Volunteer State Health Plan â€˜Excellent'
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CHATTANOOGA - Volunteer State Health Plan, a licensed HMO affiliate of Blue Cross Blue Shield of Tennessee Inc., announced Dec. 22 that it has been awarded an accreditation status of "Excellent" from the National Committee for Quality Assurance (NCQA), an independent, nonprofit organization that assesses and reports on the quality of the nation's managed care plans. The status, the highest possible level, is based on a voluntary review of how a health plan ensures that its members are receiving high-quality care. VSHP scored 93.20 out of a possible 100 points. The accreditation is valid through Feb. 11, 2009. The achievement meets the TennCare Bureau's NCQA accreditation requirement for any managed care organization participating in the TennCare program. TennCare is the first Medicaid program in the nation to adopt such a mandate. The NCQA accreditation survey process includes on- and off-site evaluations of over 60 standards and selected performance measures conducted by a team of physicians and managed care experts. A committee of physicians analyzes the team's finding and assigns an accreditation level based on the performance level of the plan being evaluated to NCQA's standards. 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.