Quality In Numbers
issues resolved by Customer Service representatives on the first call
claims processed within 19 working days
of our employer groups stay with us from year to year
providers very satisfied with Health Alliance
Health Alliance Medical Plans' Medicare is one of the highest-rated health insurance plans in the nation according to the NCQA's Medicare Health Insurance Plan Ratings 2017 to 2018.
NCQA is a nonprofit organization dedicated to improving our nation’s health care system. Since its founding in 1990, NCQA has been a central figure in health care improvement, and its seal is a widely recognized symbol of quality and service.
Our Medicare HMO in Illinois was rated 4.0 out of 5 nationally.
Our Medicare HMO in Washington was rated 3.0 out of 5 nationally.
Our Star Ratings
For 2018, our Medicare Advantage plans received these ratings from the Centers for Medicare & Medicaid Services (CMS):
Medicare evaluates plans based on a 5-star rating sytem. Star Ratings are calculated each year and may change from one year to the next.
Quality Improvement Program
Our Quality Improvement (QI) Program drives our accomplishments, setting aside time and resources to improve care and service for members. Whether it’s reviewing how well a procedure works or making our appeal process more simple, our QI Program focuses on getting better.
Learn more about our QI Program.
HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures designed to ensure purchasers and consumers have the information they need to reliably compare health care quality. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS, the performance measurement tool used by more than 90% of the nation’s health plans.
View our Complete HEDIS Score Report for 2017.
See the detailed structure of our Quality Management Program.