National Committee for Quality Assurance awards health plan 4 stars out of 5 stars, rating Orange County health plan among the best for the ninth year in a row
ORANGE, Calif. (September 15, 2023) — CalOptima Health is pleased to announce its rating of 4 stars out of 5 stars in the National Committee for Quality Assurance’s (NCQA) Medicaid Health Plan Ratings 2023. This is the ninth year in a row that CalOptima Health is among the top plans in the state, representing sustained leadership in serving its Medi-Cal insured members. CalOptima Health provides health insurance to about 980,000 individuals, which represents nearly 1 in 3 Orange County residents.
“CalOptima Health is committed to serving members with dignity and respect through its broad network of physicians, hospitals and health care providers,” said Michael Hunn, CEO of CalOptima Health. “We don’t work alone, and we thank our caregiver partners and community clinic providers for their ongoing dedication to quality care. Orange County is fortunate to have such a supportive community focused on improving the lives of CalOptima Health’s low-income and vulnerable population.”
This latest NCQA rating measured performance in 2022 and is based on standardized, audited data regarding clinical performance and member satisfaction. NCQA assesses Medicaid plan quality based on 45 clinical measures, including preventive services to keep members healthy and treatments in response to illnesses and chronic diseases. NCQA also evaluates a plan based on customer satisfaction.
“Medi-Cal is changing to encompass serving the whole person,” said Richard Pitts, D.O., Ph.D., Chief Medical Officer. “Our latest programs are doing more to support members beyond medical settings to connect them to the community resources they need. Comprehensive care matters for everyone in Orange County. If you’re not a CalOptima Health member, your friends and neighbors are.”