Everyone likes the list of top ten establishments, Ten best places to go on vacation, the top ten books for 2017 … Well, we have our own top ten list: The top ten states with the highest rated health insurance plans.
OK, we admit that this list may not be as exciting as the others, but it's an important piece of information and it's worth sharing.
The list of the top ten NCQA is created from the ratings of the NCQA's health insurance plan. The new rankings are out and not only do we have the top ten list, we have a lot more.
What are the ratings of the NCQA Health Plan?
These ratings give consumers a more accurate picture of the performance of Medicare plans in key areas of health care quality: consumer satisfaction, prevention, and treatment.
NCQA's 2017-2018 health insurance ratings compare the quality and services of more than 1,000 health plans in the United States and provide consumers with a practical and useful guide to understanding their health care options. health care and choose the best health plans. their families.
Ratings are a system similar to the CMS Star Rating of Medicare Advantage ratings, and give unprecedented importance to health outcomes and consumer satisfaction.
NCQA studied 1,429 health plans and rated 1,062: 498 private (commercial), 386 Medicare and 178 Medicaid.
The top ten states with the highest rated health plans (receiving a rating of 4.5 or 5.0 out of 5) for an average of three years:
Main Indexes of Rankings 2017-2018
The states with the most successful plans systematically deliver: In the last three years, there were very few movements in the top ten states, except in Iowa and Hawaii, which were 12th and 11th, respectively in 2015 ten in 2016 and 2017.
Highs and lows are rare: Of the 1,062 plans rated, 103 (10%) scored 4.5 or 5.0 out of five. Twenty-three (2%) got the marks from 1.0 to 2.0.
Evaluations Focus on Satisfaction and Results
Classifications fall into three broad categories of performance: consumer satisfaction, prevention, and treatment.
Consumer Satisfaction: What patients say about their health plans in satisfaction surveys, including complaints handling and customer service.
Prevention: Balance sheets, tests and other care that keep people healthy, especially children.
Treatment: To what extent does a plan provide scientifically recommended care for common and costly conditions such as diabetes, depression, and heart disease?
In each category, the results – results – of a patient's care count more in the rating; for example, if diabetic blood pressure and blood glucose are controlled to safe and recommended levels. This focus on results means that, along with consumer satisfaction, results are the main driver of ranking results.
Simple and User-Friendly Scale: The NCQA classifications combine dozens of quality indicators for health plans into a single scale ranging from 1 to 5, where 1 indicates lower performance and
5 indicates superior performance.
By grouping diets into a few broad categories, assessments give consumers a practical and useful guide to understanding their health care choices according to the level of detail they choose.
Details on Demand: Consumers can "go down" in any part of the rankings to learn how a health plan deals with particular health issues or patient populations.
For example, expectant parents may be interested in performance on two measures of prenatal and postpartum care. Families may be interested in quality results on 10 measures of pediatric preventive care and treatment, ranging from childcare for infants to monitoring ADHD treatment in 12-year-olds.
The ratings of NCQA's health insurance plan will be available on WebMd.com. For more information on how the scores were calculated, visit NCQA Scoring Methodology .
Cindy is Communications Manager at NCQA. Its goal is to educate consumers through the media and public relations. Cindy is a strategist of communications and public engagement with an experience rooted in television reporting. She is also part of NCQA's creative services unit, developing messages through visual storytelling.