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.

2015 HMSA’s Quality Improvement Program Evaluation Report

NCQA seals

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.

The following plans have earned Commendable status for service and clinical quality that meets rigorous requirements for consumer protection and quality improvement.

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

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

  • HMSA QUEST Integration, a Medicaid HMO
  • 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 Center

Blue Distinction

Blue Distinction mobile

Four Hawaii medical centers have earned Blue Cross and Blue Shield’s Blue Distinction® labels. Blue Distinction Centers are hospitals recognized for their expertise in delivering specialty care, and Blue Distinction Centers+ are hospitals recognized for their expertise and efficiency in delivering specialty care.

Castle Medical Center

Blue Distinction Center

  • Gastric band
  • Gastric stapling

Blue Distinction Center+

  • Knee and hip replacement

Pali Momi Medical Center

Blue Distinction Center

  • Gastric band
  • Gastric stapling
  • Knee and hip replacement

The Queen’s Medical Center

Blue Distinction Center+

  • Maternity care
  • Spine surgery

Straub Clinic & Hospital

Blue Distinction Center+

  • Cardiac care
  • Knee and hip replacement
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.