With high performance scores in several key preventative and treatment categories, WellCare of New York, Inc., a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG), earned a 4 out of 5 standard score in the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Ratings 2017-2018.
This places WellCare of New York among the higher performing Medicaid plans in the state. The plan earned 5 out of 5 in important public health categories such as chlamydia screening, follow up on ADHD diagnosis and diabetes monitoring. Additionally, WellCare scored 4 out of 5 in several preventive and treatment areas, including well-child visits for children aged 3-6 and adolescents, childhood immunizations, prenatal checkups and postpartum care, breast cancer screening and diabetic eye exams.
"Our primary care physicians have done an exceptional job in building patient relationships and offering helpful, manageable ways for members to improve their health," said John J. Burke, WellCare's state president in New York.
"According to the Centers for Disease Control and Prevention, 7 out of every 10 deaths in America are due to conditions like heart disease, cancer and diabetes. Conditions such as these are largely preventable or can be detected early, when treatments work the best," said Dr. Sander Koyfman, a medical director at WellCare of New York. "Our investments in community advocacy and integrated medical and behavioral care management are making vital improvements in our members' lives.
WellCare is focused on addressing challenges in our communities to help improve member experience and health."
WellCare of New York employs more than 160 care managers in communities across the state, who can provide in-home visits for members as well as help close social and healthcare services gaps.
To learn more about enrolling in Medicaid in New York, visit https://www.health.ny.gov/health_care/medicaid/.
As of Sept. 30, 2017 WellCare serves approximately 138,000 Medicaid members, 89,000 Medicare Advantage members, 57,000 Medicare Prescription Drug Plan members and 6,000 Managed Long Term Care members in New York.
About NCQA Ratings
NCQA ratings are based on three types of quality measures: measures of clinical quality from NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®); measures of consumer satisfaction using Consumer Assessment of Healthcare Providers and Systems (CAHPS®); and results from NCQA's review of a health plan's health quality processes (i.e., performance on NCQA accreditation standards). NCQA rates health plans that report quality information publicly.
For a more detailed review of the latest NCQA health insurance plan ratings report, visit: http://healthinsuranceratings.ncqa.org/2017/search/Medicaid/NY.
About NCQANational Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA's HEDIS® is the most widely used performance measurement tool in health care. NCQA's Web site (www.ncqa.org) contains information to help consumers, employers and others make more informed health care choices.
About WellCare Health Plans, Inc.
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. WellCare serves approximately 4.4 million members nationwide as of June 30, 2017. For more information about WellCare, please visit the company's website at www.wellcare.comor view the company's videos at https://www.youtube.com/user/WellCareHealthPlan.