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Medicare/Medicaid Health Plan
Rankings 2014-2015

Top 15 Medicare Health Insurance Plans

NCQA evaluated 507 Medicare health plans and ranked 408 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 2014-2015 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, 2014. Please click here for the plans' most current Accreditation status.

Click here to view the complete summary and detailed lists.
*Note: Select the "Medicare" option in the search box at the top and then hit "Search" next to it.

1.  Kaiser Foundation Health Plan of Southern California - HMO (CA)

2.  Kaiser Foundation Health Plan of Northern California - HMO (CA)

3.  Kaiser Foundation Health Plan of the Northwest - HMO (OR, WA)

4.  Capital Health Plan - HMO (FL)

5.  Kaiser Foundation Health Plan - Hawaii - HMO (HI)

6.  Kaiser Foundation Health Plan of Colorado - HMO (CO)

7.  HealthSpan Integrated Care - HMO (OH)

8.  Kaiser Foundation Health Plan of Georgia - HMO (GA)

9.  Kaiser Foundation Health Plan of the Mid-Atlantic States - HMO 
(DC, MD, VA)

10. Geisinger Health Plan - HMO (PA, NJ)

11. Group Health Plan (Cost) - HMO (MN, WI)

12. Capital District Physicians' Health Plan - HMO (NY)

13. Gundersen Health Plan - HMO (IA, WI)

14. Group Health Cooperative - HMO (ID, WA)

15. Blue Cross and Blue Shield of Massachusetts - PPO (MA)

 

Top 15 Medicaid Health Insurance Plans

NCQA evaluated 273 Medicaid health plans and ranked 136 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 2014-2015 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, 2014. Please click here for the plans' most current Accreditation status.

Click here to view the complete summary and detailed lists.
*Note: Select the "Medicaid" option in the search box at the top and then hit "Search" next to it.

1.   Network Health - HMO (MA)

2.   Fallon Health Plan - HMO (MA)

3.   Neighborhood Health Plan - HMO (MA)

4.   Boston Medical Center HealthNet Plan - HMO (MA)

5.   Neighborhood Health Plan of Rhode Island - HMO (RI)

6.   Kaiser Foundation Health Plan - Hawaii - HMO (HI)

7.   UnitedHealthcare Community Plan - HMO (RI)

8.   AMERIGROUP New York - HMO (NY)

9.   Meridian Health Plan of Michigan - HMO (MI)

10. Meridian Health Plan of Illinois - HMO (IL)

11. Priority Health - HMO (MI)

12. Upper Peninsula Health Plan - HMO (MI)

13. Security Health Plan of Wisconsin - HMO (WI)

14. WellCare of New York - HMO (NY)

15. Capital District Physicians' Health Plan - HMO (NY)

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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