NCQA rated 1,000-plus health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results for its rankings. The organization said its rating system emphasizes care outcomes and what patients say about their care. Health plans’ overall score is the weighted average of all measures.
Here are NCQA’s Medicaid ratings, with the first four plans achieving the highest score of 5.0, and the remaining attaining the second-highest score of 4.5:
1. Blue Plus (Minnesota), HMO — 5.0
2. Jai Medical Systems Managed Care Organization (Maryland), HMO — 5.0
3. Kaiser Foundation Health Plan of the Mid-Atlantic States (Maryland), HMO — 5.0
4. Kaiser Foundation Health Plan of the Mid-Atlantic States (Virginia), HMO — 5.0
5. Boston Medical Center Health Plan (New Hampshire), HMO — 4.5
6. Capital District Physicians’ Health Plan (New York), HMO
7. Health Partners Plans (Pennsylvania), HMO
8. Kaiser Foundation Health Plan of Hawaii, HMO
9. Neighborhood Health Plan of Rhode Island, HMO
10. Priority Health (Michigan), HMO
11. Tufts Health Public Plans (Massachusetts), HMO
12. UnitedHealthcare of New England (Rhode Island), HMO
13. Upper Peninsula Health Plan (Michigan), HMO
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