Seattle – Qualis Health announced today that it has been awarded a contract by the Washington State Health Insurance Pool (WSHIP) to provide utilization management, case management, disease management, and specialty review services to its 3,136 enrollees. WSHIP provides access to health insurance coverage for all residents of the state of Washington who have been denied individual health insurance by other carriers.
“We believe that the mission and goals of the Washington State Health Insurance Pool will be met by our integrated, patient-centered care management program that focuses on improving quality, collaborating with providers, managing costs, and improving satisfaction and value to its enrollees,” said Jonathan R. Sugarman, MD, MPH, Qualis Health’s president and chief executive officer. “This contract allows us to continue our longstanding efforts to provide superior care management services to Washington’s residents as well as to begin offering programs to this unique population in the state.”
Qualis Health, which is accredited by URAC in health utilization management, case management, and independent review, has provided comprehensive care management services for more than 30 years to clients such as employers, government agencies, health plans, trusts, third party administrators, and workers’ compensation organizations. Qualis Health currently covers over 3.3 million lives with its care management suite of products, including approximately 45 percent of Washington's population.
“The Washington State Health Insurance Pool is excited about our new strategic alliance with Qualis Health,” said Kären Larson, the executive director of WSHIP. “Qualis Health’s array of flexible care management services will meet the needs of our enrollees who have multiple chronic conditions. Qualis Health’s strong presence in the state of Washington, as well as its outstanding performance for other clients, help to distinguish it as a clear leader in the field of care management.”
About the Washington State Health Insurance Pool
The Washington State Health Insurance Pool was established in 1988 by the Washington State Legislature to provide access to health insurance coverage to all residents of the state who are denied individual health insurance by reducing barriers, improving the affordability to the enrollee and member plans, promoting innovative care delivery, balancing costs and benefits, and identifying and implementing key quality measurements. WSHIP is a private, nonprofit entity that operates under a plan of operation adopted by its board of directors and approved by the Office of the Insurance Commissioner. For more information about WSHIP, visit www.wship.org.
