HealthyCT achieves important quality rating from NCQA

HealthyCT marks licensing anniversary by achieving important quality rating from NCQA

HealthyCT, Connecticut’s non-profit health insurance CO-OP, is marking the anniversary of receiving its state insurance license. The company is pleased to announce that it has achieved an important milestone: National Committee for Quality Assurance Interim Accreditation. NCQA is an independent organization dedicated to assessing and reporting on the quality of managed care plans, new health plans, physicians organizations and other health-related programs. Accreditation involved review of programs and policies by a team of physicians and health plan experts looking to see how well a plan delivers value and improves health care for its members.

“It is a terrific feat for a start-up company like HealthyCT to achieve NCQA Accreditation. Everything we do at HealthyCT is about changing the way health care is delivered to our members for the better,” said HealthyCT CEO Ken Lalime. “This is a testament to our shared belief that there is room in Connecticut for health care done differently.”

HealthyCT also begins a new chapter this month by providing coverage to its first large group (51+ employees), Bristol ARC, a non-profit that has been assisting adults with disabilities for more than 50 years.

“Bristol Adult Resource Center reaped the benefits when our health insurance broker, Schuster Driscoll, introduced us to HealthyCT. Our insurance costs went down, allowing us to provide additional benefits to our employees at no extra cost to them,” said Judy Gebben, executive director of Bristol ARC.

“Providing coverage to large employers is the next step in our evolution,” said Lalime. “We know that with our very competitive pricing, once companies experience the difference in the way we work with our subscribers, this will be a major growth area for HealthyCT.”

While individual enrollment is now closed for 2014 (unless a person experiences a qualifying event), businesses of all sizes can continue to enroll in HealthyCT plans year-round. For employers with 51 or more employees, HealthyCT is offering more than a dozen plan designs and several accompanying pharmacy benefit options. All HealthyCT plans have access to the same growing statewide provider network, which has more than 11,000 unique providers with more being added daily. Participating providers can be looked up at

Key highlights in HealthyCT’s first year of licensure:

  • More than 11,000 unique individual providers in its statewide network
  • One provider network for all of HealthyCT’s plans
  • 30 of 33 Connecticut hospitals in network with others in negotiations
  • National network of coverage outside Connecticut
  • 50 employees at company headquarters in Wallingford exclusively serving Connecticut subscribers

HealthyCT is one of two dozen CO-OPs across the country, but it is the only one created by physicians and independent physician practices. Its approach to medical care follows the patient-centered medical home model of care. As a non-profit company, any surpluses it earns are to be used to stabilize the price of premiums or enhance benefits, decisions made by a board comprised of small business owners, physicians and consumer members.

About HealthyCT
Founded by physicians and started with a federal loan in 2012, HealthyCT’s mission is to provide Connecticut residents with comprehensive health insurance and easy access to quality healthcare. It is committed to developing an innovative, progressive health plan that ensures the delivery of patient-centered care for individuals, families and businesses. Unlike traditional for-profit insurance companies, any profits generated by HealthyCT are to be used to stabilize or reduce premiums to consumers and businesses and/or enhance plan benefits. HealthyCT can be found at; on Facebook and Twitter (@HealthyCTPlan) and at 35 Thorpe Avenue in Wallingford.