Volunteer State Health Plan (VSHP) earned the highest rankings among Medicaid plans in Tennessee in the National Committee on Quality Assurance’s (NCQA) Medicaid Health Insurance Plan Rankings, 2012-2013.
“We work hard every day with great medical providers to assure the highest levels of clinical care and member satisfaction to our fellow Tennesseans, who count on us for their health care needs through Medicaid. These NCQA rankings show we are achieving our mission of providing peace of mind for health and healing, life and living, for our members,” said Scott Pierce, VSHP president and CEO.
The NCQA accreditation and ranking process includes on-site and off-site evaluations of more than 60 standards and selected performance measures conducted by a team of doctors and managed care experts. A committee of physicians analyzes the team’s finding and assigns an accreditation level based on the performance level of the plan being evaluated to NCQA’s standards. The results determine NCQA’s rankings, which are published in September each year.
Of 115 Medicaid health plans ranked this year, VSHP’s plan rankings were:
- BlueCare West ranked 30th, an improvement of 30 spots from the previous year
- BlueCare East ranked 32nd, an improvement of 19 spots from the previous year
- TennCare Select ranked 48th, an improvement of 22 spots from the previous year
The NCQA accreditation process evaluates how well a health plan manages quality in all parts of its delivery system – doctors, hospitals, affiliated providers, and administrative services – to continuously improve health care for its members.