CHP Ranked 4th in the Nation by NCQA

Capital Health Plan (CHP) has once again received national acknowledgement. It is ranked 4th in the nation for commercial health plans according to “NCQA’s Health Insurance Plan Rankings 2010-2011 – Private” published by the National Committee for Quality Assurance (NCQA). This ranking makes CHP the top-ranked plan in Florida. CHP’s commercial plan was ranked 5th in the nation in the 2009-10 “America’s Best Health Insurance Plans” by NCQA and U.S. News & World Report.

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS®, the performance measurement tool used by more than 90 percent of the nation’s health plans. Since 2001, Capital Health Plan has maintained an Excellent Accreditation rating from NCQA.

“We are honored Capital Health Plan continues to receive recognition from NCQA which is only possible with the support of our members and our community.” said John Hogan, CEO of Capital Health Plan. “This distinction reflects the outstanding work of our doctors, nurses and administrators. This feedback only furthers CHP’s dedication to delivering high quality, affordable health care and service to our community”

The NCQA Health Insurance Plan Rankings 2010-11 – Private are based on clinical performance, member satisfaction and accreditation information.

“We are proud of these exceptional ratings, and we especially applaud our committed physicians and clinical staff for their commitment to the well being of our members and the community,” said Dr. Nancy Van Vessem, Chief Medical Officer of Capital Health Plan. “Over several years, we have worked together to offer CHP members evidence-based care for diabetes, heart disease and other conditions. Our shared goal is to strive to reduce catastrophic complications such as stroke and heart attack for our patients. We will continue seeking ways to improve the quality of the health care services we deliver.”

As part of its commitment to excellence, Capital Health Plan continues to focus on three primary strategic initiatives:

• Improving the health of the population
• Enhancing the patient experience of care (including quality, access, and reliability)
• Controlling trends in the per capita cost of care

John Hogan reflects, “We have a lot to accomplish in all three areas, as does our nation, but the capital region definitely stands out in these efforts.”

NCQA uses HEDIS®, CAHPS® and NCQA Accreditation standards scores to calculate plan rankings. These scores reflect the results of consumer surveys and success in prevention and treatment compared to other plans. Commercial health plans voluntarily report their scores to NCQA using data from HEDIS® and CAHPS® in categories related to access to care, overall satisfaction, prevention and treatment.

NCQA releases comprehensive HEDIS® and CAHPS® results each year in their Quality Compass®. Capital Health Plan received the following ratings of distinction for its commercial plan in the 2010 Quality Compass:

• CHP has the highest score in the nation for Colon Cancer Screening (three of the last four years)
• CHP ranks in the 90th percentile nationally for diabetes care, cervical cancer screening, follow-up after hospitalization for behavioral health problems, cholesterol screening for people with vascular disease, breast cancer screening and appropriate medication use in asthma.
• Members also scored Capital Health Plan in the 90th percentile nationally for overall plan rating and satisfaction with customer service.

Capital Health Plan’s commitment to member satisfaction shows in the outstanding member ratings for customer service and overall satisfaction with the plan. CHP Connect, a secure, online personal health record, helps members take control of their health. CHP Heath Coaching gives members access to online web modules and 24/7 advise from health care professionals to guide them through important medical decisions. And, Capital Health Plan’s local member services department consistently delivers efficient, expert service.

The source for data contained in this publication is Quality Compass® 2010 and is used with the permission of the National Committee for Quality Assurance (NCQA).Quality Compass 2010 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).