Local Community Health Plan Outperforms National Medicaid Plans on Key Quality Measure
"We couldn't be more thrilled with the results," said
Strategies for achieving high childhood immunization rates include incentive programs that encourage parents of health plan members to take their children in for required vaccinations before age two. A complete shot record that indicates all required immunizations have been received results in a
National rankings are determined by Health Employer Data Information Set (HEDIS) results, a set of nationally recognized performance measures of health plans developed by the National Committee for Quality Assurance (NCQA). Ranking high on HEDIS quality measures is a key indicator that SFHP providers are taking good care of members, and that SFHP has established an exceptional provider support system.
"We cannot underscore the importance and impact of provider participation enough," said
SFHP also ranks within the top 10 for additional Medicaid measures nationwide, such as comprehensive diabetes care, well child visits, and treatment of children with upper respiratory infections.
SFHP most recently garnered national attention by being named by
About San Francisco Health Plan
San Francisco Health Plan is a licensed community health plan that provides affordable health coverage to low and moderate-income San Franciscans. San Francisco Health Plan was designed for and by the residents it serves - many of whom would not be able to otherwise obtain health care for themselves or their families. San Francisco Health Plan's mission is to provide superior, affordable health care that emphasizes prevention and promotes healthy living. San Francisco Health Plan strives to improve the quality of life for the people of
HEDIS (Health Employer Information Data Set) is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans. The performance measures in HEDIS are related to many significant public health issues such as cancer, heart disease, smoking, asthma and diabetes. Health Plan performance is reported publicly through consumer materials to help people choose the best health plan for their needs. HEDIS has become more than a set of measures; it is part of an integrated system to establish accountability in health care nationwide. HEDIS is sponsored, supported and maintained by National Committee for Qualify Assurance (NCQA). For more information on HEDIS, visit http://www.ncqa.org.
SOURCE San Francisco Health Plan