AvMed receives NCQA's Excellent Accreditation status for commercial and Medicare products

Once again, AvMed Health Plans has received an Excellent Accreditation status from the National Committee for Quality Assurance (NCQA) for both its commercial and Medicare products, a distinction shared only by a select group of health plans in the country.  The Excellent rating is the NCQA's highest accreditation status for service and clinical quality that meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement.

The Excellent ratings distinguish AvMed among accredited health plans based on an evaluation of how well the health plan manages all parts of its delivery system – physicians, hospitals, other providers and administrative services – in order to continuously improve the health care for its members.

In order for AvMed to receive the Excellent Accreditation, its annual HEDIS® evaluation also had to achieve results in the highest range of performance.

AvMed has also achieved NCQA Distinction in the following Quality Plus modules: Member Connections and Care Management and Health Improvement.

"AvMed is honored to once again receive the NCQA's distinguished Excellent rating for our ongoing commitment to provide our customers with high quality services and care," said Ed Hannum, President and COO of AvMed.  "To receive this designation several years in a row is truly a testament to AvMed's great team which works tirelessly to ensure every customer's health-care needs are met. We look forward to continuing our legacy of providing great products and services to every member, while also identifying opportunities to improve along the way."

"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," said Margaret O'Kane, President of the NCQA.

To achieve the Excellent Accreditation status, AvMed participated in NCQA surveys including rigorous on and off-site evaluations of more than 60 different standards and selected HEDIS performance measures that fell into the following categories:  access and service, qualified providers, staying healthy, getting better and living with illness.  

NCQA sends a team of trained health care experts, including physicians, to conduct a rigorous on-site survey of the health plan. NCQA uses information from health plan records, consumer surveys, interviews with plan staff and performance on selected HEDIS measures.

The NCQA Accreditation status is used by employers and consumers as an evaluation tool when selecting a health plan for the coming year.