(Nevada Plans Only)
Prominence Health Plan’s HealthFirst Commercial HMO/POS Plan is accredited by the National Committee for Quality Assurance (NCQA). NCQA Accreditation involves a rigorous review of PHP consumer protection and quality improvement systems, and requires annual submission of audited data including:
- HEDIS® (Healthcare Effectiveness Data and Information Set) — A set of standardized clinical measures designed to assist employers and consumers in comparing health plan performance in areas like breast cancer screening, comprehensive diabetes care, childhood immunizations, controlling high blood pressure, smoking cessation and more.
- CAHPS® (Consumer Assessment of Healthcare Providers and Systems) — A standardized survey of consumers’ experiences conducted annually to evaluate PHP performance in areas such as access to needed care, getting care quickly, physician communications, customer service and claims processing.