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Scott & White Health Plan (SWHP) leads all health plans in Arizona, New Mexico, Texas, Oklahoma, Louisiana, Mississippi and Alabama in national rankings for Medicare HMO products and private health insurance.
According to the NCQA (National Committee for Quality Assurance) Private Health Insurance Plan and Medicare Health Insurance Plan Rankings, 2012-2013, SWHP is the highest-ranked Medicare HMO in Texas, with a national rank of 44. SWHP is also the highest-ranked private HMO in Texas, with a national rank of 161. The rankings mean SWHP leads in a seven state regions spanning parts of the South and Southwest.
The rankings are based on evaluations of 474 private Health Insurance Plans and 395 Medicare Health Insurance Plans nationally. The NCQA rankings are based on a combination of effectiveness of clinical care, member satisfaction and NCQA Accreditation. NCQA's Health Insurance Plan Rankings for 2012-2013 used the agency's established rankings methodology, which has been used and widely recognized since 2005.
SWHP's consistent performance over the past several years in disease prevention and treatment initiatives and patient access and satisfaction, contributed to its ranking as the leading provider for both Medicare HMO and private insurance in the state.
"It is gratifying to receive these recognitions," said Allan Einboden, president and chief executive officer of SWHP. "But the real honor is in knowing we have provided a level of service to our members that helped them achieve and maintain healthier lifestyles and receive high quality patient care."
As a not-for-profit HMO, SWHP has invested in the communities it serves by delivering programs such as screenings, well child exams, and disease management consults. It has also worked to advance medical care for its members through quality measurement and improvement initiatives.
"We are constantly looking for ways to translate our quality data into services that will assist us in achieving our ultimate objective: building healthy communities," said Einboden. "It is how Scott & White Health Plan will contribute to the transformation of the present state of health care in the U.S."
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.