Health Insurance Plan Rankings 2014-15

NCQA is pleased to announce that we will rank health plans in 2014, just as we have for each of the past nine years.

NCQA’s Health Insurance Plan Rankings 2014–2015 will appear on the NCQA Web site on September 18 and will list private, Medicare, and Medicaid health insurance plans based on their combined HEDIS® , CAHPS® and NCQA Accreditation standards scores.

The NCQA Accreditation status used in these rankings will be as of June 30, 2014. With NCQA’s permission, Consumer Reports will publish all rankings on its Web site in October and will publish the private and Medicare health plan rankings in the November issue of Consumer Reports magazine, ensuring that this valuable information reaches millions of consumers. NCQA’s Health Insurance Plan Rankings 2014–2015 will use the same core methodology as in previous years, with minor changes to the measures used, as occur every year.

Information for Health Plans

The schedule for NCQA’s Health Insurance Plan Rankings 2014 – 2015 is:

Rankings Project Announcement - February
Message sent to: HEDIS and Accreditation staff, medical director, CEO, marketing manager

This notification alerts plans that NCQA will rank plans in 2014.

Plan Data Confirmation – Late May
Message sent to: HEDIS and Accreditation staff

This message confirms plans’ identification, demographic and accreditation information NCQA will use in the rankings. Plans have five business days to request changes to the data.

Data Freeze – June 30
The rankings are based on HEDIS and CAHPS data and accreditation standards scores as of this date. The June submission deadlines for HEDIS and CAHPS data still apply, as defined in the HEDIS specifications.

Projected Status Notification – Early August
Message sent to: HEDIS and Accreditation staff

This message notifies plans that they fell into one of four categories:

  • Rankable – Plan submitted HEDIS and CAHPS data for public reporting.
  • Partial Data Reported – The plan submitted HEDIS data but not CAHPS data (or vice versa); or the plan earned an NCQA Accreditation status that does not require HEDIS.
  • No Data Reported – Plan did not submit data or opted not to report data publicly.
  • Not Listed - Low Enrollment – Plan did not submit data or opted not to report data publicly, and the organization's enrollment is less than 8,000 members.

Final Rankings Notification – Early September
Message sent to: HEDIS and Accreditation staff, Medical Director and Marketing Manager

NCQA notifies plans of all plans’ rankings results so insurers can plan any advertising related to the rankings.

NCQA Releases Rankings – September 18
NCQA posts the rankings on ncqa.org. Information is embargoed until 6 pm Eastern. Plans cannot publicize their rankings before then.

Consumer Reports Publishes Rankings – Late September/Early October
The rankings will appear at consumerreports.org and in the November issue Consumer Reports magazine.

Please contact NCQA’s Health Insurance Plan Rankings Help Desk at rankings@ncqa.org or call 202-955-1799 with questions.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)

CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Rankings Resources

Rankings PowerPoint for Plans 2014 (Updated 8.29.14)

2014 Rankings Methodology (Updated 7.31.14)

2014 Advertising and Publicity Guidelines (Updated 7.18.14)

Rankings Seals

FAQs (Updated 7.29.14)

2015 Methodology: Preview for Plans 2014 (Updated 5.5.14)