Quality alliance ranks the country's best insurance plans

Tufts, Harvard Pilgrim top list of private health insurance

The National Committee for Quality Assurance (NCQA) last week released its 2014 list of the top health insurance plans in the nation, naming the Tufts Associated HMO as the nation's top private health plan.

For their 10th annual list, NCQA researchers ranked more than 1,000 health plans offered on the commercial, Medicare, and Medicaid markets. The rankings are based on data about consumer satisfaction, prevention, and treatment culled from the Consumer Assessment of Healthcare Providers and Systems survey, the Healthcare Effectiveness Data and Information Set, and the NCQA Accreditation scores.

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Top private plans

According to the report, the top-ranking health care plans sold on the commercial market are:

    1. Tufts Associated Health Maintenance Organization (HMO/POS) in Massachusetts
    2. Harvard Pilgrim Health Care (HMO/POS) in Massachusetts and Maine
    3. Harvard Pilgrim Health Care (PPO) in Massachusetts
    3. Harvard Pilgrim Insurance (PPO) in Massachusetts
    5. Kaiser Foundation Health Plan of the Northwest (HMO) in Oregon and Washington
    6. Tufts Benefit Administrators (PPO) in Massachusetts and Rhode Island
    7. Kaiser Foundation Health Plan of Southern California (HMO) in California
    8. Kaiser Foundation Health Plan of Northern California (HMO) in California
    9. Martin's Point US Family Health Plan (HMO) in Maine
    10. Blue Cross and Blue Shield of Massachusetts (PPO) in Massachusetts

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Top public plans

According to the report, the top-ranking health care plans available on the Medicare market are:

    1. Kaiser Foundation Health Plan of Southern California (HMO) in California
    2. Kaiser Foundation Health Plan of Northern California (HMO) in California
    3. Kaiser Foundation Health Plan of the Northwest (HMO) in Oregon and Washington
    4. Capital Health Plan (HMO) in Florida
    5. Kaiser Foundation Health Plan-Hawaii (HMO) in Hawaii

Meanwhile, the top-ranking health plans available on the Medicaid market are:

    1. Network Health (HMO) in Massachusetts
    2. Fallon Health Plan (HMO) in Massachusetts
    3. Neighborhood Health Plan (HMO) in Massachusetts
    4. Boston Medical Center HealthNet Plan (HMO) in Massachusetts
    5. Neighborhood Health Plan of Rhode Island (HMO) in Rhode Island (Commins, HealthLeaders Media, 9/19; NCQA report, July 2014; NCQA rankings database, accessed 9/22; Wolfson, Orange County Register, 9/19; Overland, FierceHealthPayer, 9/22).

The health insurance market is becoming more like a retail market every day

ALT TEXT

Individuals have more control over their health insurance than ever before. In addition to the 8 million people already enrolled in public health insurance exchanges, as many as 40 million are expected to purchase coverage through private exchanges by 2018.

As a result, the market for health insurance is starting to look a lot more like the competitive retail markets in other industries, and consumers are demanding value. They want lower premiums and more attractive provider networks.

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