2025 Health Plan Ratings: The Scoresheet & Methodology

NCQA’s Health Plan Ratings scoresheet video provides a detailed overview of how NCQA evaluates plan performance using the weighted average of a plan’s HEDIS®, CAHPS® and HOS (Medicare only) measure ratings, along with Accreditation bonus points (if the plan is NCQA-Accredited). Scores are calculated on a 0-5 scale in half-point increments, with 5 being the highest score. Final Ratings are published publicly on the NCQA Health Plan Report Card on September 15.

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).