SOUTH PORTLAND, Maine, Oct. 30 Anthem Blue Cross and BlueShield in Maine is ranked 17th in the nation out of 250 health insuranceplans, according to the current issue of U.S. News & World Report/NCQAAmerica's Best Health Plans 2007. This recognition as one of the nation's besthealth plans is the result of outstanding overall performance in clinical caremeasures, member satisfaction and NCQA accreditation.
"We continually work to develop innovative programs and services thatensure our members have access to high quality medical care and programsdesigned to help them live healthier lives," said Erin Hoeflinger, president,Anthem Blue Cross and Blue Shield in Maine. "But we go beyond simply improvingthe lives of our members. We work closely with other health careorganizations, providers and community groups in Maine to develop andimplement programs that have a positive impact on the health of thecommunities we serve."
The Anthem Blue Cross and Blue Shield Maine plan currently holds ExcellentAccreditation for its HMO/POS plan and has earned Quality Plus Distinction inCare Management and Health Improvement.
Anthem scored in the 90th percentile (i.e., the top 10 percentile ofhealth plans in the nation) in several key Health Plan Employer Data andInformation Set *(HEDIS(R)) Effectiveness of Care measures, including use ofappropriate medications for people with asthma, prenatal care in the 1sttrimester, comprehensive diabetes care and Beta Blocker treatment after aheart attack. Anthem Health Plans in New Hampshire, Connecticut and New Yorkalso made U.S. News & World Report/NCQA's Top 50 commercial plans.
"To be recognized in the top 6 percent of all health plans in the countryis a testament to our associates but also to the health care providers inMaine who provide care to our members," said Hoeflinger.
"This ranking reflects Anthem Blue Cross and Blue Shield in Maine'scommitment to its members," said Margaret O'Kane, NCQA president. "Theprograms and services offered by Anthem are not only innovative, but theyreceive high marks from members for quality and customer service."
Anthem Blue Cross and Blue Shield in Maine ranked 33rd out of 250 healthplans in the 2006 U.S. News and World Report/NCQA survey.
The Proof is in the Programs
Anthem Maine's Quality Hospital Incentive Program - QHIP - works toimprove the quality of hospital care our members receive. Hospitals arerewarded for instituting programs and adopting technologies that result inbetter patient outcomes, reduced errors and higher member satisfaction. Thisvoluntary program currently has sixteen Maine hospitals participating. AnthemMaine's Primary Care Pay for Performance Program encourages providers toimprove the quality of care our members receive. Using a framework similar tothe QHIP program, providers are rewarded for implementing illness registriesfor members with chronic disease and for installing electronic medical recordsin their offices. Approximately 97% of Maine's Primary Care Providers areparticipating in this program. This program was expanded this year to includeseveral specialties.
The National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. NCQA accreditsand certifies a wide range of health care organizations. NCQA provides healthcare quality information free of charge through the Web and the media in orderto help consumers, employers and others make more informed health carechoices. More information can be found at http://www.ncqa.org/.
Founded in 1933, the weekly news magazine, U.S. News & World Report, isdevoted to investigative journalism and reporting and to analyzing nationaland international affairs, politics, business, health, science, technology andsocial trends. Through its annual rankings of America's Best Colleges,America's Best Gradua