List of state Insurance Departments for 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, Puerto Rico and the other four U.S. territories. The NAIC site has a Consumer Information Source to find medical loss ratios, financial information, and complaint information on the exchange, HMOs and other health insurance plan providers.
Minnesota HMO and Health Insurance Plan 2021 Ratings. Quality (HEDIS 2020 scores) for HMOs show various quality ratings, but report for each health plan is 166 pages. No side-by-side comparisons available, nor average scores to make it more user friendly. (See NCQA instead). Financial data and enrollment reports also linked. Compare health insurance plan performance for Blue Plus, HealthPartners Group Health Plan (combined), Hennepin Health, Itasca Medical Care, Medica, PreferredOne, Prime West, Sanford, South Country Health Alliance, and UCare. Site by MN Dept. of Health. Data refreshed October 2022.
Oregon Annual Health Insurance Report provides enrollment data for 2022. Compare health insurance plan enrollment numbers, medical loss ratios, profits and more. Full year 2022 data available. Expected to be updated quarterly in 2023 by the Division of Financial Regulation (DFR) at the state of Oregon.
Minnesota Health Plan and HMO Enrollment. See Chartbook Section 7 for health plan market share in MN, 2017, for small group and individual markets. Leaders were Medica, Blue Plus (BCBSMN), HealthPartners and UCare. Medical Loss ratio is shown for each health insurance company. Identifies which companies should be providing rebates for spending less than 80% on insurance claims. HMO profitability (net income and net loss) also shown for 2017. Published by the state of Minnesota, July 1, 2019. No updates as of April 5, 2022.
Find top NCQA ratings for health insurance plans in Rhode Island. No plans earned the top 5.0 rating from NCQA this year. 2022-2023 Ratings. Based on Quality, Member Satisfaction and accreditation results. Five health plans earned 4.5 stars. Updated October 2022.
See Consumer Health Ratings’ page for additional health insurance plan quality ratings that may have state-level reports. Compare member satisfaction, quality performance ratings, and financial information for HMOs, managed care, and health insurance plans.
Trendwatch Chartbook for 2020, by American Hospital Association (AHA). See Table 1.13 for 2019 operating margins of insurance company giants Aetna, Anthem, United HealthCare, Cigna and Humana. Supplementary appendixes only are available. Most tables contain 2018 or more recent data. 48 pages, published January 2020. The full Trendwatch chartbooks are available to members only.
Compare Virginia HMOs on both quality and member satisfaction. Easy to use tool to compare insurance plan ratings: Aetna, CareFirst BlueChoice, Coventry Health Care, HealthKeepers (both Peninsula and Priority), Innovation Health Plan, Kaiser Mid-Atlantic, Optima, Optimum Choice, United Healthcare MidAtlantic and River Valley. Choose measures for access, asthma, ADHD, cancer screening, heart, diabetes, immunizations, medications including opioid prescribing, mental health care (e.g., best results for 7-day follow-up after a Mental Health ER visit is Kaiser foundation Health Plan at 54%, compared to Optimum Choice at just 36%), preventive care, spirometry for COPD, prenatal, maternity and newborn care; weight assessment, well child visits and childhood illnesses, member satisfaction for 2020 and more. Also includes number of physicians, number of enrollees, and financial data. Updated February 2022.