As HEDIS results for the 2013 measurement year are submitted and the results compiled, here is a reminder of the top private, Medicare and Medicaid health plans for the prior measurement year.
Top 20 Private Health Insurance Plans
NCQA evaluated over 538 private health plans and ranked 474 of those based on clinical performance, member satisfaction and NCQA Accreditation. To be eligible for rankings, health plans must authorize public release of their performance information and submit enough data for statistically valid analysis. NCQA’s Health Insurance Plan Rankings 2012-2013 used NCQA’s established rankings methodology, which has been used and widely recognized since 2005. The NCQA Accreditation status in these rankings is as of June 30, 2012. Please click here for the plans' most current Accreditation status.
Click here for a summary list of all private health insurance plan rankings.
Click here for the detailed ranking list of all private health insurance plans.
1. Harvard Pilgrim Health Care – HMO/POS (MA, ME)
2. Tufts Associated Health Maintenance Organization – HMO/POS (MA)
3. Capital Health Plan – HMO (FL)
4. Tufts Benefit Administrators – PPO (MA, RI)
5. Harvard Pilgrim Health Care – PPO (MA)
6. Kaiser Foundation Health Plan of Colorado – HMO (CO)
7. Harvard Pilgrim Health Care of New England – HMO/POS (NH)
8. Kaiser Foundation Health Plan of Northern California – HMO (CA)
9. Group Health Cooperative of South Central Wisconsin – HMO (WI)
10. Kaiser Foundation Health Plan of Southern California – HMO (CA)
11. Health New England – HMO/POS (MA)
12. Geisinger Health Plan – HMO/POS (PA)
13. Kaiser Foundation Health Plan of the Northwest – HMO (OR, WA)
14. Blue Cross and Blue Shield of Massachusetts HMO Blue – HMO/POS (MA)
15. Kaiser Foundation Health Plan of the Mid-Atlantic States – HMO (DC, MD, VA)
16. UPMC Benefit Management Services – HMO/POS (PA)
16. UPMC Health Plan – HMO/POS (PA)
18. Grand Valley Health Plan – HMO (MI)
19. Kaiser Foundation Health Plan - Hawaii – HMO (HI)
20. Capital District Physicians' Healthcare Network (Self-Funded) – PPO (NY)
20. CDPHP Universal Benefits – PPO (NY)
Click here for the detailed ranking list of all private health insurance plans.
16. UPMC Health Plan – HMO/POS (PA)
18. Grand Valley Health Plan – HMO (MI)
19. Kaiser Foundation Health Plan - Hawaii – HMO (HI)
20. Capital District Physicians' Healthcare Network (Self-Funded) – PPO (NY)
20. CDPHP Universal Benefits – PPO (NY)
Top 10 Medicare Health Insurance Plans
NCQA evaluated over 465 Medicare health plans and ranked 395 of those based on clinical performance, member satisfaction and NCQA Accreditation. To be eligible for rankings, health plans must authorize public release of their performance information and submit enough data for statistically valid analysis. NCQA’s Health Insurance Plan Rankings 2012-2013 used NCQA’s established rankings methodology, which has been used and widely recognized since 2005. The NCQA Accreditation status in these rankings is as of June 30, 2012. Please click here for the plans' most current Accreditation status.
1. Kaiser Foundation Health Plan of Southern California — HMO (CA)
2. Kaiser Foundation Health Plan of Colorado — HMO (CO)
3. Kaiser Foundation Health Plan of Northern California — HMO (CA)
4. Capital Health Plan — HMO (FL)
5. Kaiser Foundation Health Plan of the Northwest — HMO (OR, WA)
6. Geisinger Health Plan — HMO (PA)
7. Kaiser Foundation Health Plan - Hawaii — HMO (HI)
8. Fallon Community Health Plan — HMO (MA)
9. Group Health Cooperative — HMO (WA)
10. Group Health Plan — HMO (MN, WI)
2. Kaiser Foundation Health Plan of Colorado — HMO (CO)
3. Kaiser Foundation Health Plan of Northern California — HMO (CA)
4. Capital Health Plan — HMO (FL)
5. Kaiser Foundation Health Plan of the Northwest — HMO (OR, WA)
6. Geisinger Health Plan — HMO (PA)
7. Kaiser Foundation Health Plan - Hawaii — HMO (HI)
8. Fallon Community Health Plan — HMO (MA)
9. Group Health Cooperative — HMO (WA)
10. Group Health Plan — HMO (MN, WI)
Click here a list of all Medicare health insurance plan rankings.
Click here the detailed ranking list of all Medicare health insurance plans.
Click here the detailed ranking list of all Medicare health insurance plans.
Top 10 Medicaid Health Insurance Plans
NCQA evaluated over 227 Medicaid health plans and ranked 115 of those based on clinical performance, member satisfaction and NCQA Accreditation. To be eligible for rankings, health plans must authorize public release of their performance information and submit enough data for statistically valid analysis. NCQA’s Health Insurance Plan Rankings 2012-2013 used NCQA’s established rankings methodology, which has been used and widely recognized since 2005. The NCQA Accreditation status in these rankings is as of June 30, 2012. Please click here for the plans' most current Accreditation status.
1. Fallon Community Health Plan — HMO (MA)
2. Kaiser Foundation Health Plan - Hawaii — HMO (HI)
3. Network Health — HMO (MA)
4. Blue Cross Complete of Michigan — HMO (MI)
5. Neighborhood Health Plan of Rhode Island — HMO (RI)
6. Neighborhood Health Plan — HMO (MA)
7. Priority Health — HMO (MI)
8. UPMC For You — HMO (PA)
9. Boston Medical Center HealthNet Plan — HMO (MA)
10. Security Health Plan of Wisconsin — HMO (WI)
2. Kaiser Foundation Health Plan - Hawaii — HMO (HI)
3. Network Health — HMO (MA)
4. Blue Cross Complete of Michigan — HMO (MI)
5. Neighborhood Health Plan of Rhode Island — HMO (RI)
6. Neighborhood Health Plan — HMO (MA)
7. Priority Health — HMO (MI)
8. UPMC For You — HMO (PA)
9. Boston Medical Center HealthNet Plan — HMO (MA)
10. Security Health Plan of Wisconsin — HMO (WI)
Click here a list of all Medicaid health insurance plan rankings.
Click here the detailed ranking list of all Medicaid health insurance plans.
© Copyright 2012 NCQA. All Rights Reserved.Click here the detailed ranking list of all Medicaid health insurance plans.
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