Healthline member newsletter

Capital Health Plan Receives Excellent Accreditation from NCQA

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

February 29, 2012 – Once again, the National Committee for Quality Assurance (NCQA) awarded Capital Health Plan its highest accreditation status of Excellent for service and clinical quality. Capital Health Plan was awarded the Excellent status for both its Commercial HMO and Medicare HMO plans. This means that Capital Health Plan met or exceeded NCQA's rigorous requirements for consumer protection and quality improvement.  CHP has held the Excellent accreditation status for 11 years.

The National Committee for Quality Assurance (NCQA) conducted an on-site survey at Capital Health Plan on February 13-14th, 2012. The results of the on-site survey show that CHP achieved a score 100% out of 100%.  This on-site survey score is combined together with the most recent HEDIS clinical measures and CAHPS member satisfaction scores to calculate the new accreditation rating score for 2012.

Capital Health Plan was also awarded Medicare Advantage Deemed Status in accordance with the requirements set forth by the Centers for Medicare & Medicaid Services.

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance.

According to NCQA: “NCQA’s Excellent Accreditation status is reserved for the best health plans in the nation.  It is only awarded to those plans that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care.

“Earning Excellent Accreditation reflects a health plan's ability to work with its members’ physicians to improve the quality of clinical care. It shows that the plan is building the kinds of partnerships that are critical to delivering great care and great service.”

Capital Health Plan #1 Medicare Plan in the Nation!

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

Capital Health Plan’s Medicare Advantage Plan is ranked number one in the nation according to “NCQA’s Health Insurance Plan Rankings 2010-2011 – Medicare” published by the National Committee for Quality Assurance (NCQA). The Medicare Advantage Plan has ranked in the top tier in past years, but is now the first ever Florida health care plan to be ranked number one.

“We are honored to receive the number one ranking from NCQA. It is a reflection of the commitment of our local physicians and clinical staff to consistently deliver quality medical care,” said Dr. Nancy Van Vessem, Capital Health Plan chief medical officer. “Collaboration between Capital Health Plan, physicians and members has led to continued success measured by consistently excellent results on quality and member satisfaction scores.”

Capital Health Plan is your local health plan serving Leon and the surrounding counties, but the plan brings the entire state of Florida national attention with its achievements. “As the only health care plan in Florida to receive such a commendable rating, we are committed to being a leader and continually improving Medicare services and patient care,” said John Hogan, CEO of Capital Health Plan.

To calculate plan rankings, NCQA uses HEDIS®, CAHPS® and NCQA Accreditation standards scores. These scores reflect the results of consumer surveys and the plan’s success in prevention and treatment compared to other plans.

The Healthcare Effectiveness Data and Information Set (HEDIS) measures performance on important dimensions of care and service. Capital Health Plan received the following important 2010 HEDIS results:

  • CHP scored the very highest in the nation for Colorectal cancer screenings.
  • CHP scored the very highest in the nation for Overall Effectiveness of Care.
  • CHP scored the very highest in the nation for Overall Preventive Screening Rate

What’s so important about Capital Health Plan’s #1 ranking?

You. Thank you, members, for once again letting us – and the nation – know that Capital Health Plan works for you. Our goal is protecting and supporting your health. Your continuing satisfaction is the real measure of our success.

That’s why for 28 years, CHP has maintained our high standards in medical care and a strong physician network. That’s why we strive to meet your evolving needs with innovative services like CHPConnect and CHP Health Coaching. And that’s why our local member services department strives to deliver 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). HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Capital Health Plan #1 Medicare Plan in the Nation!

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

Capital Health Plan Ranked Number One Medicare Plan in the Nation

-- Honored with top national awards by National Committee for Quality Assurance and Centers for Medicare and Medicaid Services --

TALLAHASSEE, Fla. – Capital Health Plan (CHP) a local, non-profit health plan announces that its Medicare Advantage Plan is ranked number one in the nation according to “NCQA’s Health Insurance Plan Rankings 2010-2011 – Medicare” published by the National Committee for Quality Assurance (NCQA). The Medicare Advantage Plan has ranked in the top tier in past years*, but is now the first ever Florida health care plan to be ranked number one.

"We are honored to receive the number one ranking from NCQA. It is a reflection of the commitment of our local physicians and clinical staff to consistently deliver quality medical care,” said Dr. Nancy Van Vessem, Capital Health Plan chief medical officer. “Collaboration between Capital Health Plan, physicians and members has led to continued success measured by consistently excellent results on quality and member satisfaction scores.”

Capital Health Plan serves Tallahassee and the surrounding counties, but the plan brings the entire state of Florida attention with its achievements. The Centers for Medicare and Medicaid Services (CMS) awarded CHP with five out of five stars for its Medicare Advantage health plan. Star ratings show how well each plan performs in a particular category, ranging from 1 star, meaning "poor" quality, to 5 stars, meaning "excellent" quality. The system was designed to help patients and their families more easily make decisions regarding Medicare services.

“As the only health care plan in Florida to receive such a commendable rating, we are committed to being a leader and continually improving Medicare services and patient care,” said John Hogan, CEO of Capital Health Plan. “The rankings we received from both the Centers for Medicare and Medicaid Services and the National Committee for Quality Assurance are a testament to the dedication of our staff and medical community to excellent care for our members.”

NCQA uses HEDIS®, CAHPS® and NCQA Accreditation standards scores to calculate plan rankings. These scores reflect the results of consumer surveys and the plan’s success in prevention and treatment compared to other plans. Medicare 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.

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

* U.S. News/NCQA “America’s Best Health Insurance Plans” 2005-2009 (annual). “America’s Best Health Insurance Plans” is a trademark of U.S. News & World Report.

CHP's Commercial Plan Ranked 4th in the Nation

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

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.

“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. “

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

“We are proud of this exceptional ranking, 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.”

CHP Performs Well in NCQA’s Quality Compass® 2010

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

Quality Compass® is NCQA’s comprehensive national database of health plans’ HEDIS® and CAHPS® results. NCQA uses this data along with NCQA Accreditation standards to calculate plan rankings. These scores reflect the results of consumer surveys and success in prevention and treatment compared to other plans.

Capital Health Plan received the following ratings of distinction for its commercial plan:

  • CHP has the highest score in the nation for Colon Cancer Screening (3 of the last 4 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, appropriate medication use in asthma and multiple other measures.
  • 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. Tools like CHPConnect and CHP Health Coaching help members take control of their health. And, Capital Health Plan’s local member services department strives to deliver efficient, expert service.

John Hogan, CEO of Capital Health Plan, notes, “This feedback only furthers CHP’s dedication to delivering high quality, affordable health care and service to our community.”

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). HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Capital Health Plan Ranked Among The Nation’s Top 5 Commercial and Medicare Health Plans By U.S.News & World Report

Note: This article is over 60 days old, and may contain information that is out of date, or has been superseded by newer information.

CHP among “America’s Best Health Insurance Plans 2009-10,” top health plan in Florida

TALLAHASSEE, Fl. - Capital Health Plan (CHP) has once again received national acknowledgement. CHP is ranked 5th in the nation for both Commercial and Medicare health plans. In the 2009-10 America’s Best Health Insurance Plans rankings published by U.S.News & World Report and the National Committee for Quality Assurance (NCQA), CHP is also the top-ranked plan in Florida. This is the highest combined ranking CHP has ever achieved.

“We are very pleased with this recognition which reflects a lot of outstanding work by our staff and this medical community. This also would not be possible without great support year after year from our members and area employers,” said John Hogan, CEO of Capital Health Plan. “This type of feedback is great news for Tallahassee and only furthers CHP’s dedication to delivering high quality, affordable health care and service to our community.”

As part of its commitment to excellence, CHP 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 Tallahassee definitely stands out in these efforts.”

NCQA’s Quality Compass database also reported high ratings for Capital Health Plan. The scores of commercial health plans are voluntarily reported NCQA using data from HEDIS® and CAHPS® measures in categories related to access to care, overall satisfaction, prevention and treatment. These scores reflect the results of consumer surveys and success in preventing and treating illness compared to other plans.

Commercial Ratings:

  • CHP members rated their satisfaction with their personal doctor (rating of 9 or 10) as the highest in the state.
  • CHP members once again scored the Plan the highest in the state and the South Atlantic Region when asked “how satisfied are you with your health plan?”
  • CHP scored the very highest in the nation for Spirometry Testing for COPD.

Medicare Ratings:

  • CHP scored the very highest in the nation for Diabetic eye exams.
  • CHP scored the very highest in the nation for Colorectal cancer screenings for the 5th year in a row.
  • CHP scored the very highest in the nation for Spirometry Testing for COPD.

The 2009-10 “America’s Best Health Insurance Plans” rankings are published online at www.usnews.com/healthplans, and will be featured in the December 2009 issue of U.S. News, which will be on newsstands Tuesday, December 1.

“America’s Best Health Insurance Plans” is a trademark of U.S. News & World Report. HEDIS® stands for Healthcare Effectiveness Data and Information Set and is a registered trademark of the National Committee for Quality Assurance (NCQA).

The source for data contained in this publication is Quality Compass® 2009 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass 2009 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).