Plan Quality Rating
Health Insurance Ratings
Published November, 2015
The Arkansas Insurance Department evaluated the quality of health insurance available to Arkansans through the Health Insurance Marketplace at healthcare.gov. The insurance companies have been evaluated on a rating scale of 0% – 100%, with a higher score meaning a higher quality rating.
Click here for a PDF version with further explanation
Patient Experience Rating
These ratings are the result of a statewide survey of Arkansas patients, which asked how they felt about the care they received from their doctors and their health insurance provider.
| CATEGORY RATINGS | OVERALL RATING | ||||
| HEALTH INSURANCE PROVIDER | Provider Quality | Access to Care | Customer Service | Value of Plan | Overall Patient Experience |
| Arkansas Blue Cross & Blue Shield | 79% | 87% | 91% | 67% | 76% |
| Celtic Insurance Company | 79% | 87% | 89% | 66% | 76% |
| QCA Health Plan, Inc. | 83% | 83% | 87% | 63% | 73% |
| QualChoice Life & Health Insurance Company, Inc. | New Market Entrant. Data Not Yet Available. | ||||
| UnitedHealthcare of Arkansas, Inc. | New Market Entrant. Data Not Yet Available. |
Recommended Care Provided Rating
These ratings are based on medical information from patient encounters with a doctor or a hospital. The measures focus on: 1) Whether the correct tests were given to the correct patients, and 2) Whether medications were properly managed, and 3) The quality of any follow-up care.
| CATEGORY RATINGS | OVERALL RATING | ||
| HEALTH INSURANCE PROVIDER | Behavioral Health & Mental Health | Chronic Illness Management | Overall Recommended Care Provided |
| Arkansas Blue Cross & Blue Shield | 59% | 81% | 75% |
| Celtic Insurance Company | 59% | 73% | 69% |
| QCA Health Plan, Inc. | 88% | 83% | 85% |
| QualChoice Life & Health Insurance Company, Inc. | New Market Entrant. Data Not Yet Available. | ||
| UnitedHealthcare of Arkansas, Inc. | New Market Entrant. Data Not Yet Available. |