Quality In Numbers

Customer-Driven Performance

91.7%

member retention rate

99.6%

issues resolved by Customer Service representatives on the first call

90%

claims processed within 16.1 working days

70%

of our employer groups stay with us from year to year

88.9%

providers very satisfied with Health Alliance

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.