Community-Based Health Plans Once Again Lead Nation on Critical Health Measures

Washington, D.C. (October 14, 2022) – The Alliance of Community Health Plans’ (ACHP) member companies continue to outperform hundreds of other payers on key national health measures. According to the National Committee for Quality Assurance’s (NCQA) Health Insurance Plan Rankings for 2021-2022, ACHP members’ commercial, Medicare and Medicaid plans are highest rated in the country and maintained a competitive edge, scoring on average more than half a rating higher than other payers.

“As community-based organizations, ACHP members are committed to providing outstanding coverage and care. Once again, the data shows that their unique approach leads to stronger outcomes and better experiences,” said Ceci Connolly, President and CEO of the Alliance of Community Health Plans. “By fostering strong relationships between plans and providers, focusing on evidence-based approaches and engaging with the community, ACHP members go above and beyond to ensure they keep their members healthy, in the most cost-effective manner.”  

Commercial

One quarter (25%) of all plans to earn a 4 were ACHP members—including the only plan to receive a 5, Kaiser Foundation Health Plan of the Mid-Atlantic States. ACHP member companies Capital District Physicians’ Health Plan (CDPHP), Dean Health, Group Health Cooperative of South Central Wisconsin (GHC-SCW), HealthPartners, Independent Health, Kaiser Permanente, Martin’s Point Health Care, Sanford Health Plan, and UPMC Health Plan all earned a 4 or higher for commercial products.

ACHP health plans perform better than non-ACHP health plans on three composite measures: prevention, treatment and patient experience. ACHP members also outperformed other plans on numerous individual measures, including specialist ratings, getting care and satisfaction with plan services.

“We’re pleased that NCQA once again recognizes the outstanding coverage and care that HealthPartners provides,” said Andrea Walsh, President and CEO of Minnesota-based HealthPartners, which earned a 4.5 from NCQA for commercial coverage. “Our team works hard to deliver an outstanding experience and high-quality care to our members. It’s gratifying to see NCQA ratings reflect those efforts.”

Medicare

ACHP members’ Medicare plans outperform other plans, earning on average a half-rating higher than all other Medicare plans. ACHP member companies also lead on key health metrics, including treatment, prevention and patient experience.

18 plans earned a 4+ star rating from NCQA and half of all plans to earn a 5 were ACHP members, demonstrating ACHP plans’ longstanding commitment to quality.

ACHP member company Kaiser Permanente earned a top score of 5 from NCQA for products in Colorado and the Mid-Atlantic States.

Medicaid

Nearly one-quarter (24%) of Medicaid plans that earned a 4 from NCQA are ACHP member plans. In total, 10 ACHP member companies had plans that earned a 4 or above.

ACHP plans tend to outperform non-ACHP plans, rating on average a half-point higher. On composite measures, ACHP members significantly outperform other plans on prevention and treatment, leading their competitors on patient experience.

ACHP members particularly excel on key metrics, including blood pressure control, prenatal immunizations, heart disease and getting care quickly.

NCQA ratings are available on the NCQA website.

About ACHP

The Alliance of Community Health Plans (ACHP) represents the nation’s top-performing nonprofit health companies, which serve tens of millions of Americans in 36 states and D.C. ACHP member plans collaborate with providers on high-quality coverage and care — leading the industry in practical reforms.

ACHP is the voice of a unique payer-provider partnership model advancing proven solutions that deliver better value for patients, employers and taxpayers. Contact us for case studies and data about member innovations and results.

Press Contact

All media inquiries should be directed to:

Mat Gulick
Director, Communications
Making Health Care Better

ACHP is the voice of a unique approach in health care today, one that puts the patient at the center with plans and clinical teams collaborating to improve health outcomes and reduce costs. Our advocacy focuses on providing policymakers with tested solutions, rooted in a model that is proven to deliver better value for patients, employers and taxpayers.

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