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NCQA reaffirms Security Health Plan’s Excellent Accreditation status

MARSHFIELD – Security Health Plan has received another 3-year Accreditation from the National Committee for Quality Assurance (NCQA) to run from 2014 through 2017. The score the Plan received also reaffirms its 2014 Excellent Accreditation status for its commercial, Medicare and Medicaid programs.

“NCQA’s Excellent Accreditation status is reserved for the best health plans in the nation,” said NCQA President Margaret E. O’Kane. “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.”

Security Health Plan Chief Administrative Officer Steve Youso said Excellent Accreditation is most important because of what it signifies to the Plan’s members.

“Accreditation allows our members to judge how we’re doing,” Youso said. “Our primary purpose is to help keep our members healthy and take care of their health care problems. Receiving Excellent Accreditation shows that our providers and our employees are doing things right for our members.”

Security Health Plan Quality Officer Jane Wolf said NCQA Accreditation reflects the quality of work delivered by employees across all Plan departments.

“NCQA’s emphasis is on doing things right for our members,” Wolf said. “Receiving Excellent Accreditation is a credit to all employees across our organization for the quality of their work.”

Dr. Mark LePage, the Plan’s chief medical officer, explained that receiving NCQA Accreditation was especially important for the Security Health Plan options offered on the Health Insurance Marketplace.

“Marketplace plans are new and Accreditation for these plans is also new,” LePage said. “While we place high value on Accreditation for all our plans, it’s a requirement to remain a Qualified Health Plan on the Marketplace. It enables us to continue meeting the health insurance needs of individuals and families throughout central, north central and northwestern Wisconsin.”

Youso said delivering the very best service to its members every day is the first priority of Security Health Plan.

“This recognition from the NCQA reflects on the high quality of medical care our members consistently receive from our network of providers and the service they receive from our employees. It’s one way we can measure how we’re making a healthy difference in the lives of our members and the communities we serve.”

He added that maintaining Excellent Accreditation meets one of Security Health Plans annual objectives. Security Health Plan has earned NCQA’s Excellent Accreditation status every year since 2002 for its commercial plans, annually since 2005 for its Advocare Medicare Advantage plans, and each year since it became the first BadgerCare Plus Medicaid program in Wisconsin to pursue and gain NCQA Accreditation in 2011.

NCQA Health Plan Accreditation evaluates the quality of care that health plans provide to their members. Performance is evaluated over 60 standards in five categories:

  1. Access and service: Do health plan members have access to the care and service they need?
  2. Qualified providers: Does the health plan assess each doctor’s qualifications and what plan members say about its providers?
  3. Staying healthy: Does the health plan offer activities to help members maintain good health and detect illness early?
  4. Getting better: Does the health plan offer programs and activities for members to help them recover from an illness?
  5. Living with illness: Does the health plan offer programs and activities for members with chronic conditions to help them manage their chronic illness?

“Our members are our friends and neighbors, and that’s why we pay special attention to all of these standards,” Youso said. “In everything we do we want to treat our members the same as we would a friend or neighbor.”

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About Security Health Plan

Security Health Plan is a not-for-profit health maintenance organization, a member of the Marshfield Clinic Health System, now serving more than 225,000 residents in 40 counties of Wisconsin. Accredited by the National Committee for Quality Assurance (NCQA), Security Health Plan insures employees of large and small businesses, individuals and families, and administers self-funded employer health plans.

About NCQA

NCQA is a private, nonprofit 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. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care.

 

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