ACHP: All Health Plans Should Measure and Report Quality to Improve Care for More Americans

Seven Out of Twelve ACHP Plans Receive Top Rankings in National Quality Survey Released Today

WASHINGTON, D.C. – Jack Ebeler, President and CEO of the Alliance of Community Health Plans (ACHP), issued the following statement today, in reaction to the National Committee for Quality Assurance’s (NCQA) release of The State of Health Care Quality 2004:

“Only 23 percent of Americans are enrolled in health plans that issue quality data.  If all plans and providers measured and reported quality, more Americans would receive better care.

“NCQA’s report is particularly relevant this year, because it highlights the value of public reporting at a time when reporting has become a critical issue in Medicare.  Public reporting helps plans and providers improve and patients make more informed choices.

“As the Centers for Medicare & Medicaid Services (CMS) develops standards to improve quality in Medicare, HMOs, PPOs and all types of plans should be held to rigorous measurement and the same reporting requirements.   

“Rewarding plans that provide better care persuades others to improve.  Policymakers can further encourage quality care by paying plans and providers according to their performance.

“ACHP members consistently deliver the best health care to patients and are committed to getting even better.  We look forward to continuing to work with the Congress and others to make health care better for everyone.”

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**Reporters’/Editors’ Notes:

Three ACHP members – Fallon Community Health Plan (Worcester, MA), Group Health Cooperative of South Central Wisconsin (Madison) and Kaiser Foundation Health Plan of Colorado (Denver) – ranked among the top ten health plans in the country on effectiveness of care measures in the Health Employer Data and Information Set (HEDIS®), while Capital Health Plan (Tallahassee, FL) ranked among the top ten plans on the CAHPS® member satisfaction survey.

Five ACHP members – Excellus (Rochester, NY), Group Health Cooperative of South Central Wisconsin (Madison), HealthPartners (Minneapolis, MN), Kaiser Foundation Health Plan of Northern California (Oakland) and UPMC Health Plan (Pittsburgh, PA) – ranked in the top five plans in their region.

In 1993, ACHP members developed the original HEDIS® measures now used by NCQA to assess health plans’ effectiveness of care. 

The Alliance of Community Health Plans (ACHP) brings together innovative, not-for-profit or provider-sponsored health plans and provider organizations focused on improving health care.  ACHP offers an intimate forum for members to identify problems, share best practices and collaborate on solutions to some of health care’s most pressing challenges and a platform to advocate for better care nationally.  More information is available at www.achp.org.