NCQA Toughens Evaluation of PPOs


Preferred provider organizations will be evaluated on the same set of standards, clinical measures, and patient experience ratings that the NCQA uses to evaluate HMOs and POS plans. Under the new standards, PPOs seeking NCQA accreditation would be required to report clinical quality results using HEDIS.

Nearly two-thirds of privately-insured Americans are enrolled in a PPO. That amounts to 150 million people. In 2006, 80 PPOs voluntarily submitted HEDIS results to NCQA, but most PPO plans do not participate.

This collection of performance data will allow consumers, employers, and other purchasers of health care to compare the performance of all plans and to make appropriate choices.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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