PITTSBURGH, July 25 /PRNewswire/ -- Community Care has been awarded
three-year Full Accreditation - the highest possible level - from the
National Committee for Quality Assurance (NCQA).
Community Care, a behavioral health managed care organization based in
Pittsburgh, earned full accreditation based on a voluntary review by NCQA
that determines how a health plan ensures that its members are receiving
"Community Care's Accreditation is proof that it is an organization
which works hard to coordinate care, ensure access and provide good
customer support for members," said Margaret E. O'Kane, NCQA president.
"It's a sign that Community Care is focused on improving the behavioral
health of its members."
The NCQA Accreditation survey process includes on- and off-site
evaluations of over 60 standards conducted by a team of physicians and
managed care experts. A committee of physicians analyzes the team's
findings and assigns an accreditation level based on the performance level
of the plan being evaluated to NCQA's standards.
NCQA is an independent, non-profit organization that assesses and
reports on the quality of the nation's managed care plans. NCQA
Accreditation is nationally recognized as a seal of approval.
"We are an organization that is committed to continuous quality
improvement and I believe that has been validated by the NCQA
accreditation," said James Gavin, president and CEO of Community Care
"The fact that each of our employees, and providers, as well as our
management team, contributed to the accreditation process in some way,
makes us even more proud of this achievement," Gavin said.
The NCQA Accreditation process evaluates how well a health plan manages
quality throughout every part of its delivery system - physicians,
hospitals, affiliated providers, and administrative services - to
continuously improve health care for its members.
More than three-quarters of Americans enrolled in HMOs are in plans
that have been reviewed by NCQA and many employers now mandate
accreditation of the plans they offer their employees.
About Community Care:
Community Care, a provider-owned, federally tax-exempt, nonprofit
behavioral health managed care organization headquartered in Pittsburgh,
manages behavioral health benefits for members throughout rural and urban
Pennsylvania whose health insurance is sponsored through Medicaid and UPMC
Health Plan's Medicare, Children's Health Insurance Program and commercial
plans. Community Care is part of the Insurance Services Division of the
University of Pittsburgh Medical Center, a $6 billion integrated health
system. In total, Community Care manages behavioral health services for
nearly one million enrollees.
Community Care was founded in 1996 with a mission to provide
accessible, high-quality, cost-effective, culturally sensitive behavioral
health care. Community Care has been awarded "full" accreditation for its
commercial and Medicare product lines, receiving the highest rating given
in all applicable standards.
SOURCE Community Care