Trillium is the only Medicaid CCO in Oregon to receive NCQA accreditation
Eugene, OR –Trillium Community Health Plan has been awarded a three year accreditation by the National Committee for Quality Assurance (NCQA). This accreditation meets the basic requirements of NCQA’s rigorous standards for consumer protection and quality improvement. NCQA health plan accreditation is a nationally recognized evaluation that purchasers, regulators and consumers can use to assess health plans. NCQA sends a team of trained health care experts, including physicians, to conduct a rigorous on-site survey of the health plan and uses information from health plan records, consumer surveys, interviews with plan staff and performance on selected HEDIS® measures.
“Our NCQA team worked very hard over a two year period.” says Patrice Korjenek, PhD, Chief Operations Officer. “It is quite an achievement for a health plan to receive a three year accreditation the first time out. I am very proud of our effort.”
NCQA Health Plan Accreditation evaluates how well a health plan manages all parts of its delivery system -- physicians, hospitals, other providers and administrative services -- in order to continuously improve the quality of care and services provided to its members. Health Plan Accreditation performance results are publicly reported in five categories:
Access and Service
Do health plan members have access to the care and service they need?
Does the health plan assess each doctor’s qualifications and what PPO plan members say about its providers?
Does the health plan offer activities to help members maintain good health and detect illness early?
Does the health plan offer programs and activities for members to help them recover from an illness?
Living with Illness
Does the health plan care offer programs and activities for members with chronic conditions to help them manage their chronic illness?
NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.