Sunshine Health rates NCQA approval in Florida


Sunshine Health, the Sunrise, Florida subsidiary of Centene Corp. of St. Louis, Missouri, recently earned accreditation for its Medicaid exchange plan called “Ambetter” from the National Committee for Quality Assurance (NCQA) in Washington, D.C.

"Earning NCQA Accreditation is an important milestone in Sunshine Health's commitment to quality and performance improvement across services," Rone Baldwin, EVP for Centene markets, said.

NCQA Health Plan Accreditation analyzes how plans deliver their services via doctors, hospitals, other practitioners and administrators, recognizing organizations for compliance with the certification status. 

Sunshine Health is a Medicaid managed-care health plan with over 600,000 members, offering benefits for patients via Medicare, Medicaid, long-term care arrangements and Florida’s Insurance Exchange program.

Additionally, Sunshine features a plan specific to children in the state’s welfare and foster care system as well as two “Healthy Kids” plans for Floridian families. The system comprises over 200 hospitals along with 25,000 primary care providers and specialists.

"Sunshine Health is pleased to be recognized for its commitment to high quality," Chris Paterson, Sunshine Health’s president and CEO, said. "We remain true to our mission of improving the health of our community, one person at a time."

NCQA's Healthcare Effectiveness Data and Information Set (HEDIS) is a standard performance measurement tool in the field of health care.

 

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