WATERTOWN, Mass.--(BUSINESS WIRE)--Tufts Health Plan today announced it has been ranked the #1 private health insurance plan1 and the #1 Medicaid health insurance plan2, known as Network Health3, in the country by the National Committee for Quality Assurance’s (NCQA) Health Insurance Plan Rankings 2014-2015. This marks the first time a health plan has been named #1 in more than one category by the NCQA.
The NCQA rankings, which included 507 private commercial plans and 136 Medicaid plans, are based on quality measures from three performance subcategories—consumer experience, prevention and treatment—and NCQA accreditation.
“Being recognized for offering the nation’s top-ranked private and Medicaid health plans is tremendous recognition that reflects our unwavering commitment to providing affordable, high-quality health care coverage to our members no matter their age or life circumstance,” said James Roosevelt Jr., chief executive officer, Tufts Health Plan. “It’s a shared accomplishment for our entire community of members, employees, providers, employers and brokers.”
“While it’s satisfying to be acknowledged as the best health plan, our core focus remains on the member and ensuring we provide them with an exceptional experience and care that is high caliber and affordable,” said Paul Kasuba, senior vice president and chief medical officer.
This is the tenth consecutive year that Tufts Health Plan has been ranked among the highest-rated health insurance plans in the nation by NCQA and the fifth consecutive year that Network Health has been ranked among the highest-rated plans by NCQA.
About NCQA
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.
About Tufts Health Plan
Tufts Health Plan is a
nonprofit organization nationally recognized for its commitment to
providing innovative, high-quality health care coverage. It is one of
the few health insurers in Massachusetts to participate in the
commercial, Medicare and Medicaid/subsidized markets, offering coverage
across the life span regardless of age or circumstance.
In addition to the NCQA quality rankings, the Tufts Medicare Preferred HMO earned a 4.5 star rating from the Centers for Medicare and Medicaid Services (CMS) for 2014, putting it among the top five percent of Medicare plans nationally. Tufts Health Plan is currently ranked for “highest member satisfaction among commercial health plans in the New England region” by J.D. Power.
Headquartered in Massachusetts, Tufts Health Plan serves more than one million members in Massachusetts and Rhode Island. Visit us at www.tuftshealthplan.com.
1 HMO/POS plans. NCQA’s Private Health Insurance Plan
Rankings 2014–2015. Tufts Associated Health Maintenance Organization is
the formal name for Tufts Health Plan’s HMO/POS products.
2
NCQA’s Medicaid Health Insurance Plan Rankings 2014–2015.
3
Network Health is Tufts Health Plan’s Medicaid/public plans division.