Excellus BCBS Medicaid HMO Among the Nation’s Best-Rated

Posted on September 20, 2023

Excellus BCBS logo

Excellus BlueCross BlueShield is one of just 13 health plans nationwide to earn 4.5 stars (out of a possible five) and accreditation for its Medicaid HMO from the National Committee for Quality Assurance. NCQA is a private, nonprofit organization dedicated to improving health care quality.

The good news continues for the upstate New York-based non-profit health insurer, as each plan offered by Excellus BCBS, including Medicaid, Medicare, and commercial health insurance, earned accreditation from NCQA.

“Across the board accreditation for our health insurance plans is a source of pride for our employees, and a consideration for consumers who are looking for the right health plan to meet their needs,” says Excellus BCBS Regional President Mark Muthumbi. “Whether a member is enrolled in one of our government programs like Medicaid or Medicare or has commercial coverage through their employer, they experience the same high level of service and care.” 

The following ratings (based on a five-star rating system) reflect 2022 health plan performance across all Excellus BCBS products:   

  • 4.0 stars Accredited - Commercial HMO/POS/PPO/EPO combined 
  • 4.0 stars Accredited - Medicare PPO
  • 4.0 stars Accredited - Medicare HMO
  • 4.5 stars Accredited - Medicaid HMO

NCQA ratings are based on a health plan’s combined HEDIS® and CAHPS® scores and NCQA accreditation status. Plans are also evaluated on quality of care, patient satisfaction, and the health plans' efforts toward continuous improvement.

Excellus BCBS, an independent licensee of the Blue Cross Blue Shield Association, is a nonprofit health plan with 1.5 million upstate New York members. The company's mission is to help people live healthier and more secure lives through access to high-quality, affordable health care. Its products and services include cost-saving prescription drug discounts, wellness tracking tools and access to telemedicine. With more than 4,200 employees, the company is committed to attracting and retaining a diverse workforce to foster innovation and better serve its members. It also encourages employees to engage in their communities by providing paid volunteer time off as one of many benefits.

Learn more about NCQA at https://www.ncqa.org/, and about Excellus BCBS at ExcellusBCBS.com.

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