2012 Medicaid and Medicare Health Plan Rankings

Top 10 Medicare Health Insurance Plans

NCQA evaluated over 465 Medicare health plans and ranked 395 of those based on clinical performance, member satisfaction and NCQA Accreditation. To be eligible for rankings, health plans must authorize public release of their performance information and submit enough data for statistically valid analysis. NCQA’s Health Insurance Plan Rankings 2012-2013 used NCQA’s established rankings methodology, which has been used and widely recognized since 2005. The NCQA Accreditation status in these rankings is as of June 30, 2012. Please click here for the plans' most current Accreditation status.

1.   Kaiser Foundation Health Plan of Southern California — HMO  (CA)
2.   
Kaiser Foundation Health Plan of Colorado — HMO (CO)
3.  
Kaiser Foundation Health Plan of Northern California — HMO (CA)
4.   
Capital Health Plan — HMO (FL)
5.   
Kaiser Foundation Health Plan of the Northwest — HMO (OR, WA)
6.   
Geisinger Health Plan — HMO (PA)
7.  
Kaiser Foundation Health Plan - Hawaii — HMO (HI)
8.   
Fallon Community Health Plan — HMO (MA)
9.   
Group Health Cooperative — HMO (WA)
10. 
Group Health Plan — HMO (MN, WI)

Click here a list of all Medicare health insurance plan rankings. 
Click here the detailed ranking list of all Medicare health insurance plans.

Top 10 Medicaid Health Insurance Plans

NCQA evaluated over 227 Medicaid health plans and ranked 115 of those based on clinical performance, member satisfaction and NCQA Accreditation. To be eligible for rankings, health plans must authorize public release of their performance information and submit enough data for statistically valid analysis. NCQA’s Health Insurance Plan Rankings 2012-2013 used NCQA’s established rankings methodology, which has been used and widely recognized since 2005. The NCQA Accreditation status in these rankings is as of June 30, 2012. Please click here for the plans' most current Accreditation status.

1.   Fallon Community Health Plan — HMO (MA)
2.   
Kaiser Foundation Health Plan - Hawaii — HMO (HI)
3.  
Network Health — HMO (MA)
4.   
Blue Cross Complete of Michigan — HMO (MI)
5.   
Neighborhood Health Plan of Rhode Island — HMO (RI)
6.   
Neighborhood Health Plan — HMO (MA)
7.   
Priority Health — HMO (MI)
8.   
UPMC For You — HMO (PA)
9.   
Boston Medical Center HealthNet Plan — HMO (MA)
10. 
Security Health Plan of Wisconsin — HMO (WI)

Click here a list of all Medicaid health insurance plan rankings. 
Click here the detailed ranking list of all Medicaid health insurance plans.

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A Note from the President

"All the health plans in these rankings are exemplary. First, they measure their quality in ways that help them improve and that make comparing plans possible. Then they take the extra step of revealing their results for the world to see—a true public service.” 

NCQA President
Margaret E. O'Kane

September 2011