In its March 2009 Report to Congress on Medicare payment policy, the Medicare Payment Advisory Committee singled out Medicare plans that topped the NCQA/U.S. News and World Report’s “America’s Best Health Plans” rankings in 2008.
Eleven of the top 15 Medicare plans are members of the Alliance of Community Health Plans (ACHP). Of the top performing Medicare plans, MedPAC wrote:
“The National Committee for Quality Assurance (NCQA), in conjunction with U.S. News and World Report, publishes a national ranking of health plans based on composite scores derived from HEDIS and other sources (NCQA 2008a). For 2008, the highest ranked Medicare plans tended to be long-established Medicare plans, with all having at least six years of Medicare contact experience. They all have commercial membership and generally are top rated commercial plans as well. The top-ranked Medicare plans tended to be group models (10 of 15), with two staff model plans and three independent practice associations. This result is consistent with research showing that integrated models are more likely to provide higher quality of care.”
At the time of the rankings’ release in November 2008, ACHP President and CEOPatricia Smithsaid: “ACHP members are important models as Congress and [President] Obama move forward on health care reform.” On release of the MedPAC report, she added: “We are pleased that MedPAC is recognizing the significance of exceptional quality performance that some Medicare health plans have achieved. Achieving top ratings in the NCQA/US News rankings yields value for Medicare enrollees and the Medicare program. ACHP member plans focus on organizing and delivering affordable care. These rankings underscore that delivery system reform must be a key element of health care reform.”
Click here to view U.S. News and World Report’s 2008 “America’s Best Health Plans.”
ACHP is a national leadership organization that brings together innovative health plans and provider groups that are among America’s best at delivering affordable, high-quality coverage and care in their communities. The non-profit, community-based and regional health plans and provider organizations from across the country that make up ACHP’s membership provide coverage and care for approximately 15 million Americans. These health plans focus on improving the health of the communities they serve and are on the leading edge of patient care coordination, patient-centered medical homes, accountable health care delivery, use of information technology and other innovations leading to improvements in affordability and the quality of care. To learn more about ACHP, go to www.achp.org.