When it comes to clinical performance, member satisfaction and
This is the result of "NCQA's Private Health Insurance Plan Rankings, 2011- 2012." To be eligible for rankings, health plans had to authorize public release of their performance information and submit enough data for statistically valid analysis in the areas of consumer satisfaction, disease prevention and treatment. This year's survey used NCQA's established rankings methodology, which has been used since 2005. A factor in the methodology was the status of the plans’ NCQA accreditation, which is an evaluation process through which the quality of the systems, processes and results that define a health plan is assessed—including the care and service that plans deliver in important areas such as diabetes, childhood immunizations and mammograms. All of the highest-rated plans were NCQA accredited at the time.
The 50 highest-rated health insurance plans in the nation, according to NCQA, are as follows:
1. Harvard Pilgrim Health Care (HMO/POS)
2. Tufts Associated Health Maintenance Organization (HMO/POS)
3. Capital Health Plan (HMO)
4. Tufts Health Plan (PPO)
5. Harvard Pilgrim Health Care of New England (HMO/POS)
6. Kaiser Foundation Health Plan of Colorado (HMO)
7. Group Health Cooperative of South Central Wisconsin (HMO)
8. Geisinger Health Plan (HMO/POS)
9. Harvard Pilgrim Health Care (PPO)
10. Health New England (HMO/POS)
11. Grand Valley Health Plan (HMO)
12. Kaiser Foundation Health Plan of Southern California (HMO)
13. Fallon Community Health Plan (HMO/POS)
14. Kaiser Foundation Health Plan of Northern California (HMO)
15. Blue Cross and Blue Shield of Massachusetts (HMO/POS)
16. Blue Cross and Blue Shield of Massachusetts (PPO)
17. Geisinger Health Plan (PPO)
18. (tie) UPMC Benefit Management Services (HMO/POS)
18. (tie) UPMC Health Plan (HMO/POS)
20. Excellus BlueCross BlueShield (HMO/POS)
21. Kaiser Foundation Health Plan of the Northwest (HMO)
22. Capital District Physicians' Health Plan (HMO)
23. Johns Hopkins US Family Health Plan (HMO)
24. HealthPartners (HMO/POS/PPO)
25. (tie) Anthem Blue Cross and Blue Shield in New Hampshire (HMO/POS)
25. (tie) Anthem Health Plan of New Hampshire (HMO/POS)
27. Capital District Physicians' Healthcare Network (HMO/POS)
28. Independent Health Association (HMO/POS)
29. Anthem Blue Cross and Blue Shield in Maine (HMO/POS)
30. HealthAmerica (HMO/POS)
31. (tie) ConnectiCare (HMO/POS)
31. (tie) ConnectiCare of Massachusetts (HMO/POS)
33. Kaiser Foundation Health Plan of the Mid-Atlantic States (HMO)
34. Anthem Blue Cross and Blue Shield - Connecticut (HMO/POS)
35. CIGNA HealthCare of New Hampshire (HMO/POS)
36. Keystone Health Plan West (HMO)
37. Kaiser Foundation Health Plan of Hawaii (HMO)
38. Security Health Plan of Wisconsin (HMO)
39. Health Alliance Medical Plans (HMO/POS)
40. CDPHP Universal Benefits (PPO)
41. Priority Health (HMO/POS)
42. Neighborhood Health Plan (HMO)
43. HealthPlus of Michigan (HMO/POS)
44. Blue Cross and Blue Shield of Vermont of Southern California of Northern California (POS)
45. Capital District Physicians' Healthcare Network (Self-Funded) PPO
46. Unity Health Plans (HMO/POS)
47. MVP Health Care (HMO/POS)
48. Arise Health Plan (HMO/POS)
49. HealthNow New York (HMO/POS/PPO)
50. Network Health Plan (HMO)
