This places BCBSRI in the top 4 percent of the 331 PPO plans that were rated. Only 14 PPO plans in the country received a score of 4.5 or above. The rating of BCBSRI PPO products is part of NCQA’s commercial Health Insurance Plan Ratings for 2022.
“We are honored once again to receive such an exemplary rating and to be among the highest performing health plans in the country. Our 4.5 rating speaks to our collaborative relationship with providers to ensure our subscribers are getting the right care, at the right time and in the right place,” said Matt Collins, M.D., MBA, BCBSRI executive vice president and chief medical officer. “Our stellar score also reflects our continuing efforts to deliver high-quality, affordable healthcare to our members and our vision to passionately lead a state of health and well-being across Rhode Island.”
NCQA evaluates health plans on the quality of care that patients receive, how happy patients are with their care and health plans' efforts to keep improving
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® (Health Care Effectiveness Data and Information Set) is the most widely used performance measurement tool in health care. NCQA's website (www.ncqa.org) contains information to help consumers, employers and others make informed health care choices.
HEDIS is designed to ensure that purchasers and consumers have the information they need to reliably compare healthcare quality. BCBSRI’s rating signals that the service and clinical quality of BCBSRI’s commercial PPO has met NCQA’s highest standards for consumer protection and quality improvement.
Blue Cross & Blue Shield of Rhode Island (bcbsri.com) is a non-profit, community-focused health plan established in 1939 to help Rhode Islanders finance their healthcare needs. Today, that purpose is still foundational to our work. We have a vision to passionately lead a state of health and well-being across Rhode Island. And we are committed to improving the health and peace of mind of our 420,000 members by facilitating their access to affordable, high-quality healthcare. We are an independent licensee of the Blue Cross and Blue Shield Association. Connect with us on Twitter, Facebook, LinkedIn and Instagram. Listen to BCBSRI’s podcast, The Rhode to Health, on BuzzSprout, Apple Podcasts, Spotify, Google Podcasts and wherever you get your podcasts.?