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NCQA Health Insurance Plan Ratings 2018-2019 - Summary Report (Medicaid)

Search for a health insurance plan by state, plan name or plan type (private, Medicaid, Medicare). Click a plan name for a detailed analysis.

In 2018, NCQA rated more than 1,000 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. This way of rating plans emphasizes care outcomes (the results of care people receive) and what patients say about their care.

Note: The overall rating score is the weighted average of all measures, not an average of the three composites (Consumer Satisfaction, Prevention, Treatment). For more information about the ratings, including how they are calculated, visit our 2018 ratings page.

Lower Performance Higher Performance
≤1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0
Rating
Plan Name
States
Type
NCQA Accreditation
Consumer Satisfaction
Prevention
Treatment
5.0
Blue Plus (HMO Minnesota dba Blue Plus)
Special Project: MSHO
MN HMO Yes
5.0
I
4.5
5.0
Jai Medical Systems Managed Care Organization, Inc.
MD HMO Yes
4.0
5.0
4.0
5.0
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
MD HMO Yes
3.0
5.0
4.5
5.0
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. (Virginia Medicaid)
VA HMO Yes I
5.0
4.5
4.5
Boston Medical Center Health Plan, Inc. (d/b/a Well Sense Health Plan)
NH HMO Yes
3.5
3.0
4.0
4.5
Capital District Physicians' Health Plan, Inc. (CDPHP)
NY HMO Yes
4.5
4.0
4.0
4.5
Health Partners Plans
PA HMO Yes
3.5
4.5
4.0
4.5
Kaiser Foundation Health Plan, Inc. - Hawaii
HI HMO Yes
3.5
4.5
4.5
4.5
Neighborhood Health Plan of Rhode Island
RI HMO Yes
4.5
4.5
3.5
4.5
Priority Health
MI HMO Yes
3.5
4.0
3.5
4.5
Tufts Health Public Plans, Inc.*
MA HMO Yes
3.0
4.5
4.5
4.5
UnitedHealthcare of New England, Inc.dba UnitedHealthcare Community Plan (RI)
RI HMO Yes
3.5
4.5
4.0
4.5
Upper Peninsula Health Plan, LLC
MI HMO Yes
3.5
3.5
4.0
4.0
Blue Plus (HMO Minnesota dba Blue Plus)
Special Project: MN Care
MN HMO Yes
2.0
3.5
4.0
4.0
Blue Plus (HMO Minnesota dba Blue Plus)
Special Project: PMAP
MN HMO Yes
3.5
3.0
3.5
4.0
Boston Medical Center Health Plan, Inc (d/b/a Boston Medical Center HealthNet Plan)*
MA HMO Yes
2.5
4.0
3.5
4.0
Children's Community Health Plan
WI HMO Yes
4.0
3.5
3.0
4.0
Coventry Health Care of Florida, Inc. d/b/a Aetna Better Health of Florida
FL HMO Yes
4.0
3.5
3.0
4.0
Excellus Health Plan, Inc. dba Excellus BlueCross BlueShield
NY HMO Yes
3.0
4.5
3.5
4.0
Fallon Community Health Plan*
MA HMO Yes
2.0
4.5
3.5
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