Georgia HOPE Earns National Recognition For Quality Care

WellCare of Georgia Assists Organization to become First Level-III Behavioral Health Provider

Feb 23, 2016, 08:30 ET from WellCare Health Plans, Inc.

WASHINGTON and ATLANTA, Feb. 23, 2016 /PRNewswire/ -- The National Committee for Quality Assurance (NCQA) today announced that Georgia HOPE of Dalton, Georgia, has received NCQA Recognition as a Patient-Centered Specialty Practice (PCSP) for its responsiveness to patients and medical colleagues, cooperation and integration with other health care groups, and dedication to continuous improvement and health outcomes. Georgia HOPE is one of two providers nationwide to attain this recognition, and they are the only provider nationwide to receive Level-III Recognition, the highest awarded by the NCQA.

Earning NCQA Recognition shows that Georgia HOPE has undergone a rigorous review of its capabilities and is committed to communication, coordination and providing a "no wrong door" approach to accessing behavioral and medical health care. Recognition signals to primary care practices that Georgia HOPE is ready to be an effective partner in caring for patients they have in common.

"NCQA Patient-Centered Specialty Practice Recognition distinguishes practices that communicate, collaborate and integrate care in ways that patients want and that improve quality," said NCQA president Margaret E. O'Kane. "I commend the team at Georgia HOPE for its achievement, and for its commitment to continuous improvement."

Georgia HOPE met or exceeded national standards for:

  • Communicating with primary care clinicians to exchange key information and establish coordinated care plans.
  • Providing timely access to care and clinical advice based on patient need.
  • Using a systematic approach to track referrals and coordinate care.
  • Measuring and improving performance over time.

"Georgia HOPE is committed to providing the highest quality care so we are extremely pleased to be recognized by NCQA," said Georgia HOPE's Chief Executive Officer, Nikki Raymond. "As a recognized Level-III Patient-Centered Specialty Practice, we have demonstrated a commitment to partner with our patients to help them achieve optimum health and wellness. I'd like to thank both WellCare and Amerigroup for the counsel and support they provided, which was invaluable to Georgia HOPE's ability to participate in and complete this transformative process. It is our goal to extend the life expectancy for our clients and transcend our quality of care."

"WellCare of Georgia established an initiative to assist practices in becoming recognized by the National Committee for Quality Assurance to increase the number of practices committed to fostering strong physician-patient relationships, encouraging proactive care coordination and increasing quality of care in Georgia," said Remedios Rodriguez, Senior Director of Behavioral Health Operations at WellCare of Georgia. "We'd like to congratulate Georgia HOPE for their effort to consistently provide quality care at the highest level."

PCSP recognition is modeled on and complements NCQA's Patient-Centered Medical Home (PCMH) Recognition program, the most widely adopted medical home model in the country. A medical home is a way of organizing primary care that uses teamwork and technology to improve quality, improve patients' experience of care and reduce costs. PCSP recognition highlights the "neighbors" in medical specialties that surround and inform the medical home and colleagues in primary care.

WellCare of Georgia, a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG), and NCQA have partnered to provide a discount to health care practices in Georgia that seek recognition as a NCQA PCMH. For more information about receiving the discount, participating providers should contact WellCare of Georgia at PCMH_GA@wellcare.com.

For further information about Georgia HOPE see www.gahope.org.

For further information about NCQA, e-mail pcsp@ncqa.org.

ABOUT NCQA

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 performance. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA's Web site (ncqa.org) contains information to help consumers, employers and others make more informed health care choices.

ABOUT Georgia HOPE

Georgia HOPE is a community-based provider of mental health and substance abuse counseling services, covering fourteen counties in Northwest Georgia.  Our mission is to work in partnership with individuals, families, and community partners to help people achieve good health and meaningful living, with an ultimate goal of improving community wellness by promoting health and recovery for people served by our programs.  For more information about Georgia HOPE, please visit our website at www.gahope.org.

About WellCare Health Plans, Inc.

Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. WellCare serves approximately 3.8 million members nationwide as of Dec. 31, 2015. For more information about WellCare, please visit the company's website at www.wellcare.com or view the company's videos at https://www.youtube.com/user/WellCareHealthPlan.

 

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SOURCE WellCare Health Plans, Inc.



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