ACHP health plans top NCQA rankings

The National Committee for Quality Assurance (NCQA) has released its 2013-2014 rankings and once again, ACHP plans have a strong presence. All 10 of the nation’s top ten Medicare plans are offered by ACHP members, while 5 of the top ten plans in the commercial and 5 of the top ten plans in the Medicaid rankings are ACHP plans.

Commercial Plans
NCQA evaluated more than 577 private health plans and ranked 484 of those based on clinical performance, member satisfaction and NCQA Accreditation.

 Commercial Plans – Top 50

Rank    Plan

2             Kaiser Foundation Health Plan of the Northwest (HMO)
6             Tufts Associated Health Maintenance Organization (HMO)
7             Kaiser Foundation Health Plan of Northern California (HMO)
8             Tufts Benefit Administrators (PPO)
10           Kaiser Foundation Health Plan of Ohio (HMO)
11           UPMC Health Plan (HMO)
12           UPMC Benefit Management Services (HMO)
13           Kaiser Foundation Health Plan of Colorado (HMO)
15           Capital Health Plan (HMO)
16           Kaiser Foundation Health Plan of the Mid-Atlantic States (HMO)
17           Kaiser Foundation Health Plan of Southern California (HMO)
18           Capital District Physicians’ Healthcare Network (HMO)
19           Capital District Physicians’ Health Plan (HMO)
20           Kaiser Foundation Health Plan of Georgia (HMO)
21           Group Health Cooperative of South Central Wisconsin (HMO)
22           Geisinger Health Plan (HMO)
25           Kaiser Foundation Health Plan – Hawaii (HMO)
26           CDPHP Universal Benefits (PPO)
26           Capital District Physicians’ Healthcare Network (Self-Funded) (PPO)
30           HealthPartners (HMO/PPO)
31           Independent Health Association (HMO)
34           Fallon Community Health Plan (HMO)
41           Priority Health (HMO)
45           Security Health Plan of Wisconsin (HMO)
48           UPMC Health Network (PPO)
48           UPMC Benefit Management Services (PPO)

The complete list of private health plans can be found here.

Medicare
NCQA evaluated over 557 Medicare health plans and ranked 405 of those based on clinical performance, member satisfaction and NCQA Accreditation.

Medicare – Top 20

Rank   Plan
1             Kaiser Foundation Health Plan of Southern California (HMO)
2             Kaiser Foundation Health Plan of Northern California (HMO)
3             Kaiser Foundation Health Plan of the Northwest (HMO)
4             Kaiser Foundation Health Plan of Colorado (HMO)
5             Kaiser Foundation Health Plan – Hawaii (HMO)
6             Capital Health Plan (HMO)
7             Geisinger Health Plan (HMO)
8             Kaiser Foundation Health Plan of the Mid-Atlantic States (HMO)
9             Capital District Physicians’ Health Plan (HMO)
10           Security Health Plan of Wisconsin (HMO)
11           Kaiser Foundation Health Plan of Ohio (HMO)
12           Group Health Cooperative (HMO)
12           Priority Health (HMO)
14           Group Health Plan (Cost) (HealthPartners) (HMO)
15           Fallon Community Health Plan (HMO)
16           Kaiser Foundation Health Plan of Georgia (HMO)

The complete list of Medicare health plans can be found here. (Select the “Medicare” option in the search box at the top and then hit “Search” next to it)

Medicaid
NCQA evaluated over 260 Medicaid health plans and ranked 131 of those based on clinical performance, member satisfaction and NCQA Accreditation.

Medicaid – Top 20

Rank   Plan
1             Fallon Community Health Plan (HMO)
2             Kaiser Foundation Health Plan – Hawaii (HMO)
3             Network Health (Tufts ) (HMO)
5             Priority Health (HMO)
9             Capital District Physicians’ Health Plan (HMO)
12           Security Health Plan of Wisconsin (HMO)
15           UPMC For You (HMO)
20           Independent Health Association (HMO)

The complete list of Medicaid health plans can be found here. (Select the “Medicaid” option in the search box at the top and then hit “Search” next to it)

The rankings will be published online in the November issue of Consumer Reports, on sale in early October. Additionally, we will be rolling out several blog posts within the next few months that will take a more in-depth look at the rankings, as well as provide a more robust analysis of ACHP member plans’ performance.