Excellus BlueCross BlueShield Earns Highest National Accreditation for Quality

leva doyle
Monday, October 29, 2018

Excellus BlueCross BlueShield Earns Highest National Accreditation for Quality

NCQA raises Excellus BCBS rating to “Excellent”

SYRACUSE, N.Y. — Excellus BlueCross BlueShield’s commercial plans have received the highest accreditation status available, a rating of “Excellent,” from the National Committee for Quality Assurance. The Excellent rating applies to Excellus BlueCross BlueShield’s HMO, point of service, preferred provider organization and exclusive provider organization plans.  Excellus BCBS’s commercial plans were previously rated Commendable.

NCQA is a nationally recognized evaluation that purchasers, regulators and consumers can use to assess health plans. NCQA’s Health Plan Accreditation evaluates how well a health plan manages all parts of its delivery system – physicians, hospitals, other providers and administrative services – in order to continuously improve the quality of care and services provided to its members. An Excellent accreditation is awarded to health plans for service and clinical quality that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement. 


“The NCQA seal of excellence affirms that our members are receiving a high quality of care,” said Christopher Booth, chief executive officer, Excellus BlueCross BlueShield. “It not only reflects the hard work and dedication of our employees, but also reflects the quality of our community’s doctors and hospitals.”

Health plans that earn an Excellent accreditation must also achieve NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) results that are in the highest range of national performance. HEDIS is the most widely used performance measurement tool in health care.