From the local to the national level, Capital Health Plan has a reputation for the quality of care and service. We consistently earn:
- Excellent accreditation ratings
- Industry-leading member satisfaction
- Low rates of voluntary disenrollment
Capital Health Plan's Quality Improvement Program ensures we consistently provide health care services that are:
- SAFE: Ensuring that health care services provided for members do not cause harm
- EFFECTIVE: Providing services based on scientific knowledge to all who could benefit and not providing unnecessary care to those who don’t
- PATIENT-CENTERED: Offering care that is respectful of and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions
- TIMELY: Reducing delays for both those who receive and those who provide care, and providing care when and where it’s likely to be most effective
- EFFICIENT: Providing care that minimizes the waste of equipment, supplies, and time
- EQUITABLE: Providing a consistent level of care for all members
Improving Services for Members
Our quality improvement (QI) efforts help improve the health and satisfaction of our members. Click on the links below to review a copy of our current QI Program Description and Workplan, and an evaluation of the status of our QI activities. If you would like additional information, or need a copy of these documents mailed to you, contact our Capital Health Plan Member Services.
Accreditation and Quality Report Cards
The National Committee for Quality Assurance (NCQA) is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of health plans. CHP has maintained an accreditation rating of “Excellent”—the highest accreditation rating possible from NCQA—since 2001. Click on the NCQA website below to request a report card for CHP. The report card will explain how CHP is currently rated for the following topics:
- Staying Healthy
- Living with Illness
- Access & Service
- Qualified Providers
If you need additional resources for evaluating health care providers, check the following websites: