NCQA released 2021 Health Plan Ratings, rating more than 1,000 private, Medicare and Medicaid health plans in three quality areas – Patient Experience, Prevention and Treatment. NCQA’s Health Plan Report Cards list commercial, Medicare, Medicaid and Exchange health plans and rates them based on their combined HEDIS®, CAHPS® and NCQA Accreditation standards scores. NCQA evaluates health plans on the quality of care patients receive, how happy patients are with their care and health plans’ efforts to keep improving. NCQA rates health plans on a 5-Star scale — 5 Stars is top performance and 1 Star is the lowest. Each plan has an overall rating and a separate Star rating for each of the three quality areas.
The new Health Plan Ratings are NCQA’s first since 2019 and are the first to include data about health plan performance during the pandemic (calendar year 2020). Normally, ratings are updated annually in September. The latest ratings reveal how well health plans handle medical conditions that put people at risk of dying from COVID: Asthma, Diabetes and Heart Disease. Ratings also include three measures designed to detect and reduce opioid abuse in large populations.
Enrollment in health plans NCQA rated totals more than 188 million people—almost three fifths of the U.S. population.
- NCQA 2021 Health Plan Ratings: https://reportcards.ncqa.org/health-plans