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Press Releases: 2004

National Committee for Quality Assurance Awards AmeriHealth Mercy Health Plan its Highest Accreditation Status

Harrisburg, PA - The National Committee for Quality Assurance (NCQA) awarded AmeriHealth Mercy Health Plan its highest accreditation status of "Excellent." AmeriHealth Mercy earned this accreditation for its service and clinical quality that exceeds NCQA's rigorous requirements for consumer protection and quality improvement.

"Achieving NCQA's 'Excellent' Accreditation status, NCQA's highest accreditation level, is a significant achievement," said Margaret E. O'Kane, President of NCQA. "It is only awarded to those plans that meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement."

The NCQA Standards of Accreditation are intended to help organizations achieve the highest level of performance possible, reduce patient risk for untoward outcomes and create an environment of continuous improvement. The NCQA accreditation process evaluates how well a health plan manages all parts of its delivery systems - physicians, hospitals, other providers and administrative services - in order to continuously improve health care for its members.

AmeriHealth Mercy Health Plan earned its accreditation status based on the organization's 2004 HEDIS® results. HEDIS® (the Health Plan Employer Data and Information Set) is a set of standardized performance measurements designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans. The performance measures in HEDIS® are related to many significant public health issues such as cancer, heart disease, smoking, asthma, and diabetes. HEDIS® also includes a standardized survey of consumers' experiences that evaluates plan performance in areas such as customer service, access to care and claims processing.

"We are so proud to receive the 'Excellent' accreditation. We work very hard to ensure that AmeriHealth Mercy not only meets but exceeds quality and performance standards for our members," said Sherry Knowlton, Vice President and General Manager for AmeriHealth Mercy Health Plan.

AmeriHealth Mercy Health Plan is a Medical Assistance managed care plan currently serving 76,000 Medical Assistance recipients in Adams, Berks, Carbon, Cumberland, Dauphin, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Monroe, Northampton, Perry, Pike, and York counties.

For more information, please visit AmeriHealth Mercy Health Plan.