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Trigon HMOs Recognized Among Nation's Best Health Plans Earn 'Excellent' Rating From NCQA.


Health/Medical Writers

RICHMOND, Va.--(BW HealthWire)--July 14, 2000

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 ) has awarded its highest accreditation accreditation,
n a process of formal recognition of a school or institution attesting to the required ability and performance in an area of education, training, or practice.
 status of 'Excellent' to all of Trigon's affiliated HMOs, including HealthKeepers Inc., Peninsula A peninsula is a piece of land that is bordered on three sides by water. A peninsula can also be a headland, cape, island promontory, bill, point, or spit.[1] Europe
  • Europe itself is a peninsula.
 Health Care Inc. and Priority Health Care Inc., for service and clinical quality that meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement.

"We are proud that all of our HMOs have earned this high honor from NCQA," said Thomas G. Snead Jr., Trigon's chairman and CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. . "An Excellent rating confirms our commitment to providing excellent health care coverage for our members with Trigon HealthKeepers and HealthKeepers Plus."

To earn this distinct designation, Trigon's commercial and Medicaid HMOs were required to achieve top scores in the following five categories:

Access and Service - Do health plan members have access to the care and service they need?

Qualified Providers - Does the health plan assess each doctor's qualifications and what health plan members say about its providers?

Staying Healthy - Does the health plan help members maintain good health and detect illness early?

Getting Better - How well does the health plan care for members when they become sick?

Living with Illness - How well does the health plan care for members when they have chronic conditions?

In addition, to earn NCQA's 'Excellent' designation, health plans were required to achieve scores consistently at or near the top 25 percent of all plans on performance measures such as immunization immunization: see immunity; vaccination.  and mammography mammography, diagnostic procedure that uses low-dose X rays to detect abnormalities in the breasts. The early diagnosis of breast cancer made possible by the routine use of mammography for screening women increases a woman's treatment alternatives and improves her  rates, advising smokers to quit, prenatal care prenatal care,
n the health care provided the mother and fetus before childbirth.
, eye exams for diabetics, claims processing, access to care and overall satisfaction. Only 40 commercial plans in the country received the 'Excellent' rating.

The National Committee for Quality Assurance is an independent, not-for-profit organization dedicated to measuring the quality of America's health care. Its mission is to improve the quality of health care to people everywhere. The NCQA Accreditation process is an evaluation of how a health plan ensures that its members are receiving high-quality care.

Trigon's affiliated HMOs serve more than 325,000 members.

Trigon is Virginia's largest managed health care company, providing a broad range of health, wellness and health care financing programs and services to nearly 2 million members. Visit Trigon on the Web at www.trigon.com .
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Copyright 2000, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:Jul 14, 2000
Words:370
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