HealthyCT earns NCQA Accreditation – Quality rating achieved after just 18 months of operation

(Wallingford)  HealthyCT, Connecticut’s non-profit health insurance CO-OP, is pleased to announce that it has achieved an important milestone for quality: Accreditation from the National Committee for Quality Assurance, or NCQA.  HealthyCT had previously earned Interim Accreditation in 2014 as a preliminary step toward this benchmark.  Following a rigorous application process submitted in June and an on-site review last month, surveyors awarded the company three-year NCQA Accreditation.

“In building this company from the ground up, quality was our top goal for HealthyCT,” said CEO Ken Lalime.  “Earning this designation at the earliest opportunity goes to show that we directed our efforts in the right place, for the good of all of our 35,000 members.”

NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of health insurers, managed care plans, physician organizations and other health-related programs.  In Connecticut, it is also widely known as the body that confers recognition to medical practices that qualify as patient-centered medical homes.

The scope of the NCQA review included HealthyCT programs and activities that ensure access and service to members, such as maintaining a robust statewide network, helping members to integrate their care and promoting safety and healthy lifestyles through disease management and its Healthy Strides online wellness program.

Chief Medical Officer Russell J. Munson, MD, oversees the clinical areas that were reviewed.  “One of many things that sets HealthyCT apart is our local decision-making related to clinical issues. We use generally accepted national and HealthyCT-specific policies to manage medical utilization every day.  Many companies across the country wait before applying to NCQA for Accreditation. We did not see a need to wait because we adhere to our policies. As a result, we have been recognized by NCQA.  The real reward is knowing we are delivering quality to our members every day.” 

About HealthyCT

Founded by physicians, HealthyCT opened for business in 2013 with a mission 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 of all sizes.  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 to enhance plan benefits and services.  HealthyCT can be found at www.HealthyCT.org; across social media @HealthyCTPlan and at 35 Thorpe Avenue in Wallingford.  HealthyCT’s toll-free phone number is 1-855-HLTHYCT (458-4928).

About NCQA

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’s website (www.ncqa.org) contains information to help consumers, employers and others make more informed health care choices.