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NCQA Health Insurance Plan Ratings 2019-2020 - 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 2019, NCQA rated more than 1,000 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. Ratings emphasize care outcomes (the results of care) and what patients say about their care.

Note: The overall rating is the weighted average of all measures, not the average of the three composites (Consumer Satisfaction, Prevention, Treatment). For more information about the ratings, including how they are calculated, visit our 2019 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
Jai Medical Systems Managed Care Organization, Inc.
MD HMO Yes
4.5
4.5
4.0
5.0
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
MD HMO Yes
3.0
5.0
4.5
4.5
Allways Health Partners, Inc.
MA HMO Yes
4.5
4.5
4.0
4.5
Capital District Physicians' Health Plan, Inc. (CDPHP)
NY HMO Yes
3.5
4.0
4.0
4.5
Excellus Health Plan, Inc. dba Excellus BlueCross BlueShield
NY HMO Yes
4.0
4.0
4.0
4.5
Excellus Health Plan, Inc. dba Univera Healthcare
NY HMO Yes
4.0
4.0
4.0
4.5
Fallon Community Health Plan
MA HMO Yes
3.5
4.0
4.0
4.5
Granite State Health Plan d/b/a NH Healthy Families
NH HMO Yes
3.5
3.0
4.0
4.5
Health Partners Plans
PA HMO Yes
3.0
4.5
3.5
4.5
Kaiser Foundation Health Plan, Inc. - Hawaii
HI HMO Yes
3.0
4.5
4.0
4.5
Neighborhood Health Plan of Rhode Island
RI HMO Yes
3.5
4.5
4.0
4.5
Tufts Health Public Plans, Inc.
MA HMO Yes
3.5
4.5
4.5
4.5
UnitedHealthcare of New England, Inc.dba UnitedHealthcare Community Plan (RI)
RI HMO Yes
3.5
4.0
4.0
4.5
Upper Peninsula Health Plan, LLC
MI HMO Yes
4.0
3.5
4.0
4.5
Vista Health Plan DBA AmeriHealth Caritas Pennsylvania
PA HMO Yes
4.5
3.5
4.0
4.0
Alameda Alliance for Health
CA HMO Yes
3.0
4.5
3.0
4.0
Amerigroup Iowa Inc.
IA HMO Yes
3.5
3.0
3.0
4.0
Blue Plus (HMO Minnesota dba Blue Plus)
MN HMO Yes
4.0
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
3.5
3.5
3.0
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