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AmeriHealth Caritas Louisiana Improves NCQA Medicaid Health Insurance Plan Rating

AmeriHealth Caritas Louisiana, a Healthy Louisiana Medicaid managed care health plan and part of the AmeriHealth Caritas Family of Companies, received a rating of 3.5 out of 5 in the National Committee for Quality Assurance’s (NCQA’s) Medicaid Health Insurance Plan Ratings 2018 – 2019. This is an improvement from its 3 out of 5 rating in NCQA’s Medicaid Health Insurance Plan Ratings 2017-2018.

AmeriHealth Caritas Louisiana earned its 3.5 out of 5 rating based on results from the Healthcare Effectiveness Data and Information Set (HEDIS®), a tool that measures performance on important dimensions of care and service, as well as the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which measures members’ satisfaction with their overall health care experience.

In addition to its 3.5 out of 5 overall rating, AmeriHealth Caritas Louisiana received a 4.5 out of 5 rating for Consumer Satisfaction.

“Having this validation from an independent party such as NCQA helps members know they’ve chosen a quality health plan,” said AmeriHealth Caritas Louisiana Market President Kyle Viator. “The evaluation process for NCQA’s Health Insurance Plan Ratings includes rigorous standards, and health plans are rated based on objective analysis that includes review of our work and feedback from our members. Receiving an increased score this year says a lot about the daily dedication of our associates and network providers to putting the needs of our members first.”

“Our improved score is a direct reflection of how well our health plan manages all parts of the health care delivery system – from physicians to hospitals, other providers and administrative services – in order to continuously improve the quality of care and service provided to our members,” said AmeriHealth Caritas Louisiana Quality Director Mary Scorsone.

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA's HEDIS is the most widely used performance measurement tool in health care. NCQA's website (www.ncqa.org) contains information to help consumers, employers, and others make more informed health care choices.

About AmeriHealth Caritas Louisiana

AmeriHealth Caritas Louisiana is one of five Medicaid managed care plans that participate in the Healthy Louisiana program. AmeriHealth Caritas Louisiana helps Louisiana families get proper care and stay well. AmeriHealth Caritas Louisiana works with communities in need to achieve positive health outcomes throughout the state.   

About AmeriHealth Caritas Family of Companies

AmeriHealth Caritas is part of the Independence Health Group in partnership with Blue Cross Blue Shield of Michigan. AmeriHealth Caritas is one of the nation’s leaders in health care solutions for those most in need. Operating in 15 states and the District of Columbia, AmeriHealth Caritas serves approximately 5.3 million Medicaid, Medicare and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience serving low-income and chronically ill populations.