Community Care Earns Full Accreditation from National Committee for Quality Assurance (NCQA)

Jul 25, 2007, 01:00 ET from Community Care

    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
 high-quality care.
     "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
 Behavioral Health.
     "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