#USA #San Jose #NCQA #Medi-Cal #Santa Clara Family Health Plan

Santa Clara Family Health Plan Achieves Elevated NCQA Rating

Santa Clara Family Health Plan (SCFHP), a leading health insurance provider in California, has proudly announced its improved ratings for the 2025 Medicaid Health Plan from the National Committee for Quality Assurance (NCQA). The SCFHP's Medi-Cal plan has seen an impressive rise from a score of 3.5 out of 5 in the previous year to 4 out of 5 in the current evaluation, placing it among the best in the state. Out of 24 Medi-Cal plans evaluated in California, only eight attained a score of 4 or higher, highlighting SCFHP’s strong commitment to delivering quality care.

Increased Ranking Reflects Dedication to Quality Care

The CEO of SCFHP, Christine M. Tomcala, expressed her gratitude towards the staff and healthcare partners whose dedication and teamwork contributed significantly to this achievement. "The improvement of our rating is no small feat; it reflects our ongoing commitment to quality care and supporting our members in staying healthy," she said. This acknowledgment emphasizes the importance of collaborative efforts in enhancing healthcare services and the overall patient experience.

The NCQA is renowned for its rigorous assessments and accreditation processes, which aim at enhancing the quality of healthcare across various providers. Their Healthcare Effectiveness Data and Information Set (HEDIS®) serves as a benchmark for measuring healthcare performance. It evaluates health plans based on the quality of care patients received and their overall satisfaction with the services.

Focus on Preventive Care

Part of SCFHP's outstanding performance included a notable score of 4.5 out of 5 in the prevention and population composite category. Dr. Ria Paul, SCFHP's Chief Medical Officer, highlighted the importance of ensuring timely access to preventive care and vaccinations for their members. This proactive approach not only aids in maintaining member health but also prevents more costly interventions in the future, aligning with the organization’s mission of promoting better health outcomes for the community.

Community Commitment

Established in 1997, Santa Clara Family Health Plan is committed to ensuring equitable access to quality healthcare for individuals and families in Santa Clara County. They serve more than 295,000 people through their Medi-Cal and Medicare plans, continuously striving to offer outstanding service and support to the community. Their focus on community-centered care and collaboration with local providers and organizations elevates their service quality to meet the diverse needs of their members.

For individuals seeking information about their healthcare options, the SCFHP website provides resources designed to help consumers, employers, and community stakeholders make informed healthcare choices.

In conclusion, Santa Clara Family Health Plan's recent rating increase from NCQA is not just a testament to their high-quality healthcare services but also a promise to their members that they will continue to evolve and improve care standards in the future. With their unyielding dedication to patient satisfaction and health, SCFHP remains a frontrunner in California’s health plan landscape.