Not-for-Profit and Provider-Based Health Plans Surpass Industry Norm
Washington, D.C. – The third annual State of Managed Care Quality report released Wednesday by the National Committee for Quality Assurance (NCQA) showed the 23 independent and locally-managed not-for-profit and provider-sponsored health plans belonging to the Alliance of Community Health Plans (ACHP ) provide exceptionally high quality of care for their patients.
The report also shows that health plans with a record of disclosing quality measures outperform other plans, and demonstrate increased improvement among most measures like cervical cancer screening rates and eye exam rates for diabetics.
“ACHP member plans 100% reporting record, unprecedented in the industry, underscores our belief that HEDIS represents the best way to publicly demonstrate accountability,” said ACHP president and CEO Daniel Wolfson. “Consistent reporting of quality performance by our members sets an example for other plans to follow. Unfortunately, there is no requirement for the fee-for-service sector to report anything – they continue to practice medicine without checks and balances on quality of care.”
The NCQA report includes national and regional averages for key Health Plan Employer Data and Information Set (HEDIS 1999) performance measures. It shows that health plans that deliver the best clinical care also have the most satisfied patients. ACHP was the originator of HEDIS.
The Alliance of Community Health Plans (ACHP) is a national association of 23 not-for-profit and provider-sponsored health plans located in 25 states.