Neighborhood Health Plan of Rhode Island Ranked #1 Medicare-Medicaid Health Plan in the Nation

Based on recently released national consumer health survey rates from Centers for Medicare & Medicaid Services

March 25, 2024 (Smithfield, RI) – Neighborhood Health Plan of Rhode Island (Neighborhood) has been rated the top Medicare-Medicaid Health Plan (MMP) in the nation, with an overall rating of 91 out of 100, according to the Centers for Medicare & Medicaid Services (CMS), which measures consumer experience in multiple ways, including through beneficiary surveys such as the Consumer Assessment of Healthcare Providers and Systems (CAHPS).

CMS evaluated plans with at least 600 enrollees as of July 1 of the preceding calendar year with the most recent data based on 2023 results. Twenty-eight plans reported results to CMS. Each plan’s survey comprises nearly identical questions related to access to care, care coordination, and the quality of care provided. The questionnaires also included several “member overall” questions that asked individuals to rate their plan based on a 0 to 10 scale, 0 being the lowest and 10 the highest, for the following criteria: rating of health plan, rating of health care quality and rating of drug plan.

“Neighborhood is proud to receive this ranking as the top health plan for MMP in the nation. The high rating we received reflects the tireless efforts of our employees and the healthcare professionals we work in partnership to provide the highest-quality care for our members,” said Peter Marino, President and CEO.

Neighborhood serves more than 220,000 Rhode Islanders, with more than 13,000 enrolled in its INTEGRITY MMP for dual eligible individuals. For more information about Neighborhood, visit nhpri.org.

About Neighborhood:
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 220,000 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). More than 12 percent of Neighborhood’s members represents individuals, families and small businesses who select one of 15 Neighborhood commercial plans available through the health exchange, HealthSource RI. Of these members, about 85 percent qualify for federal subsidies to cover a portion of their costs. Today, Neighborhood—with nearly 650 employees and $1.8 billion in revenue—serves one out of every five Rhode Islanders. Learn more at nhpri.org.

###