Published:
Care Improvement Plus Achieves Top Scores for First SNP Evaluation Measures
BALTIMORE, Nov. 19 /PRNewswire/ -- Care Improvement Plus, one of the
nation's largest chronic condition Special Needs Plans (SNPs), announced today
that it has received top scores from the Centers for Medicare & Medicaid
Services (CMS) in the evaluation of its structure and process measures. The
measures are the first in a series of new requirements evaluating the
performance of SNPs in providing high quality care and improving health
outcomes for Medicare beneficiaries.
"We are thrilled to be recognized for the comprehensive nature of our
approach to managing the care of our chronically ill members," said Frederick
C. Dunlap, board chairman and chief executive officer of XLHealth, which owns
and operates Care Improvement Plus. "The successful completion of these
reporting requirements is an important first step toward securing a permanent
place within Medicare for special needs plans."
In December of 2007, the Centers for Medicare & Medicaid Services
announced plans to contract with the National Committee for Quality Assurance
(NCQA) to implement a three phase strategy to evaluate SNPs. The first phase
of the evaluation process includes a review of a set of structure and process
measures that are scored by a team of clinical quality experts. Plans are
scored based on their ability to meet required elements concerning case
management, member satisfaction, and clinical quality improvements. In
addition, during the first phase 13 HEDIS(R) measures will be used to further
evaluate the quality of care SNPs are providing.
Created by the federal government through the Medicare Modernization Act,
SNPs are Medicare Advantage Prescription Drug plans designed to meet the
unique needs of certain groups of Medicare beneficiaries, including those with
chronic health conditions, those that reside in institutions, and those that
are dual-eligible.
Care Improvement Plus offers a variety of services and added benefits to
help members manage their conditions and prevent complications. Care
Improvement Plus offers services exclusively to approximately 1.4 million
Medicare beneficiaries in the states ofMaryland,Arkansas,Georgia,Missouri,
South Carolina andTexas living with diabetes, heart failure, end-stage renal
disease (ESRD) and/or chronic obstructive pulmonary disease (COPD).
About Care Improvement Plus
Care Improvement Plus (http://www.careimprovementplus.com), a special
needs health plan that focuses on the unique healthcare needs of chronically
ill Medicare beneficiaries, provides Medicare Advantage health plan coverage,
along with a tailored Medicare Part D drug benefit and care management
services, to Medicare beneficiaries living with heart failure, diabetes,
chronic obstructive pulmonary disease and/or end-stage renal disease. Care
Improvement Plus also provides a variety of services designed to support
physicians' efforts to care for their chronically ill patients.
About XLHealth
XLHealth (http://www.xlhealth.com), aBaltimore-based organization focused
on improving the healthcare of chronically ill seniors, is the owner and
operator of Care Improvement Plus, one of the nation's largest chronic
condition special needs plans. Care Improvement Plus provides a complete
Medicare Advantage Part D health plan including disease management services to
Medicare beneficiaries living with heart failure, diabetes, chronic
obstructive pulmonary disease and/or end-stage renal disease. XLHealth has
earned Full Accreditation from the National Committee for Quality Assurance
(NCQA) under its standards for patient and practitioner-oriented accreditation
of disease management programs.
HEDIS(R) is a registered trademark of NCQA.
SOURCE Care Improvement Plus
Copyright © 2009, PRNewswire
Copyright © 2009, NewsBlaze,
Daily NewsTags: ,HEA,INS,MTC,AWD,MD-CareImprovement+
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