NCQA s Medicaid health insurance rankings
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- Douglas Martin
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1 These rankings of Medicaid health insurance plans are based on data and calculations from the Committee for Quality Assurance, a nonprofit quality measurement and accreditation organization. The rankings include all Medicaid health insurance plans that are ranked by NCQA. rank shows where each ranked plan stands among all scored Medicaid plans nationwide. A lower number signifies a better ranking and performance. score ranges from 1 to 100, mainly based on three performance categories consumer satisfaction, prevention, and treatment, which are scored from 1 to 5 (higher is better). Prevention and treatment account for 60 percent of the score for all plans, consumer satisfaction, 25 percent, and NCQA accreditation, 15 percent. The overall score also determines a plan s national rank. satisfaction indicates how well a plan performed in a survey of members about such factors as getting timely doctors appointments, getting the care they need, and their overall assessment of their doctors and specialists. Prevention measures the proportion of eligible members who received preventive services, such as prenatal and postpartum care, cancer screenings, and immunizations. It also looks at access to primary- and preventive-care visits for children and adolescents. Treatment measures the proportion of eligible members who received the recommended care for people with conditions such as asthma, diabetes, heart disease, and mental illness. Accreditation is an independent review of how well a plan does at working with doctors and patients to provide high-quality health care and at providing important consumer protections. s pay fees to any organization that evaluates them, including NCQA. Most plans in the rankings are accredited by the NCQA, unless otherwise noted in the footnotes. For more information go to Reports.org/healthinsurance. CALIFORNIA 29 CalOptima (HMO) Molina Healthcare of California Partner (HMO) L.A. Care Health (HMO) Care1st Health (San Diego) (HMO) Blue Cross of California Partnership (HMO) Care1st Health (Los Angeles) (HMO) Community Health Group (HMO) Inland Empire Health (HMO) Health Net of California (HMO) Alameda Alliance for Health (HMO) 69 COLORADO 74 Rocky Mountain Health s (HMO) Denver Health Medical (HMO) 1 66
2 DELAWARE 27 Delaware Physicians Care (HMO) (HMO) 79 DISTRICT OF COLUMBIA 133 Health Services for Children with Special Needs (HMO) 1 61 FLORIDA 31 Humana Medical - Florida (HMO) WellCare of Florida (HMO) WellCare of Florida (HealthEase) (HMO) WellCare of Florida (Florida Reform) (HMO) Sunshine State Health (Reform Counties) (HMO) Freedom Health (Reform Counties) (HMO) Molina Healthcare of Florida (HMO) Sunshine State Health (Nonreform Counties) (HMO) Freedom Health (Nonreform Counties) (HMO) (Florida Reform) (HMO) (Florida Nonreform) (HMO) AMERIGROUP Florida (HMO) 1 66 GEORGIA 32 AmeriGroup Georgia Managed Care (HMO) Peach State Health (HMO) WellCare of Georgia (HMO) 80 HAWAII 6 Kaiser Foundation Health - Hawaii (HMO) Hawaii Medical Service Association (HMO) WellCare Health Insurance of Arizona (Aged, Blind and Disabled) (HMO) WellCare Health Insurance of Arizona (AZ Medicaid) (HMO) 77 75
3 ILLINOIS 10 Meridian Health of Illinois (HMO) Harmony Health of Illinois (HMO) 72 INDIANA 28 MDwise (HMO) Managed Health Services (HMO) Anthem Blue Cross and Blue Shield in Indiana (HMO) 78 IOWA 38 Meridian Health of Iowa (HMO) 81 KENTUCKY 19 Passport Health (HMO) WellCare of Kentucky (HMO) CoventryCares of Kentucky (HMO) Humana Health (HHP) (HMO) 1 61 LOUISIANA 131 of Louisiana (HMO) 2 63 MARYLAND 17 MedStar Family Choice (HMO) Priority Partners (HMO) AMERIGROUP Maryland (HMO) (HMO) Jai Medical Systems (HMO) 2 70 MASSACHUSETTS 1 Network Health (HMO) 87 2 Fallon Health (HMO) 87 3 Neighborhood Health (HMO) 86 4 Boston Medical Center HealthNet (HMO) Health New England (HMO) 3 68
4 MICHIGAN 9 Meridian Health of Michigan (HMO) Priority Health (HMO) Upper Peninsula Health (HMO) (HMO) HealthPlus of Michigan (HMO) Molina Healthcare of Michigan (HMO) McLaren Health (HMO) Coventry Cares of Michigan (HMO) Midwest Health (HMO) Blue Cross Complete of Michigan (HMO) Total Health Care (HMO) Physicians Health (HMO) 1 65 MINNESOTA 18 Medica (HMO) Blue Plus (PMAP) (HMO) Blue Plus (MN Care) (HMO) 80 MISSISSIPPI 117 MISSOURI (CAN) (HMO) HealthCare USA of Missouri (HMO) Missouri Care Health (HMO) 74 NEBRASKA 86 (HMO) Coventry Health Care of Nebraska (HMO) Arbor Health (HMO) 4 67 NEW JERSEY 48 AMERIGROUP New Jersey (HMO) (NJ) (HMO) 79
5 NEW JERSEY (continued) 87 Horizon NJ Health (HMO) 78 NEW MEXICO 70 Molina Healthcare of New Mexico (HMO) Presbyterian Health (HMO) NEW YORK Blue Cross and Blue Shield of New Mexico (HMO) 76 8 AMERIGROUP New York (HMO) WellCare of New York (HMO) Capital District Physicians' Health (HMO) (HMO) Independent Health Association (HMO) Excellus BlueCross BlueShield (HMO) HealthNow New York (HMO) 81 OHIO 66 CareSource (HMO) Molina Healthcare of Ohio (HMO) Paramount Advantage (HMO) (HMO) Buckeye Community Health (HMO) 77 PENNSYLVANIA 20 Health Partners of Philadelphia (HMO) UPMC For You (HMO) AmeriHealth Caritas Pennsylvania (HMO) Keystone First (HMO) Gateway Health (HMO) HealthAmerica Pennsylvania (HMO) Aetna Better Health (HMO) (HMO) 79
6 RHODE ISLAND 5 Neighborhood Health of Rhode Island (HMO) 86 7 (HMO) 86 SOUTH CAROLINA 61 Select Health of South Carolina (HMO) Absolute Total Care (HMO) WellCare of South Carolina (HMO) 4 65 TENNESSEE 36 AMERIGROUP Tennessee (HMO) Volunteer State Health (TennCare Select) (HMO) UnitedHealthcare of the River Valley (Middle) (HMO) UnitedHealthcare of the River Valley (East) (HMO) Volunteer State Health (BlueCare-East) (HMO) Volunteer State Health (BlueCare-West) (HMO) UnitedHealthcare of the River Valley (West) (HMO) TEXAS 40 Superior Health (HMO) Molina Healthcare of Texas (HMO) AMERIGROUP Texas (HMO) Community First Health s (HMO) Aetna Better Health of Texas (Tarrant) (HMO) Parkland Community Health (HMO) Aetna Better Health of Texas (Bexar) (HMO) 1 58 UTAH 60 Molina Healthcare of Utah (HMO) SelectHealth (HMO) 1 67
7 VIRGINIA WASHINGTON 53 Coventry Health Care of Virginia (HMO) Virginia Premier Health (HMO) Optima Health (HMO) HealthKeepers (HMO) INTotal Health (HMO) MajestaCare Healthplan (HMO) Molina Healthcare of Washington (HMO) 79 Community Health of 114 Washington (HMO) WEST VIRGINIA WISCONSIN Health of the Upper Ohio Valley (HMO) Coventry Health Care of West Virginia (HMO) Security Health of Wisconsin (HMO) Managed Health Services (HMO) Molina Healthcare of Wisconsin (HMO) 77
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About the ings These ings of private, Medicare, and Medicaid health-insurance plans (HMOs and s) are based on data and calculations from the Committee for Quality Assurance (NCQA), an independent nonprofit
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