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Appendix

Managed-Care Plans in New York Accredited by NCQA, October 1997

Plan Profit status Accreditation Service Area
(by county)
Blue Choice (BC/BS Rochester, Finger Lakes Health Ins. Co.) Non-profit Full Genesee, Livingston, Monroe, Ontario, Orleans, Seneca, Wayne, Wyoming, Yates
Capital Area Community Health Plan Inc. Non-profit Full Albany, Broome, Chenango, Clinton, Columbia, Delaware, Dutchess, Fulton, Greene, Hamilton, Herkimer, Madison, Montgomery, Orange, Otsego, Rensselaer, So. Saratoga, Schenectady, Schoharie, Ulster, Warren, Washington
Capital District Physicians Health Plan Non-profit Full Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington
Community Blue (BC/BS Western New York) Non-profit Full Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
Health Care Plan Non-profit Full Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
HealthNet (Empire BC/BS) Non-profit 1 year Albany, Bronx, Columbia, Delaware, Dutchess, Essex, Fulton, Greene, Kings, Montgomery, Nassau, New York, Orange, Putnam, Queens, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Schoharie, Suffolk, Sullivan, Ulster, Warren, Washington, Westchester
Healthsource HMO of NY, Inc. (Patient's Choice) For-profit Full Cayuga, Cortland, Madison, Onondaga, Oswego
HIP (Health Insurance Plan of Greater NY) Non-profit Full Bronx, Kings, New York, Queens, Richmond, Nassau, Orange, Rockland, Suffolk, Westchester
HMO-CNY For-profit 1 year Broome, Cayuga, Chemung, Chenango, Cortland, Delaware, Madison, Onondaga, Oswego, Schuyler, Steuben, Tioga, Tompkins
HSMC (Health Services Medical Corp.-PHP) Non-profit Full Cortland, Herkimer, Oneida, Onondaga, portions of Broome, Cayuga, Madison, Oswego, Tioga, Tompkins
Independent Health Association (IHA) - Buffalo Non-profit Full Bronx, Kings, New York, Queens, Richmond, Allegany, Cattaraugus, Chautauqua, Dutchess, Erie, Genesee, Nassau, Niagara, Orange, Orleans, Putnam, Rockland, Suffolk, Ulster, Westchester, Wyoming
Kaiser Foundation Health Plan of New York Non-profit Full Westchester
MVP (Mohawk Valley PHP) Non-profit 1 year Albany, Broome, Chenango, Clinton, Columbia, Delaware, Dutchess, Essex, Franklin, Fulton, Greene, Hamilton, Herkimer, Lewis, Madison, Montgomery, Oneida, Onondaga, Orange, Otsego, Putnam, Rensselaer, St. Lawrence, Saratoga, Schenectady, Schoharie, Tioga, Ulster, Warren, Washington
NYLCare Health Plans of New York, Inc. For-profit 1 year under review Bronx, Kings, New York, Queens, Richmond, Nassau, Orange, Putnam, Rockland, Suffolk, Westchester
Oxford Health Plan For-profit Full Bronx, Kings, New York, Queens, Richmond, Nassau, Orange, Putnam, Rockland, Suffolk, Westchester
Physicians Health Services For-profit 1 year under review Bronx, Kings, New York, Queens, Richmond, Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Westchester
Preferred Care (Rochester Area HMO) Non-profit Full Broome, Chenango, Genesee, Livingston, Monroe, Ontario, Orleans, Seneca, Tioga, Wayne, Wyoming, Yates

Source: New York State Health Department, 1995 Quality Assurance Reporting Requirements: A Report on Managed Care Performance, December 1997. The Health Department report states: "NCQA's accreditation is a rigorous and comprehensive evaluation process whereby plans are assessed on how well their delivery system is providing and continually improving care and service for its members. Plans can be fully accredited (three years), accredited for one year, provisionally accredited or denied accreditation."

contents introduction section 1 section 2 section 3 section 4 appendix

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