Security Health Plan rated among top Wisconsin health plans by NCQA

MARSHFIELD – Security Health Plan is pleased to announce the National Committee for Quality Assurance (NCQA) rated the health plan among the top in Wisconsin and nationwide. NCQA sets high standards for health plans and evaluates plans on their efforts to provide their members with exceptional service and care.  

Below is a summary of Security Health Plan’s ratings by plan in the 2024 NCQA Health Insurance Plan Ratings:

• Security Health Plan’s Medicare Advantage HMO-POS plans rated 4.5 out of 5 stars.
• Security Health Plan’s Commercial HMO-POS plans rated 4 out of 5 stars.
• Security Health Plan’s Medicaid HMO plan rated 4 out of 5 stars.

“We are pleased to have received this recognition from NCQA,” Security Health Plan Chief Executive Officer Krista Hoglund said. “Our employees and providers have worked hard to maintain this high rating; and we will continue our targeted efforts to improve in order to achieve NCQA’s highest possible rating.”

Security Health Plan consistently earns top ratings every year from NCQA. The organization implemented the rating system in 2005 and rates plans that choose to report measures publicly. Health plans are evaluated on three categories of quality measures. They include:

1. Clinical quality from NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS^®).
2. Patient experience using the Consumer Assessment of Healthcare Providers and Systems (CAHPS^®).
3. Results from NCQA’s review of a health plan’s health clinical performance and member experience (NCQA Accreditation).

“We prioritize the health and well-being of our members because our members are a part of our community,” said Security Health Plan Director of Quality Paula Jacobson. “They deserve compassionate care and access to the clinical services and resources they need to live long and healthy lives. We research, develop and implement innovative programs and services to assist our members with comprehensive care management and medication adherence, preventive screenings and educational and support resources so they can feel empowered and know that with Security Health Plan, they are receiving excellent care and service that exceed industry standards.”

Security Health Plan’s Medicare Advantage HMO-POS plan was evaluated based on the categories above and rated high in a few key categories:

• Immunizations: Members are receiving recommended influenza and pneumonia vaccines.
• Care coordination and member experience: Medicare Advantage members are satisfied with the coordination of their care and overall experience.
• Screenings: Members are receiving recommended cancer screenings to prevent or receive early treatment for cancers.
• Chronic conditions: Members with chronic conditions including diabetes and high blood pressure are receiving the recommended treatment and support services to help them manage their conditions.

“We are proud and appreciative of this recognition,” said Security Health Plan Associate Chief Medical Officer Renee Smith, M.D. “We consistently strive to find the best clinical teams to treat our members and continue focused on member education regarding preventive care so they can prevent or receive early treatment for potentially life-threatening health care challenges. This high rating by NCQA is an important achievement for Security as it recognizes our ongoing pursuit of ensuring our members receive exceptional care.”

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care.

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Security Health Plan of Wisconsin, Inc., part of the Marshfield Clinic Health System, is helping its 225,000 members in Wisconsin and beyond reach their best health. Security is a not-for-profit health plan serving Wisconsin since 1971 and is the fourth largest regional health plan in Wisconsin based on revenue and fifth largest in enrollment. Security Health Plan offers health insurance coverage for employees of large and small businesses, individuals and families. In addition, Security Administrative Services, LLC, a service of Security Health Plan, is a full service medical third-party administrator licensed in Minnesota, Michigan, Wisconsin and Indiana.