Community-Based Health Plans Lead National Rankings

The National Committee for Quality Assurance released the 2012-2013 health plan rankings yesterday and ACHP members were once again at the top of the list. NCQA, which publishes its Health Insurance Plan Rankings annually, bases the rankings on their NCQA Accreditation standards, which are some of the most rigorous in the industry. These standards are developed collaboratively, with the help of health plans, providers, purchasers, unions, regulatory agencies and consumer groups.

For 2012-2013, seven of the nation’s top ten commercial plans, all of the top ten Medicare plans in the nation and six of the top ten plans in the Medicaid rankings are offered by ACHP members. While ACHP is excited to announce these outstanding results, such performance is not surprising: Our member plans have established a precedent of continually topping the rankings. Last year, 12 of the nation’s top 20 private plans were ACHP members. This performance has echoed throughout the past years as top plans demonstrate superlative quality outcomes.

In the next few weeks, we will be posting a series of blog posts that will provide more robust analyses on the rankings and quality performances of plans. Additionally, look forward to some posts offering insight on the value of these quality rankings, which serve as critical tools for consumers in assessing health plans. In the meantime, take a look at what Peggy O’Kane, president of NCQA, wrote in The Atlantic  earlier this summer about engaging consumers in learning more about the health care system.

Below is a table summarizing ACHP member plans' rankings.

Commercial Plans – Top 50

Rank     Plan

2          Tufts Associated Health Maintenance Organization
3          Capital Health Plan
4          Tufts Benefit Administrators (PPO)
6          Kaiser Foundation Health Plan of Colorado
8          Kaiser Foundation Health Plan of Northern California
9          Group Health Cooperative of South Central Wisconsin
10        Kaiser Foundation Health Plan of Southern California
12        Geisinger Health Plan (HMO/POS)
13        Kaiser Foundation Health Plan of the Northwest
15        Kaiser Foundation Health Plan of the Mid-Atlantic States
16        UPMC Benefit Management Services
16        UPMC Health Plan
19        Kaiser Foundation Health Plan – Hawaii
20        Capital District Physicians’ Healthcare Network (Self-Funded, PPO)
20        CDPHP Universal Benefits (PPO)
24        Capital District Physicians’ Healthcare Network
25        Capital District Physicians’ Health Plan
28        HealthPartners
33        Fallon Community Health Plan
36        Kaiser Foundation Health Plan of Georgia
38        Kaiser Foundation Health Plan of Ohio
42        Security Health Plan of Wisconsin
43        Priority Health
48        Independent Health Association

Medicare Plans – Top 25 

Rank     Plan

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

Medicaid Plans – Top 25

Rank     Plan

1          Fallon Community Health Plan
2          Kaiser Foundation Health Plan – Hawaii
3          Network Health (Tufts)
7          Priority Health
8          UPMC for You
10        Security Health Plan of Wisconsin
13        Capital District Physicians’ Health Plan

21        Independent Health Association