|September 21, 2011|
Volunteer State Health Plan Earns Excellent Rating
CHATTANOOGA, Tenn. — Volunteer State Health Plan (VSHP) has earned an accreditation status of “Excellent” from the National Committee on Quality Assurance (NCQA), an independent, non-profit organization that assesses and reports on the quality of the nation’s managed care plans.|
VSHP’s accreditation status of Excellent is the highest possible rating, and is based on a voluntary review of how the health plan ensures its members are receiving high quality care. VSHP scored 91.09 out of a possible 100 points. The accreditation is valid through September 2012.
“This NCQA accreditation shows we are providing our members the excellent service they expect and deserve from our MCO,” said J.D. Hickey, senior vice president of health care services. “It’s a tribute to the talent of our employees and their dedication to our mission.”
The achievement meets the TennCare Bureau’s NCQA accreditation requirement for any managed care organization participating in the TennCare program. TennCare is the first Medicaid program in the nation to adopt such a mandate.
The NCQA accreditation survey procedure includes on-site and off-site evaluations of more than 60 standards and selected HEDIS performance measures conducted by a team of doctors and managed care experts. A committee of physicians analyzes the team’s finding and assigns an accreditation level based on the performance level of the plan being evaluated to NCQA’s standards.
The NCQA accreditation process evaluates how well a health plan manages quality in all parts of its delivery system – doctors, hospitals, affiliated providers and administrative services – to continuously improve health care for its members.
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