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Causes: Group Health Practices, Health
Mission: To make a lasting difference in our members lives by improving their health and well-being. The caresource west virginia marketplace plan was successfully implemented with enrollment beginning on november 1, 2015, and an effective date of january 1, 2016.
Programs: Caresource west virginia co. ("cswv") is a non-profit organization established under the state law of west virginia. On august 30, 2017, cswv received a determination letter from the internal revenue service, recognizing cswv as an organization exempt from federal income tax under section 501(c)(3) of the internal revenue code. Cswv is a member of the caresource family of companies' non-profit organizations. The mission of caresource is to make a lasting difference in its members lives by improving their health and overall well-being. Cswv firmly adheres to this mission, which it terms as the organizations "heartbeat," by providing services that go well beyond the delivery of medical benefits. Cswv began offering a qualified health plan on the west virginia health insurance marketplace beginning in january 2016, providing low-cost comprehensive coverage for uninsured individuals and families. Caresource west virginia received interim accreditation through national committee for quality assurance (ncqa) in 2015 for its health insurance marketplace plan. Ncqa accreditation is the most comprehensive evaluation in the industry and the only assessment that bases results on clinical performance and consumer experience. Pursuing ncqa accreditation demonstrates cswv's commitment to quality and improving the health and well-being of our members. Cswv focuses on prevention with a goal of improving member health, the quality of health care services received, and accessibility of health care services for its members. This is done through an innovative health and wellness methodology. Cswv has built a high performing provider network to operate as an hmo. This provider network relies heavily upon federally qualified health centers (fqhcs). Fqhcs are generally health care providers that have been recognized by the federal government as providing care to populations that have limited access to medical treatment due to conditions such as poverty and geographic location. Caresource west virginia's qualified health plan on the health insurance marketplace primarily serves low-income individuals and was designed for those low-income adults who are recently uninsured or have never been insured. The plan is affordable, with low monthly premiums, low copays, low annual deductibles, and free generic prescriptions for some members. Members have the choice of buying dental and vision plans in addition to their medical plan. Members can also receive assistance through cswvs many programs designed to remove barriers to health and well-being. Cswv can, therefore, further its mission as a means of improving the health and well-being of west virginias low-income populations.