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Tag: Quality

Publication

Analyses of NCQA Quality Ratings Among Medicaid Health Plans

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This report assesses Medicaid MCO quality scores as published annually by NCQA. One of the report’s key findings is that there does not appear to be any relationship between Medicaid MCOs’ enrollment levels and their quality scores. Another is that high-scoring plans are disproportionately concentrated in certain states – with these patterns often recurring (with different health plans in these same states) with regard to quality scores in the Medicare and private insurance sectors. This leads us to conclude that some geographic areas are more conducive to high scores than others – and that MCOs making the same efforts in quality would likely obtain very different quality scores based on the market area in which they operate. Our report also identifies the Medicaid MCOs with both large enrollment and high quality scores, the MCOs that stand out most favorably relative to average scores within their state, and the NCQA-accredited MCOs achieving the greatest improvements in their quality scores between 2010 and 2013.

5-Slide Series

NCQA State Averages for Medicaid, Medicare, and Private Health Plans

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This edition of the Series tabulates state average NCQA quality scores across the health plans that have been rated by NCQA.  Separate averages have been calculated for Medicaid health plans, Medicare plans, and private plans.

5-Slide Series

Medicaid Health Plan NCQA Quality Rankings

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This edition of the Series focuses on Medicaid MCO quality ratings, working with the data NCQA publishes each year.  These slides calculate average quality scores in each of the 33 states with at least one NCQA-ranked plan.  We also ranked the Medicaid MCOs by how their quality scores compares with the average of the other NCQA-ranked MCOs in their state.

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