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CDPHP Hits High Quality Homerun in NCQA Ratings



CDPHP hits a high quality homerun in recent NCQA Health Insurance Plan Ratings. The health plan is rated among the top plans New York state, as well as the nation, in the areas of consumer experience, prevention, and treatment, and is the only Medicaid plan in New York state rated 4.5 out of 5.

“At CDPHP, high-quality care and superior customer service are a way of life. We don’t know how to do it any other way,” said John D. Bennett, MD, president and CEO, CDPHP. “These ratings are direct reflection of a daily commitment to our members and serve as an important tool for consumers shopping for health care coverage this fall,” added Bennett.

NCQA rates plans on a scale of 1 to 5, where 5 is the highest score and 1 is the lowest. Plans were scored on consumer experience, prevention, and treatment, as well as NCQA accreditation.

Below is a breakdown of how all CDPHP plans are rated for 2018-2019:

  • Capital District Physicians’ Health Plan, Inc. – Medicaid (HMO) – 4.5 out of 5

  • Capital District Physicians’ Health Plan, Inc. – Medicare (HMO) – 4.5 out of 5

  • Capital District Physicians’ Health Plan, Inc. – Commercial (HMO) – 4.5 out of 5

  • CDPHP Universal Benefits, Inc. – Commercial (PPO) – 4.5 out of 5

  • Capital District Physicians’ Healthcare Network – Self-Funded (PPO) – 4.5 out of 5

  • Capital District Physicians’ Healthcare Network Commercial (HMO/POS) – 4.5 out of 5

National Committee for Quality Assurance (NCQA) is a private, non-profit 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® 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 more informed health care choices.

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