News

Buckeye Health Plan Earns NCQA Commendable Accreditation

Date: 09/22/17

Buckeye Health Plan, a multi-line managed care company in Ohio, has received an accreditation status of “Commendable” from the National Committee for Quality Assurance (NCQA) for its Medicaid product. Buckeye serves 315,000 Medicaid members statewide and has been NCQA Accredited since 2010.

The Commendable status was awarded to Buckeye for quality improvement and commitment to member care. This week, NCQA also issued its annual ratings of Medicaid health insurance plans, and Buckeye received 3.5 stars – the plan’s highest star rating to date. 

NCQA is a private non-profit organization dedicated to improving health care quality through annual performance measurement that combines scores from a triennial NCQA Standards Review, annual Healthcare Effectiveness Data and Information Set (HEDIS), and annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. NCQA Accreditation programs evaluate how well health plans manage healthcare delivery through their provider network, care management team, and administrative services.

“We are extremely proud of the results and accomplishments we have made through the hard work of our provider partners and our staff,” said Bruce Hill, Buckeye president and CEO. “NCQA accreditation scores and health plan ratings are used by industry leaders and health-care consumers to gauge the quality of Medicaid health plans. Our improvements on both of these measures is a testament to our commitment to continuous quality improvement and to offering the best care to all of our members.” 

The NCQA Health Plan announcements follow release of the State of Ohio Department of Medicaid (ODM) Managed Care Plan 2017 Report Card, which awarded Buckeye the top rating of three stars in the category of “women’s health.” Buckeye earned a total of 10 stars on the Report Card and was the only Medicaid plan that earned more stars in 2017 than in 2016.  Buckeye also achieved the highest ranking for all plans in ODM’s Quality-Based Auto Assignment program, which ties performance on key quality benchmarks to member assignments, and Buckeye ranked first in earning quality-based at-risk payments from the State in 2017.

“For Buckeye, continuous quality improvement is our number-one priority because it is how we achieve our vision of transforming the health of the community, one person at a time,” Hill said. “We are proud of these successes because of what they mean for Ohioans and for the state of Ohio: better health outcomes and lower costs.”

About Buckeye Health Plan (www.buckeyehealthplan.com)

Buckeye Health Plan offers managed healthcare for Ohioans on Medicaid, Medicare, integrated Medicaid-Medicare (called MyCare Ohio), and the Health Insurance Exchange. Since 2004, Buckeye has been dedicated to improving the health of Ohioans, many with low incomes, by providing coordinated healthcare and other essential supports that individuals and families need to grow and thrive. Follow Buckeye on Twitter @Buckeye_Health and on Facebook at www.facebook.com/BuckeyeHealthPlan. Buckeye is a wholly-owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering core Medicaid, Medicare and specialty services.

Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.

Contact:

Kimberly Scher, Buckeye Health Plan

Kimberly.m.scher@centene.com

O:  614.942.3349