NCQA/Consumer Reports 2010 HMO Rankings

By Clive Riddle, October 7, 2010

NCQA has released its rankings of HMO and Point of Service plans around the nation for 2010, via Consumer Reports.

According to NCQA, themeasures and methodology used to rank plans did not change from 2009. Details on the methodology and guidelines are listed at http://www.ncqa.org/rankings .

Below are the top ten ranked private plans (excluding Medicaid and Medicare plans). You will note that regional and non-profit plans (vs. national for-profit) and integrated plans are well-represented.

NCQA 2010 National Ranking of HMOs: Top Ten Private Plans

1. Harvard Pilgrim Health Care (MA, ME)
2. Tufts Associated Health Maintenance Organization (MA, RI)
3. Harvard Pilgrim Health Care of New England (NH)
4. Capital Health Plan (FL)
5. Geisinger Health Plan (PA)
6. Grand Valley Health Plan (MI)
7. Group Health Cooperative of South Central Wisconsin (WI)
8. Fallon Community Health Plan (MA)
9. Kaiser Foundation Health Plan of Colorado (CO)
10. Health New England (MA)

Source: Consumer Reports: The 2010 rankings of HMOs from the National Committee on Quality Assurance

Source URL: http://www.consumerreports.org/health/insurance/best-health-insurance-privateRatings-1.htm

Notes: Private plans exclude Medicaid and Medicare.  This year, the NCQA ranked 227 HMOs and point-of-service plans with a total enrollment of about 42 million. Not all HMOs are on the list; some do not submit data to the NCQA, or submit insufficient data, and others decline to make it public.