Capital Health Plan Honored as NCQA’s Highest-Ranked Health Plan in Florida

Capital Health Plan has once again been recognized among the very best health plans in the nation; honored as the best health plan in Florida for the ninth year in a row. In its annual ranking of health plans across America, the National Committee for Quality Assurance (NCQA) also gave Capital Health Plan’s Medicare Advantage Plan the highest ranking in Florida and one of the top rankings in the nation.

“Capital Health Plan is again honored to be ranked as the top plan in Florida,” said Dr. Nancy Van Vessem, Capital Health Plan Chief Medical Officer. “We are constantly striving for excellence, and it is a joy and a privilege when the experts of our industry say we are indeed succeeding.”

NCQA has been releasing national rankings since 2005 and each year Capital Health Plan is acknowledged among the highest-ranked.  According to the “NCQA’s Private Health Insurance Plan Rankings 2013-2014,” Capital Health Plan’scommercial plan is the top private plan in Florida and the fifteenth in the country.  Capital Health Plan’s Medicare Advantage HMO plans were also deemed the best in Florida, and earned a national ranking of six in “NCQA’s Medicare Health Insurance Plan Rankings 2013-2014” national assessment.

“Capital Health Plan is very proud of the high rankings we have earned for the past nine years and the tremendous support we have received from our members and this community,” said John Hogan, CEO of Capital Health Plan. “The NCQA rankings reflect the dedication and hard work our staff and medical community exhibit every day. This prolonged success is obviously attributed to them.”

NCQA uses scores from HEDIS®, CAHPS® and NCQA Accreditation standards to calculate plan rankings. These scores reflect the results of consumer surveys and the plan’s success in prevention and treatment of medical conditions as compared to other plans. Dr Van Vessem remarked, “Our goal is to provide high quality, affordable healthcare which is supported by a low administrative overhead of 4 percent. The dollars largely stay in our regional community to pay for the healthcare needs of our members.”

Since 2001, Capital Health Plan has also maintained an Excellent Accreditation rating from NCQA. Capital Health Plan currently holds an Excellent status for both its Commercial HMO and Medicare HMO plans, meaning Capital Health Plan met or exceeded NCQA’s rigorous requirements for consumer protection and quality improvement.  Capital Health Plan has held the Excellent accreditation status for 12 years.

Capital Health Plan’s commitment to member satisfaction shows in the outstanding results of member surveys. Those surveys show high satisfaction with Members Rating of Health PlanandMembers Rating of Health Care.

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. For more information on NCQA rankings, visit