Quality In Numbers

Customer-Driven Performance

85.6%

member retention rate

99.8%

issues resolved by Customer Service representatives on the first call

90%

claims processed within 19 working days

85%

of our employer groups stay with us from year to year

96.4%

providers very satisfied with Health Alliance

J.D. Power

We have earned “Highest Member Satisfaction among Commercial Health Plans in the Illinois/Indiana Region” in the J.D. Power 2017 Member Health Plan StudySM.

Our commitment to integrated care means seamlessly connecting the doctors, services and treatments our members need, resulting in the high-quality care they deserve.

The Member Health Plan Study measures satisfaction among members of 168 health plans in 22 regions throughout the U.S. by examining 6 key factors:

  • Coverage and benefits
  • Provider choice
  • Information and communication
  • Claims processing
  • Cost
  • Customer service

Health Alliance Medical Plans received the highest numerical score among 8 commercial health plans in the Illinois and Indiana regions in the J.D. Power 2017 Member Health Plan Study, based on 33,624 total responses, measuring experiences and perceptions of members surveyed January 2017–March 2017. Your experiences may vary. Visit jdpower.com.

NCQA Rankings

Health Alliance Medical Plans' rankings according to the NCQA's Private Health Insurance Plan Rankings 2015-2016 are:

Our Private HMO/POS plan in Illinois was rated 4.0 out of 5 nationally.

Our Private PPO plan in Illinois was rated 3.5 out of 5 nationally.

Our Private HMO/POS plan in Iowa and Nebraska was rated 4.0 out of 5 nationally.

Our Private PPO plan in Iowa and Nebraska was rated 3.5 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.

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.

Our HEDIS® Score

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.