Consumer Reports Names Top-Ranked Health Plans
Major Non-Profit Plans
Among the major for-profit health insurers, only Anthem cracked the top 30. The POS offered by Anthem Blue Cross and Blue Shield New Hampshire is ranked at number 26. A Cigna HMO in Massachusetts is ranked 39, an Aetna HMO/POS in Massachusetts is ranked 57, UnitedHealthcare's PPO in Rhode Island is ranked 62, and Humana's HMO/POS in Wisconsin is ranked 141.
Medicare Plans
NCQA also released rankings for Medicare Advantage plans and Medicaid HMOs. An HMO from Kaiser Foundation Health Plan of Southern California claimed the top Medicare spot while HMOs from Fallon Health Plan and Kaiser Foundation Health Plan of Hawaii shared the top Medicaid spot.
HMOs have been ranked for eight years, but this is only the second year for ranking PPOs. This year, private PPOs performed about the same as private HMOs overall, according to Nancy Metcalf, senior program editor for Consumer Reports.
Among the improvements: PPOs have caught up with HMOs in terms of appropriate use of medications for asthma and appropriate use of imaging for lower-back pain. Medicare HMOs perform only slightly better than PPOs, which actually outperform HMOs on some measures, such as managing antidepressant treatments and rheumatoid arthritis medications.
Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
- $6.4B Henry Ford, Beaumont Merger Failed on Cultural Hurdles
- House Lawmakers Grill CMS Over Health Exchange Navigators
- Fortunately, Angelina Jolie Isn't On Medicare
- Don't Let Nurses Sink Your Bottom Line
- Uncompensated Care Faces a Double Hit in Some States
- How Chargemaster Data May Affect Hospital Revenue
- Hospital Pricing Transparency a Marketing Game Changer
- Primary Care Docs Average More Hospital Revenue Than Specialists
- ED Physicians Key to Half of Hospital Admissions
- Hospitals Profit On Bloodstream Infections

Comments are moderated. Please be patient.