Tufts Health Plan Receives ‘4.5’ out of ‘5’ from the National Committee for Quality Assurance
For Its Private HMO/POS/EPO, PPO Plans and Medicaid Plans
Watertown, MA – Tufts Health Plan has been rated 4.5 out of 5 by the National Committee for Quality Assurance (NCQA) on its annual rating of private health insurance1 and Medicaid plans.2 Tufts Health Plan is rated in the top 11 percent of all participating plans in the country.
NCQA’s Health Insurance Plan Ratings 2018–2019 compare the quality and services of more than 1,000 health plans in the United States and provide consumers with a practical and meaningful guide to understanding their health care options and choosing the best health plans for themselves and their families. NCQA ratings evaluate plans based on combined accreditation CAHPS and HEDIS scores, which measure consumer experience, prevention and treatment. The ratings are a system similar to CMS Star Ratings of Medicare Advantage plans and give unprecedented importance to health outcomes and consumer satisfaction.
This is the 14th consecutive year that Tufts Health Plan has been among the highest-rated private health insurance plans in the nation by NCQA and the 9th consecutive year that its Massachusetts Medicaid plan has been among the highest-rated plans by NCQA (its Rhode Island Medicaid plan is not yet rated).
NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care.