Home > Awards & Recognition > OXFORD HEALTH PLANS RECEIVES EXCELLENT NCQA STATUS
Oxford Health Plans Receives Excellent Status For Its Commercial Products In New York
- NCQA Ups Accreditation -
TRUMBULL, Conn., Nov. 13 /PRNewswire/ -- Oxford Health Plans, Inc. (NYSE: OHP) today announced that it received "Excellent Accreditation" from the National Committee for Quality Assurance (NCQA), an independent, non-profit organization dedicated to improving managed care quality and service. Oxford's accreditation applies to Oxford's HMO and POS products in New York. Oxford has "Commendable Accreditation" for its HMO and POS products in New Jersey and Connecticut, and its Medicare products.
"Our mission is to improve people's health. We believe our excellent relationships with our doctors, and our programs and services ensure that our members have access to quality, affordable healthcare," said Alan Muney, M.D., chief medical officer of Oxford Health Plans. "Through new programs we launched in 2001 and others we will introduce in 2002, we will make even greater strides in helping people manage their health, particularly in the areas of preventive care and disease management."
According to the NCQA's accreditation process and review classification, "Excellent Accreditation" is awarded to a managed care organization for service and clinical quality that meets or exceeds NCQA's rigorous requirements for consumer protection and quality improvement. HEDIS(R)(1) (Health Plan Employer Data and Information Set) results are in the highest range of national performance. NCQA's Standards for Accreditation involve a thorough review of a health plan's consumer protection and quality improvement systems, and submission of audited data on key clinical service measures (e.g., mammography screening rates, smoking cessation programs, consumer satisfaction, etc.).
Following a July 2001 review of Oxford's systems, NCQA awarded an "Excellent Accreditation" to the company for its commercial products in New York, upgrading the "Commendable" status it received last year. NCQA reviewed quality improvement, utilization management, provider credentialing, members' rights and responsibilities, preventive health and medical records initiatives. In addition, as reported in NCQA's "State of Managed Care Quality Report 2001," Oxford continued to improve in most clinical performance measures, including beta blocker treatment and breast cancer screening.
"Earning 'Excellent' Accreditation reflects a health plan's ability to work with its members and physicians to improve the quality of clinical care," said Greg Pawlson, M.D., executive vice president of NCQA. "It shows the plan is building the kind of partnerships that are critical to delivering great care and service."
NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans and other healthcare-related organizations. Its mission is to provide purchasers and consumers with an unprecedented ability to evaluate the quality of different health plans along a variety of different dimensions, and to make their health plan decisions based on demonstrated value rather than simply on cost.
Founded in 1984, Oxford Health Plans, Inc. (http://www.oxfordhealth.com) provides health plans to employers and individuals in New York, New Jersey and Connecticut, through its direct sales force, and independent insurance agents and brokers. Oxford's services include traditional health maintenance organizations, point-of-service plans, third-party administration of employer-funded benefit plans and Medicare plans.
(1) HEDIS(R) is a registered trademark of the National Committee for Quality Assurance (NCQA).