|[September 19, 2013]
Harvard Pilgrim Health Care is Named NCQA #1 Private U.S. Health Plan for the Tenth Consecutive Year
WELLESLEY, Mass. --(Business Wire)--
For the tenth year in a row, Harvard Pilgrim Health Care has been named
the #1 private health plan1 in America according to the
National Committee for Quality Assurance (NCQA).2 Harvard
Pilgrim has held the top spot since NCQA began ranking health plans.3
Nearly 500 private health plans were rated this year. Harvard
Pilgrim Health Care of New England, Harvard Pilgrim's New Hampshire
affiliate, is the top ranked HMO/POS in New Hampshire and the 9th-ranked
private health plan in the country.2
The rankings are based on clinical quality as measured by The Healthcare
Effectiveness Data and Information Set (HEDIS)®, a tool developed by
NCQA to enable purchasers and consumers to make reliable comparisons of
health care plan performance. Other measures used to score health plans
for NCQA's rankings include the U.S. Department of Health and Human
Services' Consumer Assessment of Healthcare Providers and Systems
(CAHPS) and NCQA's accreditation standards ratings.
"We could not have achieved the honor of achieving the top seat for a
full decade without strong partnerships with our doctors, hospitals,
employers, brokers and, of course, our employees," said Eric H. Schultz,
president and chief executive officer of Harvard Pilgrim. "We are
committed to remaining focused on bringing al of the communities we
serve the best care, quality and value possible."
Harvard Pilgrim Health Care was founded by physicians more than 40 years
ago and continues to develop innovative ways to address the many
challenges faced by patients and providers today. "We are focused on
empowering consumers to make the best health care decisions for
themselves and their families, by making cost and quality information
more accessible," said Schultz.
"We are very proud of this unprecedented accomplishment," said Michael
Sherman, MD, chief medical officer of Harvard Pilgrim. "We attribute
these results to our ability to innovate in ways that reward high value
and improved health outcomes. By partnering closely with providers, we
believe that we can continue to make a difference and ensure that our
members receive the highest quality of care."
Harvard Pilgrim builds upon the solid relationships it has established
with doctors and hospitals throughout the years by rewarding innovation
and excellence with pay-for-performance, quality grants and physician
and hospital honor roll programs. Both parties bring their respective
strengths to the table to do what's best for their members/patients,
while addressing health care affordability and the total cost of care.
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.
Harvard Pilgrim Health Care is a not-for-profit health plan serving 1.2
million members in New England. Founded in 1969, the health plan has
built its reputation on pragmatic innovation with a goal of lowering
costs, improving care and enhancing the overall member experience.
Harvard Pilgrim is known for its excellent clinical programs, customer
service, health improvement strategies and innovative tools that offer
consumers greater transparency and empower them to make better decisions
about their health care.
2 NCQA's Private Health Insurance Plan Rankings, 2013-14
3NCQA's Private Health Insurance Plan Rankings, 2013-14,
HMO/POS. NCQA's Health Insurance Plan Rankings 2010-11 - Private.
U.S.News/NCQA America's Best Health Insurance Plans 2005-2009
(annual). America's Best Health Insurance Plans is a trademark of U.S.News
& World Report. NCQA The State of Health Care Quality 2004.
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