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.

CenterState CEO

Other Member News

Broadway in Syracuse
July 26, 2024

TICKETS FOR CAMERON MACKINTOSH’S ACCLAIMED PRODUCTION OF BOUBLIL AND SCHÖNBERG’S LES MISÉRABLES WILL GO ON SALE JULY 29TH AT 10AM

This reborn dream of a production looks and sounds fresher than ever. Sends shivers of excitement racing down the spine - You emerge feeling stirred and exhilarated.

Logo for Dannible & McKee, LLP
July 25, 2024

Dannible & McKee, LLP Announces the Promotion of 18 Professionals

The commitment to excellence from these 18 professionals is well demonstrated, and we congratulate them on their achievements.

Park Strategies Managing Director Featured in syracuse.com Article on New York's Cannabis Industry Rollout
July 24, 2024

Park Strategies Managing Director Featured in syracuse.com Article on New York's Cannabis Industry Rollout

His advocacy, born from an understanding of coalition-building and decision-making, has been influential amid many regulatory challenges.

Forbes Best Employers for Women logo
July 23, 2024

Excellus BlueCross BlueShield Recognized by Forbes as One of America’s Best Employers for Women 2024

This award highlights the organization’s ongoing commitment to fostering a diverse and inclusive workplace where women can thrive and advance their careers.

Ashley McGraw Architects
July 23, 2024

Ashley McGraw Architects Acquires studioMLA Architects, A National Leader in Early Education Design

Founded in 2006, studioMLA Architects is recognized as a national leader in the design of early education facilities along with nature-inspired playscapes for young children.

Mike Becallo
July 23, 2024

Michael Becallo Joins Oswego Health as Community Relations Representative

Originally from Cicero, Becallo is well-routed in CNY and brings over 15 years of healthcare experience.

Kate Weidman, Deputy Executive Director, AURORA of CNY
July 19, 2024

AURORA of CNY Announces Leadership Changes

Weidman will transition into the role of Executive Director following the retirement of current Executive Director Debra Chaiken, ensuring a seamless succession in leadership.

Credit Score 101
July 17, 2024

Credit Score 101 - Everything You Need to Know

Understanding and managing your credit score is a key step towards achieving financial stability and success. 

Larry Bousquet
July 16, 2024

Crouse Health Board of Directors Welcomes Two New Members

The Crouse Health Board of Directors has appointed two new directors.