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Wisconsin Tied for 4th in the Nation for Most Top-Rated Health Plans

Provider-owned plans lead the way

November 10, 2017

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.

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