NCQA’s Medicaid health insurance rankings

NCQA's Medicaid health insurance rankings

These rankings of Medicaid health insurance plans are based on data and calculations from the National Committee for Quality Assurance, a nonprofit quality measurement and accreditation organization. The rankings include all Medicaid health insurance plans that are ranked by NCQA.

National rank shows where each ranked plan stands among all scored Medicaid plans nationwide. A lower number signifies a better ranking and performance.

Overall score ranges from 1 to 100, mainly based on three performance categories--consumer satisfaction, prevention, and treatment, which are scored from 1 to 5 (higher is better). Prevention and treatment account for 60 percent of the score for all plans, consumer satisfaction, 25 percent, and NCQA accreditation, 15 percent. The overall score also determines a plan's national rank.

Consumer satisfaction indicates how well a plan performed in a survey of members about such factors as getting timely doctors'

appointments, getting the care they need, and their overall assessment of their doctors and specialists.

Prevention measures the proportion of eligible members who received preventive services, such as prenatal and postpartum care, cancer screenings, and immunizations. It also looks at access to primary- and preventive-care visits for children and adolescents.

Treatment measures the proportion of eligible members who received the recommended care for people with conditions such as asthma, diabetes, heart disease, and mental illness.

Accreditation is an independent review of how well a plan does at working with doctors and patients to provide high-quality health care and at providing important consumer protections. Plans pay fees to any organization that evaluates them, including NCQA. Most plans in the rankings are accredited by the NCQA, unless otherwise noted in the footnotes.

For more information go to healthinsurance.

National Plan Rank

Overall Consumer Prevention Treatment Score Satisfaction

CALIFORNIA

29 CalOptima (HMO)

82

95

Molina Healthcare of California Partner Plan (HMO)

77

99 L.A. Care Health Plan (HMO)

76

102 Care1st Health Plan (San Diego) (HMO)

76

106

Blue Cross of California Partnership Plan (HMO)

75

107 Care1st Health Plan (Los Angeles) (HMO)

74

110 Community Health Group (HMO)

74

112 Inland Empire Health Plan (HMO)

73

119 Health Net of California (HMO)

70

121 Alameda Alliance for Health (HMO)

69

--

COLORADO

74 Rocky Mountain Health Plans (HMO)

79

126 Denver Health Medical Plan (HMO)1

66

Dash (--) indicates insufficient data / 1?Not accredited by NCQA / 2?In process of accreditation / 3?Scheduled for accreditation / 4?Interim accreditation

NCQA's Medicaid health insurance rankings

? Consumer Reports September 2014

NCQA's Medicaid health insurance rankings

National Plan Rank

Overall Consumer Prevention Treatment Score Satisfaction

DELAWARE

27 Delaware Physicians Care (HMO)

82

76 UnitedHealthcare Community Plan (HMO)

79

DISTRICT OF COLUMBIA

133

Health Services for Children with Special Needs (HMO)1

61

FLORIDA

31 Humana Medical Plan - Florida (HMO)

82

64 WellCare of Florida (HMO)

79

78 WellCare of Florida (HealthEase) (HMO)

79

83 WellCare of Florida (Florida Reform) (HMO)

79

85

Sunshine State Health Plan (Reform Counties) (HMO)

78

96 Freedom Health (Reform Counties) (HMO)

77

--

--

--

100 Molina Healthcare of Florida (HMO)

76

101

Sunshine State Health Plan (Nonreform Counties) (HMO)

76

108 Freedom Health (Nonreform Counties) (HMO)

74

111

UnitedHealthcare Community Plan (Florida Reform) (HMO)

73

113

UnitedHealthcare Community Plan (Florida Nonreform) (HMO)

73

125 AMERIGROUP Florida (HMO)1

66

GEORGIA

32 AmeriGroup Georgia Managed Care (HMO)

81

43 Peach State Health Plan (HMO)

80

59 WellCare of Georgia (HMO)

80

HAWAII

6 Kaiser Foundation Health Plan - Hawaii (HMO)

86

51 Hawaii Medical Service Association (HMO)

80

94

WellCare Health Insurance of Arizona (Aged, Blind and Disabled) (HMO)

77

105

WellCare Health Insurance of Arizona (AZ Medicaid) (HMO)

75

Dash (--) indicates insufficient data / 1?Not accredited by NCQA / 2?In process of accreditation / 3?Scheduled for accreditation / 4?Interim accreditation

NCQA's Medicaid health insurance rankings

? Consumer Reports September 2014

NCQA's Medicaid health insurance rankings

National Plan Rank

Overall Consumer Prevention Treatment Score Satisfaction

ILLINOIS

10 Meridian Health Plan of Illinois (HMO)

85

115 Harmony Health Plan of Illinois (HMO)

72

INDIANA

28 MDwise (HMO)

82

67 Managed Health Services (HMO)

79

88

Anthem Blue Cross and Blue Shield in Indiana (HMO)

78

IOWA

38 Meridian Health Plan of Iowa (HMO)

81

KENTUCKY

19 Passport Health Plan (HMO)

83

129 WellCare of Kentucky (HMO)2

63

130 CoventryCares of Kentucky (HMO)2

63

132 Humana Health Plan (HHP) (HMO)1

61

--

LOUISIANA

131

UnitedHealthcare Community Plan of Louisiana (HMO)2

63

MARYLAND

17 MedStar Family Choice (HMO)

83

30 Priority Partners (HMO)

82

46 AMERIGROUP Maryland (HMO)

80

68 UnitedHealthcare Community Plan (HMO)

79

118 Jai Medical Systems (HMO)2

70

MASSACHUSETTS

1 Network Health (HMO)

87

2 Fallon Health (HMO)

87

3 Neighborhood Health Plan (HMO)

86

4 Boston Medical Center HealthNet Plan (HMO)

86

122 Health New England (HMO)3

68

Dash (--) indicates insufficient data / 1?Not accredited by NCQA / 2?In process of accreditation / 3?Scheduled for accreditation / 4?Interim accreditation

NCQA's Medicaid health insurance rankings

? Consumer Reports September 2014

NCQA's Medicaid health insurance rankings

National Plan Rank

Overall Consumer Prevention Treatment Score Satisfaction

MICHIGAN

9 Meridian Health Plan of Michigan (HMO)

85

11 Priority Health (HMO)

84

12 Upper Peninsula Health Plan (HMO)

83

25 UnitedHealthcare Community Plan (HMO)

82

26 HealthPlus of Michigan (HMO)

82

35 Molina Healthcare of Michigan (HMO)

81

41 McLaren Health Plan (HMO)

81

49 Coventry Cares of Michigan (HMO)

80

57 Midwest Health Plan (HMO)

80

71 Blue Cross Complete of Michigan (HMO)

79

79 Total Health Care (HMO)

79

127 Physicians Health Plan (HMO)1

65

MINNESOTA

18 Medica (HMO)

83

47 Blue Plus (PMAP) (HMO)

80

50 Blue Plus (MN Care) (HMO)

80

MISSISSIPPI

117

UnitedHealthcare Community Plan (CAN) (HMO)

71

MISSOURI

84 HealthCare USA of Missouri (HMO)

79

109 Missouri Care Health Plan (HMO)

74

NEBRASKA

86 UnitedHealthcare Community Plan (HMO)

78

116 Coventry Health Care of Nebraska (HMO)

72

--

123 Arbor Health Plan (HMO)4

67

--

NEW JERSEY

48 AMERIGROUP New Jersey (HMO)

80

69

UnitedHealthcare Community Plan (NJ) (HMO)

79

Dash (--) indicates insufficient data / 1?Not accredited by NCQA / 2?In process of accreditation / 3?Scheduled for accreditation / 4?Interim accreditation

NCQA's Medicaid health insurance rankings

? Consumer Reports September 2014

NCQA's Medicaid health insurance rankings

National Plan Rank

Overall Consumer Prevention Treatment Score Satisfaction

NEW JERSEY (continued)

87 Horizon NJ Health (HMO)

78

NEW MEXICO

70 Molina Healthcare of New Mexico (HMO)

79

91 Presbyterian Health Plan (HMO)

78

104

Blue Cross and Blue Shield of New Mexico (HMO)

76

NEW YORK

8 AMERIGROUP New York (HMO)

85

14 WellCare of New York (HMO)

83

15 Capital District Physicians' Health Plan (HMO)

83

16 UnitedHealthcare Community Plan (HMO)

83

22 Independent Health Association (HMO)

82

23 Excellus BlueCross BlueShield (HMO)

82

33 HealthNow New York (HMO)

81

OHIO

66 CareSource (HMO)

79

82 Molina Healthcare of Ohio (HMO)

79

89 Paramount Advantage (HMO)

78

90 UnitedHealthcare Community Plan (HMO)

78

98 Buckeye Community Health Plan (HMO)

77

PENNSYLVANIA

20 Health Partners of Philadelphia (HMO)

82

21 UPMC For You (HMO)

82

24 AmeriHealth Caritas Pennsylvania (HMO)

82

34 Keystone First (HMO)

81

42 Gateway Health (HMO)

81

45 HealthAmerica Pennsylvania (HMO)

80

58 Aetna Better Health (HMO)

80

77 UnitedHealthcare Community Plan (HMO)

79

Dash (--) indicates insufficient data / 1?Not accredited by NCQA / 2?In process of accreditation / 3?Scheduled for accreditation / 4?Interim accreditation

NCQA's Medicaid health insurance rankings

? Consumer Reports September 2014

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download