How Does Your New Health Plan Rate?

In a press release today, Covered California announced they have added performance ratings on most health plans to their website. The scores are developed by the Consumer Assessment of Healthcare Providers and Systems (CAHPS).  CAHPS asks health plan members questions related to accessibility of care.  Each health plan is then compared against its peers across the western United States.

The rating system is based on 1- 4 stars, with 4 stars being the highest score.   A 4 star plan is one that placed in the top 75% of all rated health plans, whereas a 1 star health plan is given to plans scoring in the bottom 25%.

Health plan rating information can be accessed online at Covered California’s website.  In Los Angeles county, for example, the highest ranked health plan is Kaiser, with 4 stars.  Health Net’s HMO plan , Blue Shield’s PPO plan  and Anthem Blue Cross HMO and EPO plans received 3 stars. Trailing the pack are Health Net’s PPO plan, L.A. Care Health Plan HMO and Molina Healthcare HMO with 2 stars.  A review of all areas show that no health plans participating in the California Health Benefit Exchange received 1 star.

AUTHOR - Ali Nagy