NCQA s Medicaid health insurance rankings



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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) 82 95 Molina Healthcare of California Partner (HMO) 77 99 L.A. Care Health (HMO) 76 102 Care1st Health (San Diego) (HMO) 76 106 Blue Cross of California Partnership (HMO) 75 107 Care1st Health (Los Angeles) (HMO) 74 110 Community Health Group (HMO) 74 112 Inland Empire Health (HMO) 73 119 Health Net of California (HMO) 70 121 Alameda Alliance for Health (HMO) 69 COLORADO 74 Rocky Mountain Health s (HMO) 79 126 Denver Health Medical (HMO) 1 66

DELAWARE 27 Delaware Physicians Care (HMO) 82 76 (HMO) 79 DISTRICT OF COLUMBIA 133 Health Services for Children with Special Needs (HMO) 1 61 FLORIDA 31 Humana Medical - Florida (HMO) 82 64 WellCare of Florida (HMO) 79 78 WellCare of Florida (HealthEase) (HMO) 79 83 WellCare of Florida (Florida Reform) (HMO) 79 85 Sunshine State Health (Reform Counties) (HMO) 78 96 Freedom Health (Reform Counties) (HMO) 77 100 Molina Healthcare of Florida (HMO) 76 101 Sunshine State Health (Nonreform Counties) (HMO) 76 108 Freedom Health (Nonreform Counties) (HMO) 74 111 113 (Florida Reform) (HMO) (Florida Nonreform) (HMO) 73 73 125 AMERIGROUP Florida (HMO) 1 66 GEORGIA 32 AmeriGroup Georgia Managed Care (HMO) 81 43 Peach State Health (HMO) 80 59 WellCare of Georgia (HMO) 80 HAWAII 6 Kaiser Foundation Health - Hawaii (HMO) 86 51 Hawaii Medical Service Association (HMO) 80 94 105 WellCare Health Insurance of Arizona (Aged, Blind and Disabled) (HMO) WellCare Health Insurance of Arizona (AZ Medicaid) (HMO) 77 75

ILLINOIS 10 Meridian Health of Illinois (HMO) 85 115 Harmony Health of Illinois (HMO) 72 INDIANA 28 MDwise (HMO) 82 67 Managed Health Services (HMO) 79 88 Anthem Blue Cross and Blue Shield in Indiana (HMO) 78 IOWA 38 Meridian Health of Iowa (HMO) 81 KENTUCKY 19 Passport Health (HMO) 83 129 WellCare of Kentucky (HMO) 2 63 130 CoventryCares of Kentucky (HMO) 2 63 132 Humana Health (HHP) (HMO) 1 61 LOUISIANA 131 of Louisiana (HMO) 2 63 MARYLAND 17 MedStar Family Choice (HMO) 83 30 Priority Partners (HMO) 82 46 AMERIGROUP Maryland (HMO) 80 68 (HMO) 79 118 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) 86 122 Health New England (HMO) 3 68

MICHIGAN 9 Meridian Health of Michigan (HMO) 85 11 Priority Health (HMO) 84 12 Upper Peninsula Health (HMO) 83 25 (HMO) 82 26 HealthPlus of Michigan (HMO) 82 35 Molina Healthcare of Michigan (HMO) 81 41 McLaren Health (HMO) 81 49 Coventry Cares of Michigan (HMO) 80 57 Midwest Health (HMO) 80 71 Blue Cross Complete of Michigan (HMO) 79 79 Total Health Care (HMO) 79 127 Physicians Health (HMO) 1 65 MINNESOTA 18 Medica (HMO) 83 47 Blue Plus (PMAP) (HMO) 80 50 Blue Plus (MN Care) (HMO) 80 MISSISSIPPI 117 MISSOURI (CAN) (HMO) 71 84 HealthCare USA of Missouri (HMO) 79 109 Missouri Care Health (HMO) 74 NEBRASKA 86 (HMO) 78 116 Coventry Health Care of Nebraska (HMO) 72 123 Arbor Health (HMO) 4 67 NEW JERSEY 48 AMERIGROUP New Jersey (HMO) 80 69 (NJ) (HMO) 79

NEW JERSEY (continued) 87 Horizon NJ Health (HMO) 78 NEW MEXICO 70 Molina Healthcare of New Mexico (HMO) 79 91 Presbyterian Health (HMO) 78 104 NEW YORK Blue Cross and Blue Shield of New Mexico (HMO) 76 8 AMERIGROUP New York (HMO) 85 14 WellCare of New York (HMO) 83 15 Capital District Physicians' Health (HMO) 83 16 (HMO) 83 22 Independent Health Association (HMO) 82 23 Excellus BlueCross BlueShield (HMO) 82 33 HealthNow New York (HMO) 81 OHIO 66 CareSource (HMO) 79 82 Molina Healthcare of Ohio (HMO) 79 89 Paramount Advantage (HMO) 78 90 (HMO) 78 98 Buckeye Community Health (HMO) 77 PENNSYLVANIA 20 Health Partners of Philadelphia (HMO) 82 21 UPMC For You (HMO) 82 24 AmeriHealth Caritas Pennsylvania (HMO) 82 34 Keystone First (HMO) 81 42 Gateway Health (HMO) 81 45 HealthAmerica Pennsylvania (HMO) 80 58 Aetna Better Health (HMO) 80 77 (HMO) 79

RHODE ISLAND 5 Neighborhood Health of Rhode Island (HMO) 86 7 (HMO) 86 SOUTH CAROLINA 61 Select Health of South Carolina (HMO) 80 81 Absolute Total Care (HMO) 79 128 WellCare of South Carolina (HMO) 4 65 TENNESSEE 36 AMERIGROUP Tennessee (HMO) 81 37 39 44 52 65 75 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) 81 81 80 80 79 79 TEXAS 40 Superior Health (HMO) 81 56 Molina Healthcare of Texas (HMO) 80 63 AMERIGROUP Texas (HMO) 79 120 Community First Health s (HMO) 4 69 134 Aetna Better Health of Texas (Tarrant) (HMO) 1 59 135 Parkland Community Health (HMO) 1 59 136 Aetna Better Health of Texas (Bexar) (HMO) 1 58 UTAH 60 Molina Healthcare of Utah (HMO) 80 124 SelectHealth (HMO) 1 67

VIRGINIA WASHINGTON 53 Coventry Health Care of Virginia (HMO) 80 62 Virginia Premier Health (HMO) 79 72 Optima Health (HMO) 79 73 HealthKeepers (HMO) 79 97 INTotal Health (HMO) 77 103 MajestaCare Healthplan (HMO) 76 80 Molina Healthcare of Washington (HMO) 79 Community Health of 114 Washington (HMO) WEST VIRGINIA WISCONSIN 73 54 Health of the Upper Ohio Valley (HMO) 80 92 Coventry Health Care of West Virginia (HMO) 78 13 Security Health of Wisconsin (HMO) 83 55 Managed Health Services (HMO) 80 93 Molina Healthcare of Wisconsin (HMO) 77