NCQA is pleased to announce that we will assess the performance of health plans in 2010, just as we have for each of the past five years.
NCQA’s Health Insurance Plan Rankings 2010-2011 will appear first on the NCQA Web site in September (Private plans) and October (Medicaid and Medicare plans). The information posted online will feature NCQA's rankings of the nation’s Private, Medicare and Medicaid health insurance plans based on their combined HEDIS®, CAHPS® and NCQA Accreditation standards scores.
Consumers Union will publish, with NCQA’s permission, NCQA's Private plan rankings online in October and in the November issue of Consumer Reports magazine, ensuring that this valuable information reaches millions of consumers. NCQA anticipates that Consumers Union will publish NCQA’s Medicaid and Medicare plan rankings online by early November.
NCQA's Health Insurance Plan Rankings 2010-11 will use NCQA's established rankings methodology, which has been used and widely recognized since 2005. Consumers Union and NCQA have agreed to collaborate in 2011 to develop new ways to help consumers evaluate the quality of health insurance plans.
2010 Rankings to Include Managed Care Organizations Only
The 2010 edition of NCQA's Health Insurance Plan Rankings will apply only to managed care organizations. NCQA is exploring options to rank preferred provider organizations in 2011.
2010 Production Schedule
To allow time for quality assurance on the HPR project, all HEDIS and CAHPS data and Accreditation standards scoring results will be frozen at COB on July 31, 2010 for the purposes of calculating the rankings. The June submission deadlines for HEDIS and CAHPS data still apply, as defined in the HEDIS documentation.
Plans will receive an e-mail from NCQA in late July confirming the HEDIS submission(s) NCQA will use to calculate the Health Insurance Plan Rankings, along with other demographic information. They will have five business days to respond to this e-mail should they wish to request changes.
Plans will have the opportunity to review their organization’s preliminary rankings before they are published. NCQA will make no changes or adjustments to the rankings after the final rankings are posted.
The exact publication date is still being determined, but the feature is slated to appear on the NCQA website in September.
The measures and methodology used to rank plans are the same as last year. Details on the methodology, guidelines for marketing your Health Insurance Plan Rankings and dates to remember are listed at http://www.ncqa.org/rankings.
We post updates to the Web as circumstances warrant. Should you have any questions, please don’t hesitate to contact NCQA's Health Insurance Plan Rankings help desk at rankings@ncqa.org.