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Health Insurance Plan Quality & Satisfaction Ratings - free

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Help Guide - Before You Select a Health Plan - Three Steps (READ ME) (no link)

1. Compare the health insurance plans you are interested in by visiting the NCQA website to see if they are accredited, and how their quality scores compare. 2. Visit at least one of the state-specific reports to find out what the rate of complaints is for the health plan you're interested in, what hospitals it uses, and information about quality measures. Note: Every state or regional report may be different. If your state is not listed here, see what other states make available. Even if it's not online, the data probably are collected by your state. 3. See what physicians say about working with certain health plans (link above)

NCQA Health Insurance Plan Ratings and Report Card 2017  Editor's Pick

Compare quality ratings for HMOs and PPO health insurance plans. Aetna, Anthem Blue Cross, Cigna, Humana, Kaiser, United - they're all here, as are many non-profit regional plans. Star ratings and number of enrollees shown for accredited commercial, Medicare and Medicaid plans. NCQA (National Committee for Quality Assurance) is a private nonprofit organization that sets standards for quality of care and service that health plans provide to their members. NCQA Accreditation is a nationally recognized seal of approval. Updated 2017

Link to Your State Insurance Department Site (all states)

If you like to browse, your state's site may have additional information about health insurance. These links are provided by the National Association of Insurance Commissioners (NAIC), the organization of insurance regulators from the 50 states, the District of Columbia and the five U.S. territories. The NAIC site also has a company search feature (under Consumer Information, from the Home page) that allows you to obtain financial information, and complaint information on the exchange, HMOs and other health insurance providers

California - 2016-17 HMO, PPO, & Medical Group Ratings Report Card  Editor's Pick

Compare 10 largest California HMO health insurance plans: Aetna Health, Anthem Blue Cross HMO, Blue Shield, Cigna, Health Net, Kaiser Permanente Northern and Southern CA regions, Sharp, United Healthcare and Western Health Advantage. Compare 5 PPOs: Aetna, Anthem Blue Cross, Blue Shield, Cigna, United Healthcare. Clear, simple star system used for overall rating. In addition, get more details about member satisfaction, complaint rates, asthma, cancer screening, child/adolescent health, diabetes, heart care, maternity care, mental health, back pain, immunization, and smoking cessation. More than 200 Medical Group ratings also provided by county for the larger groups of doctors. Prepared by the California state Office of the Patient Advocate (OPA), using 2015 data (reported in 2016)

Colorado Health Insurance Plan Ratings 2014

Compare CO health plans on consumer member satisfaction (CAHPS) and clinical scores (HEDIS) for Heart, Diabetes, Blood pressure, BMI-Obesity care, Cholesterol, Cancer screening, prenatal care, immunizations, mental health. HMO and PPO Plans: Aetna, Anthem HMO, Cigna, HMO Colorado HealthOP, Kaiser Permanente, Rocky Mountain HMO and PPO, and UnitedHealthcare PPO. Click on Health Plan Edition of the Quality Reports. Published by Colo. Business Group on Health (CBGH) 2014 report uses 2013 data.

Florida Health Insurance Plans - Quality Ratings & Satisfaction  Editor's Pick

Member Satisfaction and quality ratings for cancer screening, diabetes, asthma, well child care for HMOs, Medicare HMOs and Medicaid. Aetna, Amerigroup, Av-Med, Better Health, Blue Cross Blue Shield (Health Options), Capital, CarePlus, Cigna, Clear Health Alliance, Community, Coventry, Florida Health Care, Freedom Health, Golden Rule, Health First, Humana, Magellan, Molina, Neighborhood, Positive, Prestige, Simply, Staywell, Sunshine, United Healthcare, WellCare. Data collected in 2016. Search by county. Easy to read

Georgia Health Insurance Plan Ratings and Comparisons 2016

Compare quality ratings and member satisfaction scores for Medicaid, Amerigroup, WellCare, PeachState and PeachCare in GA. Covers access to care, dental visits, ADHD medications, ER visits, diabetes care, postpartum care, provider satisfaction, member opinions and more for 2015-2016. View one plan at a time. Released by Georgia Dept. of Community Health at dch.georgia.gov

Illinois HMO Complaints 2014 by Consumers (pdf)

Complaint record from 2014, supplied by the Illinois Dept. of Insurance. Note: you will find the Blue Cross Blue Shield complaints under Health Care Service Corporation. Other HMOs include Aetna, Cigna, Health Alliance, Humana, Medical Associated, Meridian, Union, United Healthcare (IL and Rivervalley). Consumer complaints about the HMO are counted, and classified by type (such as claims handling. Four pages.

Indiana Health Insurance Complaint Index 2015

Compare complaint rates for Indiana health insurance companies (health carriers). From IN Department of Insurance

Maryland HMO & Health Insurance Plan Ratings 2016

Compare Aetna, CareFirst BlueChoice, CFMI & GHMSI; Cigna, Coventry, Kaiser Permanente, KPIC, MAMSI, MD-IPA, Optimum Choice and United Healthcare on member satisfaction (CAHPS), getting appointments, and HEDIS measures such as immunizations, children's health, cancer screening, flu shots, heart and diabetes care, ADHD & mental health behavioral care, and more. Check both Consumer Ratings & Clinical Ratings. 2016 Performance Report by Maryland Health Care Commission uses 2015 data

Maryland: HealthChoice (Medicaid) Health Plan Ratings

Report Card for Consumers, 2017 in English and Spanish, compares Amerigroup, JAI Medical Systems, Kaiser Permanente, Maryland Physicians Care, Medstar Family Choice, Priority Partners, United Healthcare and University of Maryland Health Partners. One health plan gets 3 stars (the best) almost across the board. Click on MCO Report 2017

Minnesota HMO and Health Insurance Plan Ratings

Quality (HEDIS scores) for HMOs show various quality ratings for 2015, but the reports are barely readable and not user friendly. (See NCQA instead). Financial data also linked. Compare health insurance plan performance for Blue Plus, Group Health, Gundersen, HealthPartners, Itasca Medical Care, Medica, Hennepin Health, PreferredOne, Prime West, Sanford, South Country, and UCare. Site by MN Dept. of Health

New Jersey 2015 HMO Performance Report - Compare plans

Compare six health insurance companies (HMO/POS and PPO/EPO) from Aetna, AmeriHealth, CIGNA, Horizon, Oxford and United, on quality ratings related to asthma, COPD, cancer screening, heart care, hypertension, diabetes, new moms, immunizations, mental health; frequency of imaging tests for lower back pain, cardiac cath and tonsillectomies; more. Easy to read; fast response. Pub. by NJ Dept. of Banking and Insurance, March 2016

New Mexico Medicare Advantage Insurance Plan Ratings

Compare 10 health insurance Medicare Advantage plans in New Mexico. Provided by Consumer Reports in 2013. Unclear what year(s) the data and rankings were based on. Go to NCQA to see detailed reports and more current information

New York State HMO Comparisons (Ratings)  Editor's Pick

Compare over 20 HMO, PPO or Medicaid managed health insurance plans in NY: Aetna, Affinity, Amida, CDPHP, CIGNA, Empire Blue Cross Blue Shield, Excellus, Fidelis, HIP (EmblemHealth), HealthNow, Healthfirst, Hudson, Independent Health, MVP, MetroPlus, Oxford, Total Care, UnitedHealthcare, Univera, VNSNY State, WellCare, YourCare. Topics include member satisfaction opinions, BMI screening, cancer screening, cholesterol control, diabetes care, Board certified doctors, & much more. Actual scores shown on the statewide report. Regional reports show general star level. Prepared by the state of New York for 2016, using 2015 member data. health.ny.gov

Rhode Island - Top Ratings for Health Insurance Plans (NCQA)

Tufts had two plans that earned the top 5.0 rating from NCQA. Based on Quality, Member Satisfaction and accreditation results. Published Sept. 2016

Texas - Comparacion de los HMOs en Texas 2016

Compare Texas HMOs in Spanish language

Texas - Compare Texas HMOs 2016 Consumer Ratings (OPIC)

Texas consumer ratings of their health insurance plans & care. Compare HMO plans for Central Texas, East Texas, Gulf Coast, North TX, Panhandle/Plains area, South Texas, West Texas regions. Satisfaction ratings, complaints and market share shown for Humana, Aetna Health, Alllegian, FIRSTCARE, Scott and White Health Plan, Sendero, Community First, HMO Blue Texas, FirstCare, Molina, CIGNA, United Healthcare and more. Shows 2016 complaint rates. Both provider and patient complaints are recorded, with consumers complaining much more frequently than providers. Report by Texas OPIC (Office of Public Insurance Counsel)

Texas - Guide to Texas HMO Quality 2016 (OPIC)

Lengthy (252 pages) but valuable report showing detailed clinical quality comparisons between HMO health insurance plans for indicators such as asthma, childhood immunizations, cancer screening, heart care, high blood pressure, diabetes care, prenatal care, mental health care, flu shots, ER visit rates, rates of physician board certification, and more. Pub. by TX Office of Public Insurance Council Nov. 2016

Utah HMO Health Insurance Plan 2016 Ratings

Compares Utah HMOs - health insurance plans Aetna, Altius, Cigna, Educators Mutual EMI, Humana, PEHP, Regence Blue Cross BS, SelectHealth, Tall Tree, United Healthcare, and Medicaid plans (Healthy U, Molina, SelectHealth CHIP) on member satisfaction, back pain, cancer screening, and high blood pressure; diabetes, mental health, prenatal & maternity, preventive care, well-child visits & immunizations, and more. Shows actual performance rates. 2016 Performance Report published by utah.gov using 2015 data

Utah Member Satisfaction Ratings with Health Insurance Plans (CAHPS)

Scroll to see Adult and Child Results in separate reports. 2015 data shown in Consumer Satisfaction Report (CAHPS) from Utah

Vermont - Compare Health Insurance Plan Ratings 2014 (pdf)

Compare Blue Cross Blue Shield of VT, CIGNA, MVP, and The Vermont Health Plan BlueCare on consumer and patient experiences; how well the plans do cancer screening, flu shot and other immunizations, antibiotic use in kids, prenatal care, asthma & bronchitis care, mental health treatment, back pain evaluation, alcohol dependence and COPD care. State report by Dept. of Banking, Insurance uses 2014 CAHPS and 2013 HEDIS data; 4 pages

Virginia - Compare HMOs (Quality and Satisfaction)  Editor's Pick

Easy to use tool to compare insurance plan ratings: Aetna, CareFirst BlueChoice, Coventry, HealthKeepers (Peninsula & Priority), Innovation Health Plan, Kaiser Mid-Atlantic, Optima, Optimum Choice, United Healthcare MidAtlantic and River Valley. Choose measures for access, asthma, ADHD, heart, diabetes, arthritis, immunizations, medications, mental health, preventive care, spirometry for COPD, prenatal, maternity and newborn care; weight assessment, well child visits and childhood illnesses, member satisfaction for 2015 and more. Also includes Board certification rates for some types of physicians, number of enrollees, and financial data

WA Clinic and Health Plan Quality Ratings (WACommunityCheckup.org)

Compare care among more than 50 medical groups, 9 health insurance plans and 9 accountable communities of health (ACOs). Click on Chart Pack to quickly see Health plan and doctor clinic ratings. Group Health, Aetna, Cigna, Regence Blue Shield, Premera Blue Cross, Kaiser, Asuris, LifeWise and United Healthcare included. Community Checkup by Washington Health Alliance, uses 2014-2015 data, pub. 2016

Washington - Health Insurance Plan Complaint Index 2015

Compare complaint levels for WA health insurance plans (2015 Health Carrier Complaints) for Kaiser Northwest, Group Health (Options and Cooperative), Coordinated Care, Delta Dental, Kaiser, UnitedHealthcare, Regence BlueShield, Premera Blue Cross, Moda, Lifewise and more. Market share also shown. State Office of Insurance Commissioner OIC

Wisconsin - HMO Health Plan Quality and Consumer Satisfaction Graphs

View graphs comparing rates for breast cancer screening, cervical cancer screening, diabetes care / eye exams, follow-up for mental illness, time spent with physician, children's visits to primary care providers, and overall rating of health insurance plans: Dean, Group Health Coop, Gundersen Lutheran, Humana, Medical Associates, Medica, MercyCare HMO, Network, Physicians Plus, UnitedHealthcare, Unity, WPS and more. 2015 data, by State of WI, OCI

Other Helpful Listings

Accredited Ambulatory Health Care and Surgery Centers (AAAHC)

The nonprofit Accreditation Association for Ambulatory Health Care (AAAHC) currently accredits over 6000 organizations in a wide variety of ambulatory health care settings, including ambulatory and office based outpatient surgery centers, IVF clinics and specialty clinics. Consumers can specify Student Health Center, Endoscopy center, Indian health center, military health care facility or ambulatory surgery center under Organization Type. (See also Joint Commission site for hospital-owned ambulatory surgery center accreditation.)

Government Employee Health Insurance Cost Comparisons (FEHB)

Web site from US Office of Personnel Management (OPM) helps federal employees and others compare the benefits, member satisfaction, and employee costs of up to 4 health insurance plans at one time. Search by zip code; choose local plans and/or national plans. Convenient and current. The amount that taxpayers and government institutions pay toward the total health care premiums is no longer readily available

URAC - searchable database

URAC is a nonprofit organization that performs accreditation and certification work. Its many accreditation programs include, among others, Case Management, Comprehensive Wellness, Health Call Centers, Health (clinical information) Web Sites, Health Utilization Management and Review, and Workers Compensation Management. This site may help employers determine which companies they want to consider as service providers. In addition, a few health insurance plans have also sought health plan accreditation from URAC

Wisconsin Health Insurance Cost Rankings 2017

Annual premiums and deductibles (2017) for WI state employee health insurance averaged $8438 per year for single coverage. Citizen Action of Wisconsin, a coalition of individuals and organizations (such as AARP-WI, AFSCME locals, SEIU, UAW, AFL-CIO, WEAC), reports health insurance cost in 20 metro regions, including Twin Cities. Rates in Marshfield/WI Rapids ($10,008 per yr, single) were 35% higher than Madison rates ($7429 per yr.) Most areas exceeded $8500 single. Health plan costs shown for Twin Cities, Oshkosh, Green Bay, Appleton, Manitowoc, Sheboygan, Fond du Lac, Janesville/Beloit, Wausau, Stevens Point, La Crosse, Superior, Eau Claire, Kenosha, Racine, Milwaukee, more. Ratings for 17 plans also shown. Uniform benefits package was used for all areas, however the report does not specify what type of benefits and deductibles were included. The report also does not indicate whether the rates were adjusted for regional differences in age, or healthy behaviors. Shows annual inflation pre-ACA (2000 to 2013) compared to after ACA (2014-2017), with post-ACA so very much lower. Information from State of Wisconsin's Group Health Insurance Program (GHIP)

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