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TMCNet:  Health Partners Plans Awarded NCQA's Highest Accreditation Status

[September 12, 2017]

Health Partners Plans Awarded NCQA's Highest Accreditation Status

Nationally recognized for its innovative approach to health care, Pennsylvania-based managed care organization Health Partners Plans (HPP) announced today that its Medicaid plan was awarded an accreditation status of excellent, the highest status bestowed by the National Committee for Quality Assurance (NCQA). NCQA's accreditation status is the most widely-recognized accreditation program in the country.

NCQA only awards its highest status of excellent to organizations with exceptional service and clinical quality programs that meet or exceed its rigorous requirements for consumer protection and quality improvement. Its evaluation process assesses the quality of health care provided to consumers, giving them the ability to make decisions about health plans based on extensive criteria that focus on demonstrated value.

"It is partly a health plan's members that determine whether it earns NCQA's Excellent Accreditation status," said NCQA President Margaret E. O'Kane. "Any plan that does so should be proud of its accomplishment. It is a sign that the plan's delivering great service and great care-it's met the toughest test in managed care."

"We are extremely proud to receive this recognition from NCQA. HPP has spent the last 32 years focusing on providing member-centric, extraordinary care for those we serve," said President and CEO William S. George. "Our excellent accreditation status affirms our continued commitment to delivering high-quality care through innovative, evidence-based programs that improve health outcomes for our members."

The excellent accreditation status also means HPP's Medicaid plan is among the highest in national performance for NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) and NCQA's Consumer Assessment of Healthcare Providers and Systems (CAHPS®). HEDIS® is the most widely used performance measurment in health care while CAHPS® evaluates consumer satisfaction.

NCQA's Accreditation is the most comprehensive evaluation in the industry, satisfying not only regulatory demands but also consumer expectations. It is the only assessment that bases results on both clinical performance and consumer experience and evaluates how well a plan manages its physicians, hospitals, other providers and administrative services. For more information, visit

About National Committee for Quality Assurance (NCQA)

National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA's HEDIS® is the most widely used performance measurement tool in health care. NCQA's Web site ( contains information to help consumers, employers and others make more informed health care choices.

About Health Partners Plans

Nationally recognized for its innovations in managed care, Health Partners Plans is among the top 15 Medicaid plans in the country, is one of the highest-rated in Pennsylvania and receives strong ratings for member and provider satisfaction according to the National Committee for Quality Assurance's (NCQA) Medicaid Health Insurance Plan Ratings 2016-2017. Health Partners Plans is a not-for-profit managed health care organization serving more than 280,000 members in Southeastern Pennsylvania and the Lehigh/Capital region. It provides a broad range of health coverage options through Health Partners Medicare, Health Partners (Medicaid) and KidzPartners (Children's Health Insurance Program) plans. Founded more than 30 years ago, Health Partners Plans is one of the few hospital-owned health plans in the country. Learn more about how Health Partners Plans is doing it right at, and

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