ACHP Health Plans Again Top NCQA Ratings

For Immediate Release September 22, 2016
CONTACT:
Rachel Schwartz
rschwartz@achp.org
202-524-7759 (office)
202-577-5435 (cell)

 

Once again Alliance of Community Health Plans (ACHP) member plans lead the nation in quality ratings.

In the National Committee for Quality Assurance’s (NCQA) Health Insurance Plan Ratings 2016-2017, 9 commercial ACHP plans earned a rating of 5, and 24 earned a rating of 4 or 4.5. Six ACHP Medicare plans earned a rating of 5 and 21 earned a rating of 4 or 4.5. One ACHP Medicaid plan earned a rating of 5, and 7 earned a rating of 4 or 4.5. The 2016-2017 ratings are available on NCQA’s website.

Approximately 568 plans are included in the commercial NCQA Health Insurance Plan Ratings but only 13 received the top rating of 5. Only 8 of the nearly 450 Medicare plans and 2 of the 240 Medicaid plans received a top rating of 5.

This is another high-performing year for several ACHP members with longstanding histories of topping NCQA’s lists. HealthPartners, for instance, received a rating of 4.5 to continue its 12-year streak as the highest-quality commercial plan in the state of Minnesota. Security Health Plan in Wisconsin received across-the-board ratings of 4.5 in its Medicare, Medicaid and commercial insurance plans.

“ACHP is proud to be supporting plans that continually strive to be the best in their field, both in terms of delivering high-quality care and ensuring the utmost levels of member satisfaction,” says ACHP President and CEO Ceci Connolly. “We are paying for quality and quality is improving across the board. As the nation demands greater value in health care, nonprofit, community plans are delivering just that.”

“This rating reinforces our commitment to the community we serve to provide the highest-quality care while delivering excellent service to our members,” says David Howes, M.D., president and CEO of Martin’s Point Health Care, which received a rating of 5 for its commercial HMO plan. “We are excited and honored to receive such high scores from NCQA.”

NCQA’s quality measurement program directly improves the lives of more than 171 million Americans nationwide. Health plans are rated based on clinical performance, member satisfaction and NCQA accreditation. NCQA publishes its Health Insurance Plan Ratings annually.

 

ACHP Plans Receiving a Rating of 5 on the NCQA Health Insurance Plan Ratings 2016-2017

Commercial/Private

Capital District Physicians’ Health Plan (HMO)

Capital District Physicians’ Healthcare Network (HMO/POS)

Capital Health Plan (HMO)

Kaiser Foundation Health Plan of Northern California (HMO)

Kaiser Foundation Health Plan of the Mid-Atlantic States (HMO)

Martin’s Point US Family Health Plan (ME) (HMO)

UPMC Benefit Management Services (HMO)

UPMC Health Coverage (HMO)

UPMC Health Plan (HMO)

 

Medicare

Group Health Plan (Cost) (HealthPartners) (HMO)

Kaiser Foundation Health Plan of Georgia (HMO)

Kaiser Foundation Health Plan of Hawaii (HMO)

Kaiser Foundation Health Plan of Northern California (HMO)

Kaiser Foundation Health Plan of Southern California (HMO)

Kaiser Foundation Health Plan of the Northwest (HMO)

 

Medicaid

Kaiser Foundation Health Plan of Hawaii (HMO)

 

About ACHP
The Alliance of Community Health Plans (ACHP) is a national leadership organization bringing together innovative health plans and provider groups that are among America’s best at delivering affordable, high-quality coverage and care. ACHP’s member health plans provide coverage and care for more than 18 million Americans. These 21 organizations focus on improving the health of the communities they serve and are on the leading edge of innovations in affordability and quality of care, including primary care redesign, payment reforms, accountable health care delivery and use of information technology. To learn more about ACHP, go to www.achp.org. Follow us on Twitter: @_ACHP.

 

About NCQA
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care.