UnitedHealthcare Achieves Full NCQA Accreditation across its Principal Commercial Health Plans
UnitedHealthcare has achieved full National Committee for Quality Assurance (NCQA) Accreditation across its principal commercial health plan offerings. The latest accreditations mean all of UnitedHealthcare’s eligible fully insured and self-funded commercial HMO, POS and PPO plans have received NCQA accreditation.
“Accreditations reflect a health plan’s ability to work with physicians to improve the quality of clinical care to enhance customer service. We applaud UnitedHealthcare for its efforts in collaborating with the medical community and its health plan participants to deliver great service and great care,” said Margaret E. O’Kane, president of NCQA.
The following examples illustrate how UnitedHealthcare health plans satisfied each of the five NCQA category requirements:
- Access and Service – UnitedHealthcare offers a broad national network of health care providers with more than 600,000 physicians and care professionals and 5,000 hospitals
- Qualified Providers – Building on more than a decade of assessing physician and hospital performance, UnitedHealthcare analyzes physician practices based on established and accepted clinical guidelines for quality care. UnitedHealthcare’s Premium® physician designation program enables plan participants to compare quality and cost-efficiency information for physicians and health care facilities.
- Staying Healthy – UnitedHealthcare provides a range of tools, such as delivering personalized messaging to remind them of key health milestones and alerting physicians and plan participants about services individual patients may have missed, to help plan participants maintain good health and enhance their early detection of potential health issues.
- Getting Better – UnitedHealthcare provides a number of resources to help people recover from illnesses, including inpatient care management programs, and disease management and Nurse Line programs.
- Living with Illness – UnitedHealthcare provides programs focused on preventing complications in patients with chronic diseases using the most current technology, such as synchronizing data from various care providers and connecting patients to programs that help them manage their chronic conditions. Physicians are provided with updates to help monitor their patients’ chronic conditions.
UnitedHealthcare attains additional certification for physician and hospital quality programs
UnitedHealthcare also received NCQA’s PQ (physician quality) and HQ (hospital quality) certifications for focusing on sound methodology and transparency, and for providing information on the cost and quality of care. UnitedHealthcare is one of only two national health insurers in the country to attain PQ and HQ certification, which is received following an extensive review of its physician and hospital initiatives.
UnitedHealthcare’s NCQA Health Plan Accreditation performance results are available at www.ncqa.org
You will also find additional detail in the formal news release.
Please contact your UnitedHealthcare representative for more information.