Minnesota Health Plans Continue To Enjoy High Marks

Commercial health plans in state score well on annual NCQA ratings report.

No news is good news for commercial health insurance plans serving Minnesota residents.

Most health plans here maintained their high scores in the annual health insurance plan ratings report published by the National Committee for Quality Assurance. The Washington-based NCQA accredits health plans nationwide.

The NCQA assigned ratings to 1,012 commercial, Medicare and Medicaid health plans nationwide for 2016. Ratings are on a scale of 1.0 to 5.0 based on the quality of care received by enrollees, enrollee satisfaction with their health plans and accreditation survey results. Health plans with ratings of 1.0 to 2.0 are lower-performing plans; plans with ratings of 2.5 to 3.5 are average-performing plans; and plans with ratings of 4.0 to 5.0 are higher-performing plans.

Nationally, six (1.2 percent) of the 503 commercial health plans in the report were lower-performing, 359, (71.4 percent) were average-performing; and 138 (27.4 percent) were higher-performing.

Of the 10 commercial health plans that received ratings in Minnesota, seven scored 4.0 or better in this year’s report. They were: Group Health Plan (4.5), HealthPartners Administrators (4.5), HealthPartners (4.5), Blue Cross Blue Shield of Minnesota (4.0), Medica Health Plans (4.0), Medica Insurance Company (4.0) and Medica Self-Insured (4.0).

The other three plans to receive ratings here were: PreferredOne Community Health Plan (3.5), PreferredOne Insurance Company (3.5) and Aetna Life Insurance Company (3.0).

The plans’ overall ratings this year were virtually unchanged from their overall ratings in 2015. The only commercial plan in Minnesota with a rating change this year was Aetna’s PPO plan, whose score rose to 3.0 from 2.5 last year, according to the NCQA report.

The NCQA also assigned individual plan ratings in three areas: consumer satisfaction, prevention and treatment. To search for individual plan ratings in any or all of those areas, employers, members and others can search the group’s publicly available database tool here.