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PHP | Physicians Health Plan Achieves NCQA Health Plan Accreditation

Michigan Business Network
August 9, 2023 7:00 PM

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Accreditation ensures health plans are supporting care that keeps members at optimum levels of health while also controlling costs and meeting government and purchaser requirements.

Lansing, Mich.— Physicians Health Plan (PHP) today announced it has achieved full accreditation through NCQA Health Plan Accreditation for both the Commercial HMO/POS plan as well as the Exchange HMO plan. The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving healthcare quality. NCQA Accredits and Certifies a wide range of healthcare organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used performance measurement tool in healthcare. NCQA's website (www.ncqa.org) contains information to help consumers make informed healthcare choices. The NCQA Health Plan Accreditation provides a current, rigorous, and comprehensive framework for essential quality improvement and measurement. It is the only program in the industry that bases results on clinical performance and consumer experience (HEDIS® and CAHPS®).

Health plans that have obtained the NCQA Health Plan Accreditation have gone through rigorous evaluation on quality management and improvement, population health management, network management, utilization management, credentialing and recredentialing, members’ rights and responsibilities, and member connections. It also utilizes HEDIS data to effectively measure care and service performance, focusing attention on activities that keep members healthy. To learn more about PHP or its offerings, visit the website here.

About PHP:
At Physicians Health Plan, we exist to improve people’s lives by making healthcare more accessible for the diverse communities we serve. Together with our extensive network of provider partners and hospitals, we provide our members access to high-quality, affordable healthcare so they can live their best lives. PHP is owned by two of Michigan’s top health systems, University of Michigan Health and Covenant HealthCare, and offers healthcare plans to individuals, employers, and Medicare beneficiaries throughout Michigan.

About NCQA:
NCQA is a private, nonprofit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare 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 healthcare. In recognition for its leadership in diversity, equity and inclusion, NCQA has won the Excellence in Diversity Award from the Chesapeake Human Resources Association. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed healthcare choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, and on LinkedIn at linkedin.com/company/ncqa.

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