The National Committee for Quality Assurance ranked over 1,000 health plans on measures of quality, member satisfaction and the committee’s survey accreditation results. The ratings aim to highlight patient care outcomes and how patients feel toward those outcomes and the care they are receiving.
The highest performing plans received a score of 5.0, while the lowest performers can receive as low as a zero-point score. The overall score is a weighted average of all measures, for the full method of calculation for these scores, read the NCQA’s methodology.
Arizona’s private, or commercial, sector did not perform as strongly with scores peaking at 3.5 and some dropping to the 1.5 range. Mercy Care Plan scored a 4.0 in consumer satisfaction under Medicaid, while Aetna Health and Aetna Life Insurance dominated the top ratings under Medicare with overall scores of 4.0.
Becker’s Hospital Review highlighted 47 of the nation’s top-performing commercial health plans for 2018, Group Health Cooperative of South Central Wisconsin topped the charts as an HMO receiving the highest accolade of a 5.0. For more on these 47 plans, check out Beckers’ story.
For Medicare plans, Group Health Plan Inc. received a 5.0 and racked up almost a perfect score across the board, faltering only slightly in consumer satisfaction in which they received a 4.5. Blue Plus HMO of Minnesota secured the number one spot for Medicaid plans with a 5.0 rating as well.
For the full results, visit the NCQA’s page.
Read more about the NCQA report at Health Payer Intelligence