HMO Plan retains its number two ranking
Based on criteria that measured clinical performance and member satisfaction among 390 of the nation’s private health insurance plans, Tufts Health Plan today announced that it has been named number one among commercial PPO plans, and fourth in the country overall by the National Committee of Quality Assurance (NCQA).* In Rhode Island, Tufts Health Plan’s HMO and PPO plans are ranked first in the state by NCQA.
Moreover, Tufts Health Plan is ranked second in the nation for its commercial HMO/POS combined product. This is the eighth consecutive year that Tufts Health Plan has been ranked among the top health plans by NCQA.
Its Medicare Advantage HMO product, Tufts Medicare Preferred, was ranked eighth in the nation, maintaining its place among the top 10 highest ranked Medicare plans in the nation.
Since 1999, these products have achieved “Excellent” accreditation status from NCQA, which is the highest possible achievement for consumer protection, quality improvement and clinical effectiveness. The rankings are based on a range of prevention, treatment and customer experience scores that health plans voluntarily report to NCQA. The scores are compiled in NCQA’s Quality Compass** database.
The ongoing participation of the health plan in NCQA ranking illustrates Tufts Health Plan’s commitment to improving quality and member satisfaction. The federal Agency for Healthcare Research and Quality (AHRQ) defines quality health care as doing the right thing at the right time for the right person, while achieving the best possible result.
Tufts Health Plan’s consistently strong performance across the spectrum of measures used to rank the nation’s health plans exemplifies these qualities and reflects the excellence of care delivered by its physicians and hospitals.
The NCQA accreditation survey process includes on-site and off-site evaluations of more than 60 standards and selected HEDISâ*** performance measures conducted by a team of physicians and managed care experts. A committee of physicians analyzes the team’s findings and assigns an accreditation level based on the performance level of the plan compared with NCQA’s standards.