DEFINING QUALITY

At Florida Health Care Plans, our definition of “Quality” is simple: it’s our commitment to excellence measured by the satisfaction our customers, our neighbors, our friends and our community.

Our goal is to do our jobs right the first time, every time, to meet the requirements of our members, fellow employees, and service partners. We instill in our staff a dedication to continuing education, high professional standards and ethical behavior.

IMPROVING SERVICES AND CARE FOR OUR MEMBERS

To ensure quality relationships with our members, FHCP constantly strives to improve responsiveness, anticipate member needs and provide you with exceptional service. That's why we're committed to understanding your health care needs on a personal level.

As part of our continuous improvement efforts, we:

  • Focus on delivery of evidence-based medical care that is effective, on time and cost-effective

  • Identify and address any gaps in accessing or using our health care services

  • Ensure that clinicians, patients and policymakers have the information they need to improve quality of care

  • Constantly measure performance and take action to make sure our members have the best experience of care

  • Conduct and support research on the effectiveness of treatments

QUALITY AND PERFORMANCE

FHCP is accredited by The National Committee for Quality Assurance (www.NCQA.org). We have been awarded an accreditation status of Commendable for service and clinical quality that meets NCQA's rigorous requirements for consumer protection and quality improvement.

We have also received a Medicare 5-Star rating from the Centers for Medicare and Medicaid Services (CMS).*

Click on the links below to review our current QI Program Evaluation and Work Plan. If you would like additional information or need a copy of these documents mailed to you, please contact us by emailing the FHCP Quality Management Department at qualitymanagement@fhcp.com.

2019 Quality Improvement Program Work Plan

2018 Quality Improvement Program Evaluation

*Source: www.medicare.gov, October 2018. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.