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PRESS RELEASE / ANNOUNCEMENTS Monday, August 18, 2014

CenCal Health Ranks in the Top 10th Percentile Nationally for Medicaid Plans

CenCal Health Ranks in the Top 10th Percentile Nationally for Medicaid Plans

Department of Health Care Services recognizes CenCal Health with an Honorable Mention Quality Award

Santa Barbara and San Luis Obispo counties, August 18, 2014 — CenCal Health has been recognized by the Department of Health Care Services (DHCS) for exceptional quality of care as measured by independently-certified HEDIS® results reported to the National Committee for Quality Assurance. [2] This commendation was earned in recognition of exceptional performance for CenCal Health’s Santa Barbara County HMO product, based on the number of results for which CenCal Health rated in the best 10th percentile for Medicaid plans nationally. Medicaid is administered as “Medi-Cal” in the State of California.

This prized award was earned based on HEDIS 2013 results. This recognition was particularly significant since, barring a tie in the scoring for any particular award, only four quality of care awards are available for approximately 38 DHCS Medi-Cal regions statewide.

This year’s results reflect an improvement upon the results reported during 2013, which recently earned recognition from the DHCS for the quality care CenCal Health members can access.

“This marks the seventh such Quality Award earned by CenCal Health for the quality of care that our plan and its providers make possible for our Medi-Cal membership,” said Bob Freeman, CenCal Health CEO. “I would like to thank our staff and provider partners who deliver high quality care to our members each day. Everyone’s contribution to this achievement is genuinely appreciated.”

CenCal Health has earned many DHCS Quality Awards since 2000, when DHCS first developed a system to reliably measure and compare the quality of care delivered by Medi-Cal managed care plans. Since that time, CenCal Health has earned three gold awards, one silver award, one bronze award and two honorable mention awards.

Areas of Excellence
For CenCal Health’s Santa Barbara County Medi-Cal program, performance rated among the best Medicaid managed care plans for two vital aspects of diabetes management, including hemoglobin A1c control (59% had A1c levels <8.0%) and diabetic eye exams (70% had a recommended retinal exam). CenCal Health also sustained a year-over-year track record of excellent childhood immunization rates (85% completed a comprehensive series of timely childhood vaccinations). San Luis Obispo County Medi-Cal providers also achieved an excellent level of performance for members with controlled hemoglobin A1c levels <8.0% (61%).

A complete summary of CenCal Health’s latest HEDIS 2014 results are available for review at: www.cencalhealth.org/ensuring_quality/hedis/HedisWebSeal.pdf.

About HEDIS
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare health care quality. For more information, visit http://www.ncqa.org/HEDISQualityMeasurement.aspx.

About CenCal Health
CenCal Health is the largest local insurer in the region, providing health coverage for approximately 20 percent of residents in Santa Barbara and San Luis Obispo counties. CenCal Health coverage is accepted by the vast majority of local health providers. CenCal Health also provides education and assistance to its members in order to reduce potential health problems, including diabetes and asthma, amongst others. For more information, visit www.cencalhealth.org. Find CenCal Health on Facebook.

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 is committed to providing health care quality information for consumers, purchasers, health care providers and researchers. NCQA manages the evolution of HEDIS, the performance measurement tool used by more than 90 percent of the nation’s health plans.

[1] HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). HEDIS is a set of standardized performance measures designed to help purchasers and consumers make reliable comparison of an organization’s performance.
[2] HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). HEDIS is a set of standardized performance measures designed to help purchasers and consumers make reliable comparison of an organization’s performance.

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