Quality Performance Ratings
While cost is a consideration in choosing a health plan, most people believe quality is more important. Our
Quality Counts report tells you what you need to know about the quality of Rocky Mountain Health Plans’ (RMHP) care and service to help you select the best plan for you.
Quality Counts is the RMHP quality report for employer group HMO plans. It includes our Health Plan Effectiveness Data and Information Set (HEDIS®) measures as reported to the National Committee for Quality Assurance (NCQA).
HEDIS® is the nation’s premier measurement tool for managed care quality and service. Its set of standardized performance measures are designed to make sure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans nationwide.
The scope of the NCQA HEDIS® Compliance Audit includes:
• Effectiveness of Care
• Access/Availability of Care
• Satisfaction with the Experience of Care
• Health Plan Stability
• Use of Services
• Cost of Care
• Informed Health Care Choices
• Health Plan Descriptive Information |
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After undergoing a full audit, RMHP has received the HEDIS® NCQA compliance audit seal for 2007 and is currently in the process of its 2008 assessment.
For more information regarding NCQA or HEDIS®, visit
www.ncqa.org. To learn more about the flexible
health plans we offer please
contact us today.