October 28, 2020

Highest Rated PPO Plan

The National Committee for Quality Assurance has awarded Providence Health Plan an accreditation status of Commendable for its Oregon Commercial PPO plans. NCQA rates more than 1,000 health plans on a scale of 1-5 based on clinical quality, member satisfaction, and NCQA Accreditation Survey results. In 2017-2018, Providence Health Plan’s commercial plan earned a rating of 4.0 and was recognized by NCQA as the highest-rated PPO health plan in Oregon (out of nine PPO plans). HEDIS clinical quality measure performance is a key driver of NCQA ratings and Providence Health Plan achieved top performance (90th percentile) in six measures, including:

  • Follow-up Care for Children Prescribed ADHD Medication - Initiation Phase
  • Comprehensive Diabetes Care — HbA1c Control (<8 percent)
  • Pharmacotherapy Management of COPD Exacerbation
  • Use of Imaging Studies for Low Back Pain
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