SPH Analytics announced today that their clients represent 20 percent of the plans receiving the top 4- to 5-point ratings in the 2015-2016 ratings for private, Medicare, and Medicaid health insurance plans according to reports recently released by the National Committee for Quality Assurance (NCQA). Additionally, more than 50 percent of the private health plans receiving the highest 5-point rating are clients of SPH Analytics.
NCQA is a private, non-profit organization dedicated to improving healthcare quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare.
NCQA’s Health Insurance Plan Ratings 2015–2016 list rated more than 1,300 private, Medicare, and Medicaid health insurance plans based on clinical quality, member satisfaction, and NCQA Accreditation Survey results. NCQA’s ratings classified plans into scores from 1.5 to 5.0, in 0.5 increments, with 5 being the highest performance rating.
Results of the CAHPS® Survey were used as part of the performance measures to rate the health plans. The CAHPS Survey is considered the most comprehensive tool available for assessing member experiences with their health plan. SPH Analytics is an NCQA-Certified Survey Vendor for the CAHPS Survey and has administered the survey to health plans throughout the nation since the program’s inception in 1998.
Healthcare organizations, including many of the highest performing health plans in the nation, partner with SPH Analytics for reliable healthcare survey management, call center support services for patient/member outreach, and powerful analytic technology that empowers healthcare providers to take targeted actions to measurably improve population health and deliver better care.
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ)
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).