The 2016 NCQA Ratings
The ratings aim to help consumers make decisions about health insurance, which can be confusing and difficult to navigate. Other organizations like U.S. News & World Report, J.D. Power, and Medicare also rate insurance plans.
The ratings, available here, cover plans used by the majority of Americans and use a 0 to 5 rating system, Reynolds says.
The NCQA did not rate Marketplace plans offered under the Affordable Care Act, as those ratings are expected from the federal government. For those who are considering a Marketplace plan, Reynolds says, it’s useful to look at the NCQA rating of the same plan offered as a private plan outside the Marketplace.
The ratings take three major categories into account:
The emphasis is on results, Reynolds says. For instance, does a plan help patients with diabetes control their blood sugar well and safely?
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