Tufts Health Plan tops in private health insurance, Medicaid plans

WATERTOWN, Mass. – Tufts Health Plan has been ranked the No. 1 private health insurance plan and the No. 1 Medicaid health insurance plan in the country by the nonprofit National Committee for Quality Assurance’s Health Insurance Plan Rankings 2014-2015.

This recognition represents the first time that a health insurance company has been ranked No. 1 in more than one category by the NCQA, according to Tufts, which serves more than 1 million members in Massachusetts and Rhode Island.

The NCQA rankings, which include 507 private commercial plans, 136 Medicaid plans and 408 Medicare plans, are based on quality measures from three performance subcategories: consumer experience, prevention and treatment. It also factors in 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,” James Roosevelt Jr., CEO, Tufts Health Plan, said in a statement.

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In the list of 507 commercial plans, Harvard Pilgrim Health Care, which does business in Massachusetts and Maine with its HMO/POS plans, came in at No. 2. Harvard Pilgrim also ranked third for its health care insurance PPO plans in Massachusetts.
Blue Cross and Blue Shield of Massachusetts ranked 10th and 11th, respectively, for its PPO and HMO/POS plans.
UnitedHealthcare of New England’s insurance in Rhode Island ranked No. 95 for its PPO plans.
Blue Cross & Blue Shield of Rhode Island ranked No. 472 for its Rhode Island PPO plan.
In the list of 136 Medicaid plans, Fallon Health, Neighborhood Health and Boston Medical Center HealthNet Plan, all in Massachusetts, ranked No. 2, 3 and 4, respectively. Neighborhood Health Plan of Rhode Island ranked No. 5. All are HMO plans.
In the list of 408 Medicare plans, UnitedHealthcare of New England ranked No. 61 for its Rhode Island plan. UnitedHealthcare Insurance, a regional plan serving Rhode Island, Vermont, Connecticut and Massachusetts, ranked No. 144.
This was the 10th 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, its Medicaid plan, has been ranked among the highest-rated plans by NCQA.
To view the entire list, visit: healthplanrankings.ncqa.org/2014/.

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