Quality Management Results
SummaCare has been accredited by the National Committee for Quality Assurance (NCQA) since 2001 and has consistently received annual "Excellent" accreditation status results in both its commercial and Medicare lines of business. The National Committee for Quality Assurance is an organization dedicated to improving health care quality. The NCQA seal is a widely recognized symbol of quality. Organizations must first pass a rigorous, comprehensive review and must annually report on their performance. For consumers and employers, the seal is a reliable indicator that an organization is well-managed and delivers high quality care and service.
SummaCare ranks in the top 10% nationally for such quality measures as:
- Antidepressant medication management
- Blood pressure control for people with Diabetes
- Use of appropriate medications for Asthma
- Flu shots
- Persistence of beta blocker medication after a heart attack
- Timely decisions on appeals
- Advising smokers to quit
- Postpartum care
- Well child visits
- Access to preventive/ambulatory care
SummaCare is the highest-ranked plan in Ohio for its Medicare plan according to NCQA's Health Insurance Rankings 2010-11 - Medicare. SummaCare is the only plan recognized in Ohio by the Health Industries Research Company as a health plan with the most Effective Disease Management Programs for Asthma, Heart Failure and Diabetes.