Blue Cross & Blue Shield of Rhode Island

09/16/2024 | Press release | Archived content

Blue Cross & Blue Shield of Rhode Island earns rating of 4.5 out of 5 from National Committee for Quality Assurance

Sep 16, 2024

Blue Cross & Blue Shield of Rhode Island earns rating of 4.5 out of 5 from National Committee for Quality Assurance

PROVIDENCE, R.I. (Sept. 16, 2024) -Blue Cross & Blue Shield of Rhode Island (BCBSRI) has attained a rating of 4.5 out of 5 from the National Committee for Quality Assurance (NCQA) for its Preferred Provider Organization (PPO) plans, placing it among the highest rated plans in the country.

BCBSRI is among just 12 of 327 rated PPO plans across the country to attain a score of 4.5 or higher in NCQA's commercial Health Plan Ratings for 2024. BCBSRI has achieved a 4.5 score every year since the ratings began in 2015.

"We take great pride in consistently joining a small but select group of plans across the country to attain such a high rating. Our exemplary score reflects our collaborative relationship with providers, who help ensure that our members are getting the right care, at the right time and in the right place," said Dr. Farah Shafi, M.D., chief medical officer for BCBSRI. "We are committed to providing high-quality, affordable, and equitable healthcare to our members, and this rating tells us we are continuing to deliver on that commitment."

BCBSRI's rating signals that the service and clinical quality of BCBSRI's commercial PPO has met NCQA's highest standards for consumer protection and quality improvement.

Earlier this year, NCQA awarded BCBSRI Health Equity Accreditation for its commercial health plans, recognizing the insurer's efforts to reduce health disparities and promote health equity for its members and the communities it serves. BCBSRI is the only Rhode Island health insurer to achieve NCQA Health Equity Accreditation for commercial health plans.

About NCQA

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® (Health Care Effectiveness Data and Information Set) 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 informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, and on LinkedIn in at Linkedin at linkedin.com/company/ncqa.