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NCQA Unveils 2022 Health Plan Ratings

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The National Committee for Quality Assurance (NCQA) released its 2022 Health Plan Ratings. The annual list evaluates commercial, Medicare and Medicaid health plans based on the quality of patient care, how happy patients are with their care and health plans’ efforts to keep improving.

The 2022 Health Plan Ratings are based on data from calendar year 2021, when 203 million people were enrolled in health plans that reported Healthcare Effectiveness Data and Information Set (HEDIS®) results to NCQA. Plans are rated on a 0–5 stars scale. Six out of 1,048 health plans that earned a numerical rating achieved 5 stars—the highest possible rating.

Each year, NCQA rates health plans that choose to publicly report HEDIS results . NCQA ratings are based on almost 50 assessments of patient care outcomes and experience, including measures of clinical quality from NCQA’s HEDIS and CMS’s Health Outcomes Survey; measures of patient experience using the Consumer Assessment of Healthcare Providers and Systems (CAHPS®); and NCQA’s review of health plan quality improvement processes (NCQA Accreditation).

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