Rdan asks a poignant question…idealogy or performance based quality?

US News magazine reported their listing of the best healthplans in the US based upon multiple criterion, which readers can peruse on their site. I was surprised that the health plans I was familiar with were rated the best.

The Honor Roll recognizes the very best of the hundreds of commercial, Medicare, and Medicaid managed-care plans reviewed for this year’s U.S. News health plan rankings. Plans were scored from 0 to 100 based on data collected and analyzed by the National Committee for Quality Assurance, managed care’s major accrediting and standards-setting body.

Best commercial plans
Rank Plan Type Score
1 Harvard Pilgrim Health Care Maine, Mass. HMO/POS 91.7
2 Tufts Associated Health Maintenance Organization Mass., N.H., R.I. HMO/POS 90.8
3 Harvard Pilgrim Health Care of New England N.H. HMO/POS 90.6
4 Blue Cross and Blue Shield of Massachusetts Mass. HMO/POS 89.0
5 ConnectiCare Conn. HMO/POS 88.9
6 Health Net of Connecticut Conn. HMO/POS 88

Best Medicare plans
Rank Plan Type Score
1 Fallon Community Health Plan Mass. HMO 86.4
2 Blue Cross and Blue Shield of Massachusetts Mass. HMO 86.0
3 Tufts Associated Health Maintenance Organization Mass. HMO 85.8

Best Medicaid plans
Rank Plan Type Score
1.Fallon Community Health Plan Mass. HMO 90.0
2.Neighborhood Health Plan of Rhode Island R.I. HMO 88.7

Tufts Health Plans and Harvard Pilgrim Health Plans are both non-profit run companies. Their Ceo bonuses have not been a billion dollars.