Introduction
Physicians Health Plan popularly known as Php Insurance plan was invented in 1980 by Sparrow Health Systems with a group of physicians while they were developing mid-Michigan's first broad-based Independent Practice Association (IPA) model. It was planned that a network of local physicians, hospitals, and other professionals will act as an IPA to deliver a complete range of health care to its members.
Two years after its conception, PHP Insurance materialized in 1982 and was launched in the market. Today PHP provider network consists of more than 1,300 practitioners and 11 hospitals that operate as a division of SHS which is really important.
Who manages your insurance?
PHP functions as a non-profit locally sponsored organization governed by area doctors and business representatives. Its main focus lies on proving quality and affordable healthcare facilities to a community enhancing the patient-physician relationship. A board of directors containing PHP Insurance enrollees, community residents, member physicians and participating hospitals is responsible for governance of PHP Insurance. Further, the operating areas are divided into zones and dedicated committees are formed for each zone. The board is responsible for framing and executing corporate policies while designated committees are responsible for operations, quality management, handling finances, overseeing pharmacy and therapeutics and credentialing in their respective zones.
Official Recognition
PHP Insurance has received a certification status of “Excellent” from National Committee for Quality Assurance for Commercial and Medical product line. Accreditation was based on consumer data provided by Health Plan Employer data and Information Set (HEIDS) which is a registered trademark of the NCQA. HEIDS provides a performance rating measured on the basis of the information they collect from consumers in terms of health care quality. NCQA then evaluates a health plan on various platforms like physicians and hospitals covered by it, efficiency of administration and other services provided. PHP Insurance was evaluated on customer service, addressing member concerns, resolving member and practitioner conflict and addressing feedback of its members. As a result it was rated as Excellent from NCQA for its continuously improving health care facilities and customer care services for its members.
Why PHP?
With a wide network of over 12,000 providers which includes doctors, health practitioners, dentists, hospitals, care centers and medical facilities, PHP Insurance plans gives you freedom to choose the healthcare provider or specialist that suits you best. With a wide choice of providers, it also provides wide coverage of a variety of tests and screenings like mammograms, paps, immunizations, colorectal and prostate screenings and baby care tests. Its efficient customer service helps you simplify the complex healthcare insurance issues to ensure that all your concerns and questions are answered. PHP Insurance provides the best in class customer service. You also benefit through community discounts with prominent organizations like YMCA, American Red Cross etc. PHP is financially well established and covered which means your investment money will never flunk in some unexpected turnaround of events. Many independent third-party organizations for financial evaluation have rated PHP highly providing a valuable benchmark for the benefit of customers looking for potential insurers on the market.
