4-Star Accreditation for Customer Satisfaction!
New for 2021: WHA ranks in the top 5 in Customer Satisfaction among 21 California health plans in the recently released National Committee for Quality Assurance (NCQA) ratings for 2021. Western Health Advantage earned an accreditation score of 4 stars, based on what patients say about their health plans in satisfaction surveys, including claims processing and customer service.
The NCQA Health Insurance Plan Ratings provide consumers with a picture of how health insurance plans perform in key quality areas of consumer satisfaction, prevention, and treatment. The ratings of three major performance categories – patient experience, prevention, and treatment – with the greatest importance to health outcomes and consumer satisfaction.
WHA also ranked highly in the overall rating, earning a 4.0 score. The NCQA ratings blend dozens of quality indicators for health plans into a simple scale from 1-5, where 1 indicates lower performance and 5 indicates higher performance. NCQA Health Insurance Plan Ratings are available on NCQA’s website.
Rated Highly for Quality Health Care
According to the 2017-18 Qualified Health Plan Enrollee Experience Survey:
- 80.22% of WHA members reported getting care easily and quickly through their health plan
- 88.69% of WHA members gave their personal doctor or specialist an overall rating of 8,9 or 10, on a 0 to 10 scale
- 87.44% of WHA members gave their specialist an overall rating of 8,9 or 10 on a 0 to 10 scale. (Source: Office of the Patient Advocate)
2016 QHP Enrollee Survey
The Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey) was designed to collect accurate and reliable information from consumers about their experience with the health care they received through Health Insurance Marketplace Qualified Health Plans (QHPs). The survey includes a set of core questions that address key areas of care and service, with some questions grouped to form composites. The QHP Enrollee Survey was fielded nationally for the first time by HHS-approved survey vendors in 2015 and 2016 by HHS-approved survey vendors using a standardized protocol to facilitate QHP comparison both within and across Marketplaces.
Providers Recommend WHA
94% of our providers would recommend Western Health Advantage to other physicians.
Source: 2020 Provider Satisfaction Survey.
2020 Provider Satisfaction Survey
WHA conducts an annual provider satisfaction survey to determine how well WHA is doing. Participating providers are randomly selected to participate. The survey provides an opportunity for providers to share their opinions about the programs and administration of the plan.
2017 Health Insurance Company Quality Rating (based on 2016 data), California Health Benefit Exchange can be viewed at coveredca.com