Medicaid managed-care plans in the Northeast and Midwest led the list of 99 Medicaid HMOs in the National Committee for Quality Assurance rankings of such plans. The list includes Medicaid HMOs from 30 states and the District of Columbia, but less than half of Medicaid's total HMOs.
List ranks Medicaid HMOs; Northeast, Midwest organizations lead
The rankings, published today by Consumer Reports, were determined by their scores in consumer satisfaction, prevention and treatment (PDF). All of the top 10 plans were community not-for-profit HMOs, as were some of the lowest-ranked plans.
Among the top 10 plans, four were in Massachusetts, and one each was in Hawaii, Michigan, New York, Pennsylvania, Rhode Island and Wisconsin.
Among the bottom 10 plans, three were from Missouri, while one was from each of the following: Kansas, Maryland, Michigan, Nevada, New Mexico, Ohio and West Virginia.
Dr. John Santa, director of the Health Ratings Center for Consumer Reports, wrote in an online post that the high-performing plans achieved their results by working with other Medicaid providers in organizations focused on improving plan performance or by virtue of their location in states that offer “pay for performance” rewards for higher quality.
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