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Harvard Pilgrim Tops NCQA Rankings for 4th Year

Margaret Dick Tocknell, for HealthLeaders Media, September 25, 2013

The organization has also moved aggressively into healthcare cost transparency. Earlier this year it announced a partnership with Castlight Health to develop member access to cost and quality information about healthcare providers and common procedures, including out-of-pocket pricing and quality measures for all in-network healthcare providers.

Recently Harvard Pilgrim also announced that it is partnering with two New Hampshire provider organizations, Dartmouth-Hitchcock Medical Center and Elliot Health System, to offer a defined-network product focused on care coordination. The network includes more than 400 primary care doctors and 2,600 specialists, with an insurance premium that's about 10% less than Harvard Pilgrim's similar full-network plans.

Here's the NCQA top 10 results for 2013:

Top 10 Commercial Health Plans

  1. Harvard Pilgrim Health Care (HMO, Maine and Massachusetts)
  2. Kaiser Foundation Health Plan of the Northwest (HMO, Oregon and Washington)
  3. Blue Cross and Blue Shield of Massachusetts (HMO, Massachusetts)
  4. Harvard Pilgrim Health Care (PPO, Massachusetts)
  5. Harvard Pilgrim Insurance (PPO, Massachusetts)
  6. Tufts Associated HMO (HMO, Massachusetts)
  7. Kaiser Foundation Health Plan of Northern California (HMO, California)
  8. Tufts Benefit Administrators (PPO, Massachusetts and Rhode Island)
  9. Harvard Pilgrim Health Care of New England (HMO, New Hampshire)
  10. Kaiser Foundation Health Plan of Ohio (HMO, Ohio)
1 | 2 | 3 | 4 | 5

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