Texas Children’s Health Plan recently received the distinguished status of Accredited by the National Committee for Quality Assurance (NCQA). The accreditation process evaluates how well a health plan manages all parts of its delivery system – physicians, hospitals, other providers and administrative services – in order to continuously improve the quality of care and services provided to its members. This award is the culmination of the hard work put in by dedicated Texas Children’s Health Plan employees.
“Earning the National Committee for Quality Assurance Accreditation status is a testament to our commitment to providing exceptional care to our members and the hard work of our employees,” said Christopher Born, president of Texas Children’s Health Plan. “Texas Children’s Health Plan is very proud to earn the accreditation.”
Health Plan Accreditation performance results are publicly reported in five categories: access and service, qualified providers, staying healthy, getting better and living with illness. The standards are purposely set high to encourage health plans to continuously enhance their quality. No comparable evaluation exists for fee-for-service health care. NCQA Accreditation not only involves a rigorous review of a health plan’s consumer protections and quality improvement systems, but also requires health plans to submit audited data on key clinical and service measures (e.g., mammography screening rates; advising smokers to quit; consumer satisfaction) in order to achieve the highest levels of accreditation.
NCQA is a private, non-profit 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 performances. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.