Quality In Numbers

Customer-Driven Performance

98%

member retention rate

96.5%

issues resolved by Customer Service representatives on the first call

90%

claims processed within 16.1 working days

85%

of our employer groups stay with us from year to year

88.9%

providers very satisfied with Health Alliance

NCQA Rankings

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 2015 to 2016.

Our Medicare HMO in Illinois was rated 4.5 out of 5 nationally.

Our Medicare HMO in Iowa was rated 4.5 out of 5 nationally.

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 Star Ratings

For 2017, our Medicare Advantage plans received these ratings from the Centers for Medicare & Medicaid Services (CMS):

Health Alliance Medicare HMO Plans in Illinois: Star Ratings Flier | Calificaciones por Estrellas Medicare

Health Alliance Medicare Guide HMO Plans: Star Ratings Flier | Calificaciones por Estrellas Medicare

Health Alliance Medicare Companion HMO Plans: Star Ratings Flier | Calificaciones por Estrellas Medicare

Health Alliance Medicare Pioneer HMO Plans: Star Ratings Flier | Calificaciones por Estrellas Medicare

Health Alliance Medicare SignalAdvantage HMO Plans: Star Ratings Flier | Calificaciones por Estrellas Medicare

Reid Health Alliance Medicare HMO Plans: Star Ratings Flier | Calificaciones por Estrellas Medicare

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®

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 2016.

See the detailed structure of our Quality Management Program.