First Health Plans in Puerto Rico to Obtain NCQA Accreditation
FORT LEE, N.J.--(BUSINESS WIRE)-- MMM Healthcare, Inc. (MMM), a subsidiary of Aveta Inc., one of the nation’s largest managed care providers, announced today that along with their sister company, PMC Medicare Choice, Inc. (PMC), they earned Commendable Accreditation from the National Committee for Quality Assurance (NCQA).
MMM and PMC are the first health plans in Puerto Rico to obtain NCQA Accreditation. This designation signifies that MMM meets NCQA’s rigorous standards regarding quality and excellence in clinical care provided by a health plan.
NCQA evaluates health plans based on how well they manage their entire system – including physicians and other providers, hospitals and administrative services – in an effort to improve the quality of care its members receive.
“We are very proud of this accreditation,” said Orlando González, Esq. CPA, President of MMM and PMC. “It represents what can be achieved when you work as a team – with providers, hospitals and employees – to improve the quality of life for our more than 197,000 members.”
NCQA standards are designed to encourage healthcare organizations to reach the highest possible quality levels, reduce risks for patients and promote an environment of continuous improvement.
Accreditation results are published in five categories: 1) Access and Services, which measures whether health plan members get the care and access they need; 2) Qualified Providers, which measures whether the health plan evaluates its physicians’ qualifications and assesses members’ opinions about providers; 3) Staying Healthy, which measures whether the health plan offers activities that help members maintain good health as well as identify any health conditions; 4) Getting Better, which measures whether the health plan offers programs and activities that help its members recover from illnesses; and 5) Living with Illness, which measures whether the health plan offers care programs that help members with chronic illnesses manage their conditions.
“Achieving Commendable Accreditation status from NCQA is a sign that a health plan is serious about quality,” said Margaret E. Kane, President of NCQA. “It is awarded to plans whose service and clinical quality meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement.”
For more information about NCQA and its accreditation process, visit www.ncqa.org.
About Aveta Inc.
One of the largest providers of managed healthcare services in the United States, Aveta Inc. is redefining healthcare management to meet the challenges of today’s complex healthcare environment. Developing innovative models that coordinate care for more than 230,000 Medicare beneficiaries and more than 300,000 commercial members, Aveta builds provider networks and Medicare Advantage programs that are sustainable, cost-effective and utilize advanced technologies. The company is headquartered in Fort Lee, New Jersey, and currently has operating subsidiaries in California, Illinois, Arizona, Kansas City and Puerto Rico. For more information, visit www.aveta.com.
About MMM Healthcare, Inc.
Established in 2001, MMM Healthcare, Inc. (MMM) is a health maintenance organization that provides high-quality Medicare Advantage health plans for over 197,000 elderly and special needs populations in Puerto Rico along with their sister company, PMC Medicare Choice, Inc. (PMC). MMM leads the Medicare Advantage segment in Puerto Rico and has quality levels that compete on a national level, recently receiving Commendable Accreditation from the National Committee for Quality Assurance (NCQA). MMM has always shown a true commitment to quality by offering integrated health management services that are cost-effective and, most importantly, improve each beneficiary’s quality of life. MMM also offers special needs plans, covering chronic obstructive pulmonary diseases, pre-end stage renal diseases, congestive heart failure and diabetes. As part of the Aveta Inc. family of companies (www.aveta.com), MMM is redefining healthcare management for the nation’s senior and special needs populations. To learn more about MMM Healthcare, Inc., visit www.mmm-pr.com.
for Aveta Inc.
Emily Ayres, 615-254-0575
KEYWORDS: United States North America New Jersey
INDUSTRY KEYWORDS: Practice Management Health Hospitals Other Health Professional Services Insurance Nursing General Health Managed Care