HEALTHmattersMD

In their annual Medicaid Health Plan Ratings report, the National Committee for Quality Assurance (NCQA) awarded HPSM’s Medicaid (Medi-Cal) line of business 4.5 out of 5 stars. This represents an improvement of half a star for HPSM since 2023, when NCQA named HPSM one of California's top-rated Medicaid Plans. 

NCQA accreditation is the healthcare industry’s “seal of approval,” indicating that HPSM meets the highest quality standards. 4.5 out of 5 stars is the highest rating any Medicaid (Medi-Cal) plan achieved this year. NCQA calculates Health Plan ratings using each plan’s comparative performance on a number of quality of care and member experience metrics and accreditation status. Out of 201 plans with a numeric rating, only 14 earned a 4.5. This is further recognition that HPSM’s service and clinical quality meets or exceeds rigorous requirements for consumer protection and quality improvement.   

HPSM CEO Patrick Curran said that “Being one of the highest-rated Medicaid plans in the nation demonstrates our commitment to continuous quality improvement. Achieving high ratings across many categories of patient experience, prevention, equity and treatment helps ensure our members have access to high-quality health care in our community.” 

Each year, NCQA rates more than 1,000 health plans in all 50 states, U.S. territories and the District of Columbia. The results are then posted to NCQA’s Health Plan Report Cards website to help consumers, employers and others better understand the quality of care health plans provide to their members.