Community Care Plan (CCP), the health plan with a heart, is pleased to announce that it has earned Multicultural Health Care Distinction for its Medicaid Health Plan from the National Committee for Quality Assurance (NCQA).
Care Plan (CCP), the health plan with a heart, is pleased to announce that it has earned Multicultural Health Care Distinction for its Medicaid Health Plan from the National Committee for Quality Assurance (NCQA). The Multicultural Health Care (MHC) program evaluates how well an organization complies with the standards for the following areas:
· Collection of race/ethnicity and language data;
· Provision of language assistance;
· Cultural responsiveness; and
· Quality improvement of culturally and linguistically appropriate services, and reduction of health care disparities.
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used performance measurement tool in health care. NCQA's website (www.ncqa.org) contains information to help consumers, employers and others make informed health care choices.
“As an organization, Community Care Plan has a culturally diverse employee-base and we are proud that we have earned the Multicultural Health Care Distinction to reflect how we serve our members accordingly,” said Jessica Lerner, Community Care Plan’s President and Chief Executive Officer.
“Given that Community Care Plan delivers culturally appropriate interventions while serving our diverse membership has allowed us to receive this recognition as we continue our journey towards health equity,” said Dr. Miguel Venereo, Community Care Plan’s Senior Vice President and Chief Medical Officer.
“Earning Multicultural Health Care Distinction shows that an organization is making a breakthrough in providing excellent health care to diverse populations. I congratulate any organization that achieves this level of distinction,” said NCQA President Margaret E. O’Kane. “Eliminating racial and ethnic disparities in health care is essential to improving the quality of care overall.”
About NCQA Health Plan Accreditation
The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s(HEDIS® is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices.
For the second consecutive year, Community Care Plan participated in Channel 10’s eight annual Big Bus Toy Express. On Thursday, December 9, Community Care Plan was the first stop for the Big Bus Toy Express and helped get the bus ready for its journey through South Florida to collect donations for underprivileged children, including decorating the bus. Community Care Plan employees donated hundreds of toys and gifts, including sports equipment, board games, craft kits, artwork sets, dolls, and much, much more from. The organization also donated 100 bikes from tricycles to larger bikes that covered various ages.
Community Care Plan, the health plan with a heart, announced today that the organization and its employees donated 100 bikes and hundreds of toys to the Marine Corps Reserve Toys for Tots program.
For the second consecutive year, Community Care Plan participated in Channel 10’s eight annual Big Bus Toy Express. On Thursday, December 9, Community Care Plan was the first stop for the Big Bus Toy Express and helped get the bus ready for its journey through South Florida to collect donations for underprivileged children, including decorating the bus. Community Care Plan employees donated hundreds of toys and gifts, including sports equipment, board games, craft kits, artwork sets, dolls, and much, much more from. The organization also donated 100 bikes from tricycles to larger bikes that covered various ages. Santa even made a surprise appearance to help celebrate the donations!
“While Community Care Plan and our employees serve the community throughout the year, it always seems a bit more special during the holidays,” said Jessica Lerner, Community Care Plan’s President and Chief Executive Officer. “Not only do our employees donate toys and gifts, but they also donate their personal time to build about half of the 100 bikes that the organization donates. The bikes range in size for kids of all ages and it’s our hope that children in need will have the same opportunity as other children to get outside and active.”
With Community Care Plan’s donations, Channel 10’s Big Bus Toy Express was able to collect over 35,000 gifts.
To view video(s) of CCP’s donations to the Big Bus Toy Express, please visit https://youtu.be/Lh3a66sHVWc or our YouTube Channel. Community Care Plan's YouTube channel.
The mission of Community Care Plan, the Health Plan with a Heart, is “to promote healthier communities”. To address health outcome disparities and the social determinants of health (SDoH) that drive those inequities, Community Care Plan has established a virtual community resource center, Heart. Heart stands for Health, Education, Access, Resources, and Tools.
Heart offers FREE events and resources for the community on topics like:
HEART events and resources are free, and you do not need to be a Community Care Plan member.
"We are proud to introduce these free events and resources to our community," said Dr. Miguel Venereo, Community Care Plan’s Chief Medical Officer. "Through our current partnerships with community organizations, we are promoting their services and programs to the community, as well as creating new events and resources. Therefore, increasing the impact, as well as the effectiveness of the programs and services offered to and utilized by our community."
For more information, please visit www.ourheart.org.
In our 2020 Value Report, we look back on the year and reflect on our accomplishments. If 2020 did nothing else, it tested Community Care Plan's foundation and resolve. Learn how our team rallied together and successfully met our operational metrics and maintained a strong positive culture despite the pandemic.
Community Care Plan Value Report 2020
Community Care Plan ("CCP") released a Request for Proposal to select a vendor to provide Pharmacy Benefit Management ("PBM") Services for CCP's Members in its MMA Program and FHK Program on January 19, 2021. CCP is required by its contracts with the Agency for Health Care Administration and Florida Healthy Kids Corporation to contract with a provider with the experience and expertise to deliver PBM Services to CCP's Members. CCP seeks to identify the most competitive Bidders to furnish PBM Services to CCP's Members and who will best provide services in an efficient, transparent, and collaborative manner that assures high-quality PBM services and Member experience.
CCP PBM RFP - Appendix A - Financials
CCP PBM RFP - Appendix B - Reports
CCP PBM RFP - Appendix C - Pharmacy Paid Claims File Layout
CCP PBM RFP - Appendix D - AHCA Subcontractor Requirements
CCP PBM RFP - Appendix E - Performance Guarantees and Liquidated Damages
Community Care Plan ("CCP") released a Request for Proposal to select a vendor to provide Pharmacy Benefit Management ("PBM") Services for CCP's Members in its MMA Program and FHK Program on January 19, 2021. Â CCP is required by its contracts with the Agency for Health Care Administration and Florida Healthy Kids Corporation to contract with a provider with the experience and expertise to deliver PBM Services to CCP's Members. Â CCP seeks to identify the most competitive Bidders to furnish PBM Services to CCP's Members and who will best provide services in an efficient, transparent, and collaborative manner that assures high-quality PBM services and Member experience.
Sunrise, FL – December 15, 2020 – Community Care Plan, the health plan with a heart, announced today that the organization and its employees donated 100 bikes and hundreds of toys to the Marine Corps Reserve Toys for Tots program.
Community Care Plan served as a pickup location during the seventh annual Big Bus Toy Express held on Friday, December 11, 2020. Community Care Plan’s employees donated toys and gifts for children every year but given how difficult of a year it has been for many families, the donations were even more generous this year. The donations included hundreds of items, including sports equipment, board games, craft kits, artwork sets, dolls, and much, much more! The organization also donated 100 bikes that ranged from tricycles to larger bikes and covered all ages.
“Community isn’t just a word in our name, it truly represents who we are and what we care about,” said Jessica Lerner, Community Care Plan’s President and Chief Executive Officer. “With so many families in need this year, we wanted to do something big and this event provided us with the opportunity to do that. Since so many children have had to stay inside most of the year, in addition to the employee donations, we thought that gifting bikes as an organization would help get kids outside and stay active, while socially distancing.”
In addition to Community Care Plan’s donations, members of the public were invited to drop off their gifts outside the Community Care Plan office. Children of various ages, adults, and seniors also brought donations. With these donations, Community Care Plan and its employees helped to fill the second moving truck that was used to pick up the toys and bikes. Community Care Plan’s donations were so plentiful that they were also loaded onto the Big Bus Toy Express!
This Request for Proposal ("RFP") is being issued by South Florida Community Care Network, LLC d/b/a Community Care Plan ("CCP") to select a vendor to provide Non-Emergency Transportation Services for CCP's Enrollees in its Statewide Medicaid Managed Care Program ("MMA Program") and Florida Healthy Kids Program ("FHK Program").
Community Care Plan Transportation RFP (as amended 12_18_2020)
Community Care Plan Transportation RFP Addendum No_ 1 (12_18_2020)
Community Care Plan, the health plan with a heart, announced today that it is Great Place to Work-Certified™ for the second consecutive year. Certification is a significant achievement. Great Place to Work is the global authority on workplace culture, employee experience and the leadership behaviors proven to deliver market-leading revenue and increased innovation. Using validated employee feedback gathered with Great Place to Work’s rigorous, data-driven For All methodology, Certification confirms that employees have a consistently positive experience at Community Care Plan.
Data from Community Care Plan’s employee feedback included that:
"We are so proud to be Great Place to Work-Certified™ for the second year in a row,” said Jessica Lerner, Community Care Plan’s President and Chief Executive Officer. “At Community Care Plan, we take pride in our company culture and the things that we do for our community, and I’m grateful that our employees feel the same way.”
"We congratulate Community Care Plan on their Certification,” said Sarah Lewis-Kulin, Vice President of Best Workplace List Research at Great Place to Work. “Organizations that earn their employees’ trust create great workplace cultures that deliver outstanding business results.”
For more information on CCP’s certification, please visit https://www.greatplacetowork.com/certified-company/7018739.
For more information, please visit https://brhpc.org/healthy-families-broward/
About Jack and Jill Center
Community Care Plan, the health plan with a heart, announced today that it is Great Place to Work-Certified™. Certification is a significant achievement. Great Place to Work is the global authority on workplace culture, employee experience and the leadership behaviors proven to deliver market-leading revenue and increased innovation. Using validated employee feedback gathered with Great Place to Work’s rigorous, data-driven For All methodology, Certification confirms that employees have a consistently positive experience at Community Care Plan. 97% of CCP employees agreed that they “feel good about the ways we contribute to the community”.
“We are thrilled to be Great Place to Work-Certified™,” said Jessica Lerner, Community Care Plan’s President and Chief Executive Officer. “At CCP, we believe that the work culture is essential to our productivity and customer satisfaction, and it means a lot that our employees have reported a consistently positive experience with their coworkers, their leaders, and with their jobs.”
“We congratulate Community Care Plan on their Certification,” said Sarah Lewis-Kulin, Vice President of Best Workplace List Research at Great Place to Work. “Organizations that earn their employees’ trust create great workplace cultures that deliver outstanding business results.”
For more information on CCP’s certification, please visit https://www.greatplacetowork.com/certified-company/7018739.
About Great Place to Work
Great Place to Work® is the global authority on workplace culture. Since 1992, they have surveyed more than 100 million employees around the world and used those deep insights to define what makes a great workplace: trust. Great Place to Work helps organizations quantify their culture and produce better business results by creating a high-trust work experience for all employees. Emprising®, their culture management platform, empowers leaders with the surveys, real-time reporting, and insights they need to make data-driven people decisions. Their unparalleled benchmark data is used to recognize Great Place to Work-Certified™ companies and the Best Workplaces™ in the US and more than 60 countries, including the 100 Best Companies to Work For® and World’s Best list published annually in Fortune. Everything they do is driven by the mission to build a better world by helping every organization become a Great Place to Work For All™.
To learn more, visit greatplacetowork.com, listen to the podcast Better by Great Place to Work, and read “A Great Place to Work for All.” Join the community on LinkedIn, Twitter, and Instagram.
Community Care Plan (CCP), the health plan with a heart, is pleased to announce that the National Committee for Quality Assurance (NCQA) has increased the accreditation status for CCP’s Medicaid Plan from Accredited to Commendable. CCP’s original Accredited status was awarded to CCP in December 2018 and the status increase is a result of NCQA’s annual review of Healthcare Effectiveness Data and Information Set (HEDIS®) data for 2019.
The NCQA Health Plan Accreditation is a nationally recognized evaluation that purchasers, regulators, and consumers can use to assess health plans. NCQA Health Plan Accreditation evaluates the quality of health care that health plans provide to their members. NCQA Health Plan Accreditation is a voluntary review process and evaluates how well a health plan manages all parts of its delivery system – physicians, hospitals, other providers, and administrative services in order to continuously improve the quality of care and services provided to its members.
According to the NCQA website, “HEDIS is a tool used by over 90% of America's health plans to measure performance on care and services”, and “is also the most widely used performance improvement tool in health care”.
“To have our Accreditation status increased to Commendable by NCQA for our Medicaid Plan within our first year of becoming accredited is truly exciting,” said Jessica Lerner, Community Care Plan’s President and Chief Executive Officer. “Community Care Plan takes great pride in providing the highest quality of care and service to our members, and we are delighted that our HEDIS scores were recognized by NCQA and reflected in our new accreditation status.”
“Achieving an Accreditation status of Commendable from NCQA is sign that a health plan is serious about quality. It is awarded to plans whose service and clinical quality meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement,” said Margaret E. O’Kane, NCQA’s President.
For the last set of HEDIS scores, which included increased benchmark levels, CCP increased its scores to the 90th percentile in the following categories:
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
About NCQA Health Plan Accreditation NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa.
Community Care Plan served as the title sponsor for 2-1-1 Broward’s 9th Annual Non-Profit Awards. Each year, the 2-1-1 Broward Non-Profit Awards recognize the inspiring work of Broward County's non-profit agencies and outstanding non-profit executive and board leaders. Community Care Plan has served as the title sponsor for the event for the last four years.
Community Care Plan (CCP), the health plan with a heart, is pleased to announce that the National Committee for Quality Assurance (NCQA) has awarded an accreditation status of Accredited for service and clinical quality to CCP’s Medicaid Plan. The Accreditation, awarded in December 2018, will be valid for three years.
NCQA Health Plan Accreditation evaluates the quality of health care that health plans provide to their members. NCQA Health Plan Accreditation is a voluntary review process and evaluates how well a health plan manages all parts of its delivery system – physicians, hospitals, other providers, and administrative services in order to continuously improve the quality of care and services provided to its members. The NCQA Health Plan Accreditation is a nationally recognized evaluation that purchasers, regulators, and consumers can use to assess health plans.
“We are thrilled to have been awarded an accreditation status of Accredited by NCQA for our Medicaid Plan,” said Jessica Lerner, Community Care Plan’s President and Chief Executive Officer. “We take great pride in providing the highest quality of care and service to our members, and are proud that CCP’s processes and procedures were recognized by NCQA during our first attempt at accreditation.”
NCQA Health Plan Accreditation surveys include rigorous on-site and off-site evaluation of over 60 standards and selected HEDIS® measures. A team of physicians and health plan experts conduct accreditation surveys. A national oversight committee of physicians analyzes the team’s findings and assigns an accreditation level based on the performance of the plan being evaluated to NCQA’s standards.
Community Care Plan (CCP), the health plan with a heart, is pleased to announce the promotion of Jessica Lerner to President and Chief Executive Officer of the company, as the former Chief Executive Officer, John A. Benz, announces his retirement. Lerner, who will take over the leadership role immediately, previously served as the company’s Executive Vice President and Chief Operating Officer. Benz will transition to the role of President Emeritus and Chief Strategic Officer of the organization.
Benz and Lerner, who have worked together in the healthcare industry for over 23 years, will continue to work together to ensure a seamless transition. The two were part of the original leadership team who cofounded CCP. As President and CEO, Lerner will continue to grow CCP and provide quality-based healthcare to the South Florida community.
“It is my privilege to turn over the role of President and CEO to Jessica as I continue to serve Community Care Plan in an advisory capacity,” said John Benz. “Jessica is an outstanding leader with tremendous vision, who I know will continue to grow Community Care Plan and lead the company to great success in the future.”
“I am honored to take the reins and lead Community Care Plan into the future.” said Jessica Lerner, President & CEO of Community Care Plan. “We take great pride in being closely connected to our community and providing the highest level of quality and service to our members.”
Alongside Benz, Lerner co-founded CCP and played a major role in the operations and monitoring of local activities of the health plan to ensure that CCP is in accordance with contract requirements. She was promoted to Executive Vice President and Chief Operating Officer in 2016. Prior to joining CCP, Lerner served as Executive Director for Memorial Integrated Health for more than 19 years, where she spearheaded various initiatives including state contract negotiations, directing all health plan operations, inclusive of member benefits, provider network development, claims payment operations and system configuration, as well communications distribution and medical and pharmacy management. Lerner received a Bachelor’s Degree in marketing and management from Florida International University’s College of Business, and a Master’s of Healthcare Administration Degree from Florida Atlantic University. She also serves on the Board of Trustbridge Hospice Foundation and the Association of Community Affiliated Plans.
After more than 43 years in the healthcare industry, Benz is now looking forward to transitioning to a new phase in his life and renewing his commitment to balancing his life. He takes great pride in the executive leadership roles that he has held throughout his career. He has worked diligently to strengthen the community by focusing on accelerated performance in service, quality, finance, people, and growth. Prior to leading CCP, Benz served as Senior Vice President and Chief Strategic Officer for Memorial Healthcare System (MHS). In this role, he provided executive leadership and propelled MHS as a leader in providing high-quality health care services to the South Florida community. As a result, MHS is now recognized as a national leader in quality health care and is highly regarded for its exceptional patient and family-centered care.
South-Florida-based Community Care Plan (CCP), the health plan with a heart, earned the highest total number of stars (government rating) across the following six Florida Medicaid Health Plan Report Card categories:
“At Community Care Plan, we are closely connected to our community and focus on encouraging our members to improve their health by seeing their physicians, adhering to medical advice and evidence-based guidelines, and making healthy lifestyle choices. Our goal is to improve the health and wellness of our members and the community at large. I commend our partners in care, providers, and staff members for their outstanding efforts,” stated John A. Benz, President and CEO of Community Care Plan.
In addition to earning the highest total number of stars in the above-mentioned categories, Community Care Plan has received high accolades for its outstanding customer service and cost of care, including: