ACCESS Newswire
18 Sep 2023, 21:47 GMT+10
Successful Reporting of New Direct Race and Ethnicity Measure by 92% of Plans Bodes Well for Improving Health Equity
WASHINGTON, DC / ACCESSWIRE / September 18, 2023 / The National Committee for Quality Assurance (NCQA) today announced its 2023 Health Plan Ratings, an annual list that evaluates commercial, Medicare and Medicaid health plans based on assessments of quality and patient experience. The 2023 Health Plan Ratings are based on data from calendar year 2022 when 215 million people were enrolled in health plans that reported Healthcare Effectiveness Data and Information Set (HEDIS®) results to NCQA.
Health plans are rated on a scale of 0-5 stars. The number of commercial health plans that achieved a 5-star rating doubled from 2022 to 2023. There was also a nearly 6% increase in Medicaid plans that achieved 4-star and 4.5-star ratings compared to 2022, demonstrating improvement across several health quality measures.
As part of NCQA's commitment to improve health equity through all NCQA products and programs, the 2023 Health Plan Ratings methodology is the first to include scoring for the diversity of health plan membership. 92% of plans successfully reported the Direct Race and Direct Ethnicity measure to earn the maximum possible points in their ratings.
'The NCQA 2023 Health Plan Ratings provide vital understanding of the quality of care people receive from health plans and provide valuable insight to help families make informed decisions about their care. This year's ratings underscore health plans' efforts to improve quality and health equity,' said NCQA President Margaret E. O'Kane. 'By including our Direct Race and Direct Ethnicity measure in the ratings, NCQA reinforces our expectations for equity throughout the industry. Health plans' success reporting that measure shows they are making encouraging strides in health equity.'
Methodology
Each year, NCQA rates health plans that choose to report HEDIS results publicly. Ratings are based on almost 50 assessments of patient care outcomes and experience, including measures of clinical quality from NCQA's HEDIS and CMS's Health Outcomes Survey (HOS); measures of patient experience using the Consumer Assessment of Healthcare Providers and Systems (CAHPS®); and NCQA's review of health plan quality improvement processes (NCQA Accreditation).
The overall rating is the weighted average of a plan's HEDIS, CAHPS and HOS measure ratings, plus Accreditation bonus points, calculated on a 0-5 scale in half-points (5 is highest), displayed as stars and rounded to the nearest .5 point.
Visit the NCQA website for details on the 2023 Health Plan Ratings, measures and methodology.
About NCQA
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA's website (ncqa.org) contains information to help consumers, employers and others make informed health care choices.
# # #
Media Contact
Theresa Masnik
SHIFT Communications
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
Contact Information
Theresa Masnik
SHIFT Communications
[email protected]
508-395-7416
SOURCE: National Committee for Quality Assurance (NCQA)
Get a daily dose of Jamaican Times news through our daily email, its complimentary and keeps you fully up to date with world and business news as well.
Publish news of your business, community or sports group, personnel appointments, major event and more by submitting a news release to Jamaican Times.
More InformationWINDSOR, Ontario: Production at Stellantis' Windsor, Ontario assembly plant will pause for two weeks, as mounting trade tensions trigger...
AUSTIN, Texas: Tesla's early-year performance has taken a hit, as sliding sales, rising competition, and CEO Elon Musk's growing political...
MUMBAI, India: India's jewellery exporters are facing their toughest year in over a decade as fresh U.S. tariffs threaten to cut off...
TOKYO, Japan: Mitsubishi Corp is weighing a potential role in Alaska's ambitious LNG export project, as the Japanese trading giant...
LOS GATOS, California: As international content fuels its global growth, Netflix is expanding its language tools on TV to help users...
Artificial intelligence (AI) has seen rapid growth, transforming industries and daily life. From chatbots to advanced generative models,...
TALLAHASSEE, Florida: A famous old ocean liner, the SS United States, will soon become the world's biggest artificial reef off the...
MANILA, Philippines: A Philippine security official stated that acquiring F-16 fighter jets from the United States will not harm any...
WASHINGTON, D.C.: Amazon.com has announced that it will launch the first 27 satellites for its Project Kuiper internet network this...
NEW YORK, New York - UN Secretary-General Antonio Guterres has voiced profound concern over the escalating human toll in Gaza, as...
LONDON, U.K.: Daniel Kretinsky's path to owning Royal Mail is nearly complete, as his firm EP Group announced this week that all regulatory...
NEW YORK CITY, New York: Major League Baseball (MLB) players now earn an average of over US$5 million per year for the first time,...