Quality

The HMSA health plans you subscribe to and the programs you join are part of the highest level of care available in our nation, proven by the recognition they’ve received from the industry’s leaders and governing agencies. To keep offering you the best products and services, we commit to ongoing audits and evaluations, allowing us to grow with you and meet your needs.

2013 HMSA’s Quality Improvement Program Evaluation Report

NCQA seal

NCQA

NCQA seal mobile

We work with the National Committee for Quality Assurance, or NCQA, to make sure that HMSA health plans meet high standards for quality care.

HMSA’s Commercial PPO and HMO plans have earned NCQA’s Excellent status for service and clinical qualities that meet or exceed NCQA’s standards. Excellent is NCQA’s highest status. HMSA plans with Excellent status include:

  • Preferred Provider Plan
  • CompMED
  • Health Plan Hawaii
  • Akamai Advantage Local and Regional plans (Medicare PPO plans)
  • Federal Employee Health Benefit Program
  • State of Hawaii Employer Union Trust Fund Plan

The HMSA Plan for QUEST Members, a Medicaid HMO, earned Commendable status for service and clinical quality.

The following new plans comply with guidelines in the Affordable Care Act and have earned Accredited status for service and clinical quality.

  • HMSA Small Business A and B Status Plans: Preferred Provider Plan, Health Plan Hawaii, and CompMED
  • HMSA Small Business Silver Preferred Provider Plan
  • Individual Metallic PPO Plans with and without pediatric dental: Platinum PPO 100, Gold PPO 250, Gold PPO 1000, Silver PPO 1500, Silver PPO 2000, Bronze PPO 6350
  • Individual Metallic HMO Plans with and without pediatric dental: Platinum HMO, Gold HMO, Silver HMO, and Bronze HMO
  • Young Adults Plan
  • Catastrophic Plan
Blue Distinction

Blue Distinction

Blue Distinction mobile

Three Hawaii medical centers have secured Blue Cross and Blue Shield’s Blue Distinction label, demonstrating expertise in delivering quality care. They are Castle Medical Center (bariatric surgery, knee and hip replacement); The Queen’s Medical Center (bariatric surgery, cardiac care, spine surgery); and Straub Clinic & Hospital (cardiac care). This national program helps you find specialty care and facilities to best meet your needs.

Blue Physician Recognition

Blue Physician Recognition

Blue Physician Recognition mobile

Reviewing the list of doctors and specialists in the Blue Physician Recognition Program helps you make smarter health care decisions. See which providers joined quality improvement programs to better their services. The Blue National Doctor & Hospital Finder website and the Federal Employee Plan online directory will give you this information to help ensure you get quality care.

See all programs

American Academy of Neurology – Maintenance of Certification
American Board of Allergy & Immunology - Maintenance of Certification
American Board of Anesthesia - Maintenance of Certification
American Board of Colon & Rectal Surgery – Maintenance of Certification
American Board of Dermatology – Maintenance of Certification
American Board of Emergency Medicine – Maintenance of Certification
American Board of Family Medicine - Maintenance of Certification
American Board of Internal Medicine - Maintenance of Certification
American Board of Internal Medicine - Practice Improvement Modules
American Board of Medical Genetics - Maintenance of Certification
American Board of Medical Specialties - Maintenance of Certification
American Board of Medical Specialties - Patient Safety Improvement Program
American Board of Neurology/Child Neurology - Maintenance of Certification
American Board of Nuclear Medicine – Maintenance of Certification
American Board of Neurological Surgery - Maintenance of Certification
American Board of OBGYN - Maintenance of Certification
American Board of Ophthalmology - Maintenance of Certification
American Board of Orthopaedic Surgery - Maintenance of Certification
American Board of Otolaryngology – Maintenance of Certification
American Board of Pediatrics – Influenza Immunization Performance Improvement Module
American Board of Plastic Surgery – Maintenance of Certification
American Board of Preventive Medicine - Maintenance of Certification
American Board of Pediatrics - Maintenance of Certification
American Board of Physical Medicine and Rehabilitation – Maintenance of Certification
American Board of Psychiatry & Neurology - Maintenance of Certification
American Board of Radiology - Maintenance of Certification
American Board of Surgery - Maintenance of Certification
American Board of Thoracic Surgery - Maintenance of Certification
American Board of Urology - Maintenance of Certification
American College of Surgeons – Surgical Care Improvement Program
American Orthopaedic Association – Own the Bone
American Osteopathic Board of Emergency Medicine - Maintenance of Certification
American Society of Clinical Oncology - QOPI® Certified
American Society of Clinical Oncology - QOPI® Certification Pending
American Society of Clinical Oncology - QOPI® Participant
American Society for Metabolic and Bariatric Surgery - Center of Excellence® seal
Bridges to Excellence - Adult Primary Care Recognition Program
Bridges to Excellence - Asthma Care
Bridges to Excellence - Cardiac Care
Bridges to Excellence - Comprehensive Care Management
Bridges to Excellence - Congestive Heart Failure 
Bridges to Excellence - COPD
Bridges to Excellence - Coronary Artery Disease 
Bridges to Excellence - American College of Cardiology Cardiovascular Recognition Program
Bridges to Excellence - Depression Care Management
Bridges to Excellence - Depression Care Management
Bridges to Excellence - Diabetes Care 
Bridges to Excellence - Hypertension Care
Bridges to Excellence - Internal Medicine Care
Bridges to Excellence - Medical Home
Bridges to Excellence - Preventive Cardiology Care
Bridges to Excellence - Pediatric Care
Bridges to Excellence - Physician Office
Bridges to Excellence - Spine Care
Medicare and Medicaid EHR Program Recognition
Centers for Medicare & Medicaid Services - National Surgical Quality Improvement Program
Centers for Medicare & Medicaid Services – Physician Quality Reporting Initiative
Centers for Medicare & Medicaid Services – Physician Quality Reporting System
National Committee for Quality Assurance - Back-Pain Recognition Program
National Committee for Quality Assurance - Diabetes Physician Recognition Program
National Committee for Quality Assurance - Heart/Stroke Recognition Program
National Committee for Quality Assurance - Physician Practice Connection - Patient Centered Medical Home
National Committee for Quality Assurance - Physician Practice Connection
HMSA Pay for Quality Program
HMSA Patient-Centered Medical Home