WellCare Health Plans of New Jersey, Inc., a WellCare Health Plans, Inc. (NYSE: WCG) company, rated among the top Medicaid plans in the state, according to the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Ratings 2018-2019.
NCQA, a nonprofit organization dedicated to improving healthcare quality, publicly released its 2018-19 Health Insurance Plan Ratings at healthinsuranceratings.ncqa.org. The annual report rates more than 1,000 commercial, Medicaid and Medicare plans based on consumer satisfaction, prevention and treatment.
NCQA evaluated WellCare's clinical performance based on three areas: consumer satisfaction, prevention and treatment. WellCare received an overall score of 3.5 out of 5—the highest score achieved in the state in 2018. Among the other highlights, WellCare earned 5 out of 5 in public health categories such as ensuring proper treatment of chronic obstructive pulmonary disease (COPD) and diabetes testing for certain behavioral health patients and scored 4 out of 5 in several preventive and treatment areas, including children's dental visits, glucose control and antibiotic use in children.
"WellCare is honored to be recognized as one of the top Medicaid plans in our state," said John Kirchner, WellCare's state president in New Jersey. "These ratings demonstrate WellCare's investments in quality are helping our members in New Jersey access the right care, at the right time, when they need it most, and reinforces our continued commitment to help our members live better, healthier lives."
WellCare Health Plans of New Jersey's Medicaid plan has also achieved an Accreditation status of "Accredited" from NCQA.
About NCQA RatingsNCQA ratings are based on three types of quality measures: measures of clinical quality from NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®); measures of consumer satisfaction using Consumer Assessment of Healthcare Providers and Systems (CAHPS®); and results from NCQA's review of a health plan's health quality processes (i.e., performance on NCQA accreditation standards). NCQA rates health plans that report quality information publicly. For a more detailed review of the latest NCQA health insurance plan ratings report, visit: http://healthinsuranceratings.ncqa.org/2018/search/Medicaid/NJ.
About NCQANational 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 Web site (www.ncqa.org) contains information to help consumers, employers and others make more informed health care choices.
About WellCare Health Plans, Inc. Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 1, 2018. For more information about WellCare, please visit the company's website at www.wellcare.com.
