Quality & Safety

UPMC Health Plan is committed to delivering the highest quality health care. It’s why we’re ranked so highly by the National Committee for Quality Assurance (NCQA). UPMC Health Plan maintains an “Excellent” accreditation — the highest available — from the NCQA for its commercial HMO and its Medicare HMO and PPO products. To find out more and to get an NCQA Health Plan Report Card, click here.

Quality Improvement

High-quality health care is a top priority at UPMC Health Plan. UPMC Health Plan and its network of providers work together in a unique partnership that combines delivery of health care with financial accountability. We meet with hospital CEOs to review outcomes and compare performance across the network. Then we work together on action plans that lead to overall improvements in service.

Learn About Our Commitment to Quality Improvement

Fraud & Abuse

Intentional fraud and abuse victimizes UPMC Health Plan, its members, employees, policyholders, business partners, and the entire insurance community. See what we’re doing to protect against it.

Learn About Fraud & Abuse Protection

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