Checking on Quality 1998 New Jersey Managed Health Care Plans Checking on Quality The State of New Jersey, through the Department of Health and Senior Services, monitors the quality of care and services provided by HMOs and POS plans. The Department investigates consumers' complaints with the plans and conducts in-depth reviews of each plan. Plans are also required to obtain a quality audit by an independent review organization every three years. This requirement may be met through a quality review by one of the three accreditation organizations listed here or the New Jersey Peer Review Organization. This booklet provides results on how health plans performed in certain areas that demonstrate quality.
Accreditation is another way of evaluating quality.
Accreditation assures consumers that an independent organization has checked whether the health plan has effective systems in place for ensuring high quality care. You can refer to the websites listed under the following accreditation organizations for more information. This booklet refers to the managed health care plans in New Jersey with a large commercial enrollment. They are listed below along with other health plans approved to provide services in New Jersey. All the plans provide coverage for people with private insurance, such as that obtained through an employer.