Sharp Health Plan Earns National Recognition for Quality and Service

San Diego-based health plan earns top ratings on national measures – 

NCQA, CAHPS and Covered California

SAN DIEGO, October 29, 2015 – Sharp Health Plan announced results of recent major ratings that affirm the regional health plan’s commitment to quality and service, a strategy that also helped propel the organization’s rapid growth—doubling over the past four years from 53,000 members in 2011 to more than 107,000 today.

Sharp Health Plan’s ratings results, which are recognized among the top quality measurement tools by health plans nationwide and regionally, include:

  • Highest level “Excellent” Accreditation status from the National Committee for Quality Assurance (NCQA). Sharp Health Plan has received Excellent NCQA status in each of the last three years (2013-2015).
  • Highest-rated in California among reporting California Health Plans for Rating of the Health Plan, Rating of Health Care, Rating of Personal Doctor, and Rating of Health Promotion and Education in the Quality Compass/Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.

For the third year running, Sharp Health Plan has received 4 out of 4 stars in the Covered California Quality Rating System. Sharp Health Plan is also considered among the top third of health plans in the nation, receiving an overall 4 out of 5 Pt Rating in NCQA’s Private Health Insurance Plan Ratings for 2015-2016. Additionally, Sharp Health Plan was highest rated in Customer Satisfaction in California, having achieved a 4 out of 5 Pt Rating.

Additional results for Sharp Health Plan in the rankings above can be found at sharphealthplan.com/honors.

“Our focus is on exceeding our members’ expectations regarding their health care, coverage and service needs, all at prices they can afford. Our members are at the center of everything we do,” said Melissa Cook, CEO of Sharp Health Plan, a not-for-profit regional health plan in San Diego County whose members have direct access to award-winning Sharp HealthCare hospitals, medical groups and affiliated physicians in addition to other local providers. “This member-centered approach has consistently earned us national recognition for high-quality coverage and enables us to deliver the personalized ‘Sharp Experience’ that San Diegans have grown to expect from Sharp.”

As part of its commitment to members and the larger San Diego community, Sharp Health Plan strives to answer customer calls in less than a minute and holds weekly community meetings throughout the year to educate the public about health insurance enrollment and Covered California.


About Sharp Health Plan

Established in 1992, Sharp Health Plan is San Diego's only locally based commercial health plan and a not-for-profit enterprise. Sharp Health Plan focuses on delivering high-quality healthcare at affordable prices and serves more than 107,000 members, connecting them to state-of-the-art care by partnering with acclaimed medical professionals. It has been nationally recognized for quality and service, holding the highest-level ‘Excellent’ Accreditation status by the National Committee for Quality Assurance and earning all four stars from Covered California. The organization is an integrated and a wholly owned subsidiary of Sharp HealthCare, a recipient of the 2007 Malcolm Baldrige National Quality Award, the nation's highest Presidential honor for quality and organizational performance excellence. For more information about Sharp Health Plan, visit www.sharphealthplan.com.


About NCQA

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. NCQA's Web site (ncqa.org) contains information to help consumers, employers and others make more informed health care choices.

1 The source for this data is Quality Compass® 2015 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2015 includes certain CAHPS® data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass® is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Sharp Health Plan achieved the following summary ratings: an 81.8 for Rating of the Health Plan compared to the state average of 71.1; an 84.2 for Rating of Health Care compared to the state average of 76.7; an 85.6 for Rating of Personal Doctor compared to the state average of 82.3; an 80.1 for Rating of Health Promotion and Education compared to the state average of 72.1.

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