SONET. (2) "Parent over shoulder." See digispeak. POS - point of sale products 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 ). "Excellent" is the highest rating possible and is granted to plans that have programs for service and clinical quality that meet or exceed NCQA's rigorous standards for consumer protection and quality improvement. "Earning 'Excellent' Accreditation reflects a health plan's ability to work with their members and their physicians to improve the quality of clinical care," said NCQA's president, Margaret E. O'Kane. "It shows that they are building the kinds of partnerships that are critical to delivering great care and great service." NCQA is an independent, not-for-profit organization that assesses and reports on the quality of the nation's managed care plans. The NCQA survey included on-site and off-site evaluations of more than 60 standards and selected 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. (R) (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. ) performance measures, conducted by a team of physicians and managed care experts. NCQA's oversight committee analyzed the team's findings and assigned an accreditation level based on the performance level of the plan compared to its standards. "NCQA accreditation signifies the successful completion of a thorough review of our organization," said Lowell Keppel, M.D., BCBSWi's medical director. "NCQA provided an independent, objective and meticulous review of our plan. By awarding CompcareBlue 'Excellent' Accreditation status, NCQA recognizes the high level of service that we provide our members." Blue Cross Blue Shield of Wisconsin serves more than 770,000 medical members and is the state's largest health insurer. Headquartered in Milwaukee, the company offers a flexible product portfolio with a broad range of options for small, medium and large groups, as well as individual plans for people without access to group coverage. Blue Cross Blue Shield of Wisconsin is an operating subsidiary of WellPoint, Inc., the nation's largest publicly traded commercial health benefits company serving the health care needs of approximately 28 million medical members nationally. Blue Cross Blue Shield of Wisconsin is an independent licensee of the Blue Cross and Blue Shield Association
HEDIS(R) is a registered trademark of the National Committee for Quality Assurance (NCQA). |
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