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Community Health Plans Among Best in Nation
Date:10/26/2007

d customer service is systematically assessed. The new NCQA standards that require PPOs to report quality data, in order to be accredited by the NCQA, could help address this deficiency. Beginning July 1, 2008, these PPOs will be required to report HEDIS(R) data to NCQA.

Changes in performance over time.

In recent years, performance on some quality measures has improved, while performance on others remains stagnant or has had declining performance. For example, the percentage of individuals receiving beta-blocker treatment after a heart attack has shown steady, significant improvement. Adolescent immunization rates are also increasing, particularly among Medicaid coordinated care plans. More and more smokers receive advice from providers about strategies to quit smoking. On the other hand, behavioral health-related measures have seen stagnant or decreasing performance for several years. For example, the percentage of individuals with depression who remained on antidepressant medication for at least six months has decreased.

2007 U.S. News and World Report/NCQA Rankings of ACHP Member Plans Among Top 15 in Each Category (Medicare, Medicaid, and Commercial):

Medicare Plans

Rank ACHP Member Plan

1 Fallon Community Health Plan

5 Kaiser Foundation Health Plan of the Northwest

6 Kaiser Foundation Health Plan of Southern California

7 Kaiser Foundation Health Plan of the Northwest (Demonstration

Project)

8 Security Health Plan of Wisconsin

10 Kaiser Foundation Health Plan of the Mid-Atlantic States

13 Kaiser Foundation Health Plan of Colorado

Medicaid Plans

Rank ACHP Member Plan

1 Fallon Community Health Plan

6 Kaiser Foundation Health Plan of Hawaii

7 Independent Health Association

13 UPMC Health Plan

Commercial Plans:

Rank ACHP Member Plan

5 ConnectiCar
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SOURCE Alliance of Community Health Plans
Copyright©2007 PR Newswire.
All rights reserved

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