Wisconsin Tied for 4th in the Nation for Most Top-Rated Health Plans
Provider-owned plans lead the way
Provider-owned health plans serving the commercial market were rated the best in Wisconsin by the National Committee for Quality Assurance (NCQA). NCQA noted Wisconsin is among the states with the highest percentage of high-quality health plans, and it placed Wisconsin in a tie for 4th among the states with the highest number of plans receiving a top rating.
The NCQA ranked more than 1,000 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. The report notes their rating system emphasizes care outcomes and what patients say about their care.
“Wisconsin is fortunate to have choices and competition in our insurance market, unlike other states where one or two big, national insurance companies dominate and dictate the market,” said WHA President/CEO Eric Borgerding. “In a state known for high-quality health care, it is not surprising the highest-rated health plans are provider-owned and based right here in Wisconsin.”
See all NCQA health insurance plan ratings.
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Private/Commercial
|
Type
|
Rating
|
|
Dean Health Plan, Inc.
|
HMO
|
4.5
|
|
Group Health Cooperative of South Central Wisconsin
|
HMO
|
4.5
|
|
Gundersen Health Plan
|
HMO
|
4.5
|
|
HealthPartners Administrators, Inc.
|
HMO/POS/PPO
|
4.5
|
|
HealthPartners, Inc.
|
HMO/POS/PPO
|
4.5
|
|
Security Health Plan of Wisconsin, Inc.
|
HMO/POS
|
4.5
|
|
Unity Health Plans Insurance Corporation
|
HMO/POS
|
4.5
|
|
Medicare
|
Type
|
Rating
|
|
Group Health Plan, Inc.
|
HMO
|
5.0
|
|
Gundersen Health Plan, Inc.
|
HMO
|
5.0
|
|
Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans
|
HMO
|
5.0
|
|
Aetna Life Insurance Company (Wisconsin)
|
HMO
|
4.5
|
|
Dean Health Plan, Inc.
|
HMO
|
4.5
|
|
Network Health Insurance Corporation (NHIC)
|
HMO
|
4.5
|
|
Security Health Plan of Wisconsin, Inc
|
HMO/POS
|
4.5
|
Ratings based on NCQA Health Insurance Ratings 2017 – 2018.
Plans with partial or no data reported did not receive a rating.
This story originally appeared in the November 10, 2017 edition of WHA Newsletter