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NCQA Releases Medicare, Medicaid Plan Rankings

Cheryl Clark, for HealthLeaders Media, November 2, 2010

Prevention scoring relied, in part, on Health Effectiveness Data and Information Set, which includes rates on childhood and adolescent immunizations, measures reflecting care for women's reproductive health and cancer screenings and children and adolescents access to primary and preventive visits.

Treatment scoring was based on how well the plan's providers managed patients' conditions, such as asthma, diabetes, heart disease, hypertension, osteoporosis, alcohol and drug dependence, mental illness and whether physicians advised smokers to quit.

NCQA, which began releasing these scorecards in 2005, says that organizations are eligible for rankings if they authorized that their performance information could be publicly released and if they submit enough data for valid statistical analysis.

For a complete list of the NCQA rankings, click here.


Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
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