– Sharp Health Plan ranks no. 3 in California and no. 97 nationwide by the National Committee for Quality Assurance (NCQA) Private Health Insurance Plan Rankings 2014-2015. The rankings are based on three types of quality measures: clinical quality, consumer satisfaction and results from NCQA’s review of a health plan’s health quality processes. Overall, more than 600 private health plans across the nation were reviewed.
“We’re indeed proud to be recognized as one of the nation’s best health plans,” said Melissa Cook, CEO of Sharp Health Plan, a not-for-profit regional health plan that has more than 80,000 members in San Diego County who have direct access to Sharp HealthCare hospitals, medical groups and affiliated physicians in addition to other local providers. “At Sharp Health Plan our members are neighbors, not numbers. We believe that one of the key reasons we’ve earned this recognition is that we put our members and their care at the center of everything we do. This commitment continually drives improvements in satisfaction and quality.”
As an example of its commitment to members, Cook noted that Sharp Health Plan’s Customer Care center answers nine out of 10 calls in under a minute. Also, during the initial open enrollment period for Covered California the Plan held weekly community meetings to educate San Diegans about the program and their options for coverage. Nearly 11,000 San Diegans enrolled in Covered California through Sharp Health Plan this past year, representing approximately 10 percent of all county enrollees.
In the 2014 NCQA Quality Compass Consumer Assessment of Healthcare Providers and Systems survey results, Sharp Health Plan rated highest among reporting California health plans for overall rating of the health plan, customer service and how well doctors communicate.*
Sharp Health Plan has also earned the highest level Excellent Accreditation status for a health plan by NCQA, and was also one of only three health plans in the state to receive the highest rating – four out of four stars – by the Covered California exchange.
More information about the NCQA Private Health Insurance Plan Rankings 2014-2015 can be found at www.ncqa.orgAbout Sharp Health Plan
As San Diego's only locally based commercial health plan and a not-for-profit enterprise, Sharp Health Plan focuses on delivering the most comprehensive and positive health care experience to its members. Sharp Health Plan serves more than 80,000 members, connecting them to state-of-the-art care by partnering with nationally recognized medical professionals. 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.comAbout 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.
*Based on the 2014 CAHPS® results, Sharp Health Plan (SHP) received an overall summary rating of 86% satisfaction compared to the statewide average of 76%. For customer service, SHP received a 90% satisfaction rating and the statewide average was not reported). For how well doctors communicate, SHP received a 95% satisfaction rating compared to the statewide average of 93%.The source for data contained in this publication is Quality Compass® 2014 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2014 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).