Neighborhood has been rated 4.5 out of 5 in NCQA’s Medicaid Health Plan Ratings 2023; has placed in the top 10% of Medicaid plans for all 20 years of NCQA’s ratings.
September 15, 2023 (Smithfield, RI) – Neighborhood Health Plan of Rhode Island (Neighborhood) today announced that it has been rated 4.5 out of 5 in NCQA’s Medicaid Health Plan Ratings 2023. This announcement also marks Neighborhood placing in the top 10% of Medicaid plans for all 20 years of NCQA’s ratings.
In NCQA’s 2023 ratings, Neighborhood is one of two Medicaid health plans in Rhode Island to receive an overall rating of 4.5 out of 5, and one of 13 plans nationwide (no Medicaid health plan received a 5 out of 5 rating). Of particular note, Neighborhood received a score of 4 out of 5 for Patient Experience and 4.5 out of 5 for Prevention and Equity.
“Of all the distinguished recognitions that Neighborhood earns each year, our NCQA rating is one of the most important and most reflective of our mission here at Neighborhood,” said Peter Marino, Neighborhood’s president and CEO. “For the 20th year in a row, Neighborhood has been recognized among the highest-rated Medicaid Plans in the country. I’m incredibly proud of this achievement, and it is a testament to the dedication and care provided by our team to each of our members and the communities we serve.”
The Health Plan Ratings are released annually by NCQA, an independent, not-for-profit organization dedicated to assessing and reporting on the quality of healthcare plans, programs, and organizations across the country.
“Our members deserve the best access and quality,” added Kristin Russell, M.D., Neighborhood’s new Chief Medical Officer. “Neighborhood’s quality improvement program strives to ensure safe and effective health care services which are responsive to the needs of our diverse members and result in positive health outcomes. Our consistent 4.5 out of 5 overall NCQA rating is one demonstration of this commitment and a validation of our collective efforts.”
According to NCQA’s Health Plan Ratings methodology, the organization “rates health plans that choose to report measures publicly.” Ratings are determined by three sets of quality measures, including clinical quality and health outcomes, patient experience, and health quality processes (as determined by NCQA Accreditation). Neighborhood has held its NCQA Accreditation since 2001.
To learn more about Neighborhood, its NCQA rating, and NCQA accreditation and quality improvement program, visit www.nhpri.org.
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care 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 health care. In recognition for its leadership in diversity, equity and inclusion, NCQA has won the Excellence in Diversity Award from the Chesapeake Human Resources Association. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, and on LinkedIn at linkedin.com/company/ncqa.
Neighborhood Health Plan of Rhode Island (Neighborhood) is a not-for-profit health maintenance organization (HMO) founded in December 1993 in partnership with Rhode Island’s Community Health Centers and the state to ensure everyone in Rhode Island has access to high quality, cost-effective health care. Neighborhood serves over 221,000 members in the state with 82 percent of its membership Medicaid eligible through its ACCESS and TRUST plans and 6 percent of its membership utilizing Neighborhood’s INTEGRITY Medicare-Medicaid Plan (MMP). About 12 percent of Neighborhood’s members are individuals, families and small businesses who select one of eight Neighborhood commercial plans available through the health exchange, HealthSourceRI. Of these members, about 85 percent qualify for federal subsidies to cover a portion of their costs. Today, Neighborhood—with over 600 employees and $1.5 billion in revenue—serves one out of every five Rhode Islanders. Learn more at nhpri.org.