Report Cards

What is Quality Health Care?

Quality health care can be defined as the extent to which patients get the care they need in a manner that most effectively protects or restores their health. This means having timely access to care, getting treatment that medical evidence has found to be effective and getting appropriate preventive care. Choosing a high quality health plan--and a high-quality doctor--plays a significant role in determining whether you'll get high-quality care

Free online resources to help you select a health plan or physician that provides the top-notch care you deserve.

Health Plans

Health Plan Report Card
The NCQA Health Plan Report Card helps you create a custom report card from hundreds of NCQA-Accredited health plans. 

Health Insurance Plan Ratings (2015)
NCQA's annual Health Insurance Plan Ratings evaluate both Accredited and non-Accredited health plans by quality and performance metrics.

Health Insurance Plan Rankings (2012 - 2015)
NCQA's annual Health Insurance Plan Rankings rates both Accredited and non-Accredited health plans by quality and performance metrics. 

Health Plan Ratings: High & Low Performers are Rare
NCQA rated 1,016 private/commercial, Medicare and Medicaid plans as part of the NCQA Health Insurance Plan Ratings 2015-2016.

New Health Plan Status List
New Health Plan Accreditation is available to health plans that have been in existence less than three years and is awarded for a three year period.

State of Health Care Quality
This annual NCQA report includes findings about the nation's health care system.

N.Y. Physician Evaluation Report
This report which contains information on how health plans in New York measure and report on physician performance. 

Physician and Hospital Quality
NCQA's Physician and Hospital Quality Certification program conducts a review of provider measurement programs. 


Clinician Recognition Directory 
This Recognized Clinician Directory helps individuals find doctors who have demonstrated that they meet important standards of care.

PCMH Certified Content Experts 
View the current list of PCMH Certified Content Experts™

Ratings Examiner Report on New York Health Plan Methodologies 
This report which contains information on how health plans in New York measure and report on physician performance. NCQA has been appointed by the New York Attorney General to evaluate and report on methods used by health plans to assess the cost and quality of physicians in their networks for the plans whose information is included in this report.

Other Health Care Organizations

Accountable Care Organizations 
NCQA ACO Accreditation helps health care organizations demonstrate their ability to improve quality, reduce costs and coordinate patient care.

Case Management
NCQA’s Case Management Accreditation is a comprehensive, evidence-based accreditation program dedicated to quality improvement that can be used for case management programs in provider, payer or community-based organizations.

Credentials Verification Organizations
CVO certification is available to organizations that conduct credentials verification, report the credentialing information to clients and have systems in place to protect the confidentiality and integrity of the information.

Disease Management Organizations
NCQA offers a flexible evaluation program, including Accreditation for organizations that offer comprehensive DM programs with services to patients, practitioners or both; and Certification for organizations that provide specific DM functions.

Health Information Products
The health information products certification program highlights organizations that provide services to health plans related to NCQA standards addressing member connections, the care management and health improvement standards addressing wellness and provider directories.

Managed Behavioral Healthcare Organizations
NCQA's Report Card for Managed Behavioral Healthcare Organizations (MBHO) is an interactive tool that makes quality information about MBHOs more accessible to employers, health plans and consumers.

Multicultural Health Care Organizations
NCQA’s Multicultural Health Care offers distinction to organizations that engage in efforts to improve culturally and linguistically appropriate services and reduce health care disparities.

Utilization Management and Credentialing
NCQA’s Certification in UM/CR program is available to a variety of organizations that perform Credentialing (CR) and/or Utilization Management (UM).

Wellness and Health Promotion Organizations
NCQA's Wellness and Health Promotion Accreditation and Certification assesses key areas of health promotion, including how wellness programs are implemented in the workplace and how services such as coaching are provided to help participants develop skills to make healthy choices.

All report cards and status lists are updated on the 15th of every month with information as of the end of the previous month.