The National Committee for Quality Assurance ranked Group Health Cooperative of South Central Wisconsin and the Kaiser Foundation Health Plan of the Mid-Atlantic States the two best-performing commercial health plans in 2018-19.
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.
Below are NCQA's top ratings, with the first two plans achieving the highest score of 5.0, and the remaining attaining the second-highest score of 4.5:
1. Group Health Cooperative of South Central Wisconsin, HMO — 5.0
2. Kaiser Foundation Health Plan of the Mid-Atlantic States (District of Columbia, Maryland, Virginia), HMO — 5.0
3. Anthem Blue Cross and Blue Shield in Maine, HMO/POS — 4.5
4. Anthem Blue Cross and Blue Shield of Connecticut, HMO/POS
5. AultCare Insurance Company (Ohio), HMO
6. Blue Cross Blue Shield of Minnesota, PPO
7. Blue Cross and Blue Shield of Rhode Island, PPO
8. Blue Cross and Blue Shield of Massachusetts HMO Blue, HMO/POS
9. Blue Cross and Blue Shield of Massachusetts, PPO
10. Blue Cross and Blue Shield of Vermont, HMO/POS/PPO/EPO
11. Capital District Physicians' Health Plan (New York), HMO
12. Capital District Physicians' Healthcare Network (New York), HMO/POS
13. Capital District Physicians' Healthcare Network (New York), PPO
14. Capital Health Plan (Florida), HMO
15. Capital District Physicians' Healthcare Plan Universal Benefits (New York), PPO
16. Dean Health Plan (Wisconsin), HMO
17. Fallon Community Health Plan (Massachusetts), HMO/POS
18. Group Health Plan (Minnesota), HMO/POS/PPO
19. Harvard Pilgrim Health Care (Maine, Massachusetts), HMO/POS
20. Harvard Pilgrim Health Care (Massachusetts), PPO
21. Hawaii Medical Service Association, HMO/POS
22. HealthNow New York, HMO/POS/PPO
23. HealthPartners Administrators (Iowa, Minnesota, Wisconsin), HMO/POS/PPO
24. Health Parents (Minnesota, Wisconsin), HMO/POS/PPO
25. Highmark Choice Company (Pennsylvania), HMO
26. Independent Health Association (New York), HMO/POS
27. Johns Hopkins US Family Health Plan (Maryland), HMO
28. Kaiser Foundation Health Plan of Southern California, HMO
29. Kaiser Foundation Health Plan of Colorado, HMO
30. Kaiser Foundation Health Plan of the Northwest (Oregon, Washington), HMO
31. Kaiser Foundation Health Plan of Hawaii, HMO
32. Kaiser Foundation Health Plan of Northern California, HMO
33. Martin's Point US Family Health Plan (Maine), HMO
34. Martin's Point US Family Health Plan (Massachusetts, New Hampshire, New York, Pennsylvania, Vermont), HMO
35. Medical Associates Health Plans (Wisconsin), HMO/POS
36. Medical Associates Health Plan (Illinois, Iowa), HMO/POS
37. MVP Health Plan (New York), HMO/POS
38. Sharp Health Plan (California), HMO
39. The Vermont Health Plan, HMO/POS
40. Tufts Associated Health Maintenance Organization (Massachusetts, Rhode Island), HMO/POS/EPO
41. Tufts Benefit Administrators (Massachusetts), PPO
42. UnitedHealthcare Services (Rhode Island), PPO
43. UnitedHealthcare Insurance Company (Rhode Island), PPO
44. Unity Health Plans Insurance Corp. (Wisconsin), HMO/POS
45. UPMC Benefit Management Services (Pennsylvania), HMO
46. UPMC Health Coverage (Pennsylvania), HMO
47. UPMC Health Plan (Pennsylvania), HMO
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