Quality Care

National Accreditation

HMSA’s commitment to quality health care in Hawaii includes a voluntary and thorough evaluation by the National Committee for Quality Assurance (NCQA). NCQA’s high accreditation standards encourage health plans to continually enhance their quality.

NCQA reviews a broad range of performance measures related to patient satisfaction, access to care, physician credentialing, disease management programs, and preventive health screening rates. HMSA remains the only plan in Hawaii with PPO and HMO plans that have earned the highest levels of NCQA accreditation.

HMSA’s Health Plan Hawaii currently holds Excellent Accreditation, the highest level of NCQA accreditation for HMO plans. "Excellent" is granted for service and clinical qualities that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement.

"Full" is the highest level of accreditation for PPOs that meet strict NCQA standards for continuous quality improvement. The following HMSA plans have earned Full Accreditation from NCQA:

• Preferred Provider Plan
• CompMED
• Federal Employee Health Benefit Program
• 65C Plus

NCQA is an independent, nonprofit organization dedicated to assessing and reporting on the quality of health care in the United States. NCQA’s accreditation status is widely regarded as an evaluator of quality, accrediting about half of the HMOs in the United States.

The HMSA Plan for QUEST Members, a Medicaid managed care program that provides comprehensive medical and behavioral health benefits for eligible Hawaii residents, was awarded Health Plan Accreditation from URAC. HMSA was measured against national standards and underwent a rigorous evaluation to earn the award. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.