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Do the state exchanges list NCQA ratings for the plans they offer?

  • By
  • healthinsurance.org Contributor
  • November 14, 2013

Q. Do the state exchanges list NCQA ratings for the plans they offer?

A. Some states — such as Colorado, Minnesota and Oregon—now list NCQA ratings on their exchange websites. The Oregon website lists the quality score right next to price, allowing for an apples-to-apples comparison.

The Affordable Care Act calls for all state marketplaces to post ratings comparing the quality of health plans by 2016.

But today, most exchanges don’t publish the rankings. “Federal and state officials … decided it would reflect poorly on the insurance exchanges if some companies were rated and others were not – and have not yet published them.” Fox News explains.

Not everyone is happy about this. “We think that is ludicrous,” says Garry Maisel, CEO of Western HealthAdvantage, an ObamaCare-approved provider. “Consumers deserve to know what is unrated versus what has been around a long time and has a good quality rating.”

A few weeks after the exchanges opened for business, the controversy heated up in   California, when Western Advantage and two other highly rated providers – Kaiser Permanente and Sharp Health Care – complained the state failed to post their ratings because of opposition from lower-rated plans.

Kaiser Permanente in California is ranked #7 nationally. Blue Shield in California is ranked #414. But on the Covered California website, consumers have no way of knowing that, because the state did not to post the ratings.

By the end of October, Fox reports, “officials reversed that decision and said the state will begin adding quality scores in 2015.”

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