Press Release

RELEASE: ACHP Plans Again Top NCQA Quality Ratings

ACHP’s nonprofit members are highest-rated commercial plans nationally

Washington (September 27, 2018)The Alliance of Community Health Plans member organizations again lead the nation in providing high-quality coverage and care in the National Committee for Quality Assurance’s (NCQA) Health Insurance Plan Ratings. For the 2018-2019 year, ACHP members operated both of the two highest-rated commercial plans in the country.

“ACHP members are delivering quality care and excellent customer service to the more than 21 million Americans they serve,” said ACHP President and CEO Ceci Connolly. “The NCQA ratings are an important marker for consumers to differentiate top-notch plans.”

Group Health Cooperative of South Central Wisconsin and Kaiser Foundation Health Plan of the Mid-Atlantic states, both ACHP member organizations, were the only two health plans in the country to earn five out of five stars for their commercial products. Twenty commercial plans operated by ACHP members received a rating of 4.5. ACHP members also accounted for half of the 5-star Medicaid plans and 7 of 8 of the top-rated Medicare plans in the country. The high scores build on ACHP members’ commitment to quality, affordability and healthier communities.

“Our solid national NCQA ranking is a tribute and affirmation of the cumulative efforts of all our clinical staff who diligently work day in and day out to deliver the highest possible quality outcomes for our patients in a compassionate and caring manner,” said Chris Kastman, MD, Chief Medical Officer at Group Health Cooperative of South Central Wisconsin. “It only happens with a dedicated spirit of collaboration among the entire spectrum of the clinical teams within our clinics, and I am privileged to be able to work with them and receive this amazing national recognition for their valuable contributions to our results.”

ACHP plans have received high ratings from NCQA for many consecutive years. The NCQA ratings capture three main categories: customer satisfaction, prevention and treatment. ACHP member organizations are better at managing chronic conditions, enhancing communication with care teams and increasing cancer screenings.

NCQA’s Health Insurance Plan Ratings 2018–2019 compare the quality and services of more than 1,000 health plans in the United States and provide consumers with a practical and meaningful guide to understanding their health care options and choosing the best health plans for themselves and their families. NCQA studied nearly 1,500 health plans and rated 1,040: 445 private (commercial), 418 Medicare and 177 Medicaid. The ratings are available on NCQA’s website.

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 21 million Americans across 32 states and the District of Columbia. These 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 reform, accountable health care delivery and use of information technology. To learn more, go to www.achp.org and follow ACHP on Twitter @_ACHP.