San Francisco Health Plan Recognized As Top Health Plan for Quality in State Medi-Cal Program

Sep 30, 2010, 11:50 ET from San Francisco Health Plan

For the third consecutive year, San Francisco Health Plan earns  Department of Health Care Services Gold Award for Quality Care

SAN FRANCISCO, Sept. 30 /PRNewswire-USNewswire/ -- San Francisco Health Plan (SFHP), the city's community health plan serving over 60,000 residents, announced today that it is the exclusive recipient of the 2010 Gold Award for Excellence in Quality Care from the California Department of Health Care Services (DHCS). This is the third year in a row SFHP has received this honor.

Rankings were determined by Healthcare Effectiveness Data and Information Set (HEDIS) results, which are nationally recognized performance measures of health plans developed by the National Committee for Quality Assurance (NCQA).

"This award acknowledges the effort of the San Francisco provider network and the responsibility they take for the health of our members," said Dr. Kelly Pfeifer, SFHP Medical Director. "Instead of waiting until patients are sick, our doctors and clinics reach out to make sure our members are getting the preventive care they need to stay healthy."

SFHP motivates members to become active participants in their own care. For example, teens that are prone to avoid doctor visits are provided with free movie tickets for receiving an annual physical exam.

"We are only able to garner this accolade from year to year through the commitment and unmatched skills of the providers in our network. They enable us to remain a plan that our members can trust," said John F. Grgurina, Jr., CEO of San Francisco Health Plan. 

Through sharing best practices and technical assistance for providers, and providing outreach and incentives for members, SFHP has become one of the leading community health plans in the state.

SFHP continues to garner national attention as an innovative county-based healthcare program that provides access to quality healthcare for qualified county residents, regardless of pre-existing conditions or immigration status.

About San Francisco Health Plan

San Francisco Health Plan is a licensed community health plan providing affordable health coverage to over 60,000 low and moderate-income families residing in San Francisco. 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. Through San Francisco Health Plan, members have access to a full spectrum of medical services, including preventive care, hospitalization, prescription drugs, family planning, and substance abuse programs. San Francisco Health Plan's mission is to provide superior, affordable health care that emphasizes prevention and promotes healthy living, with the goal of improving the quality of life for the people of San Francisco. For more information on San Francisco Health Plan, visit,


HEDIS (Healthcare Effectiveness Data and Information 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 Quality Assurance (NCQA).  For more information on HEDIS, visit        

SOURCE San Francisco Health Plan