Paying Claims 2023-24 Edition

When comparing plans, small differences between scores are expected. The larger differences are important.

Paying Claims

  • (Worse)
  • (Better)
Sharp Health Plan - HMO 88%
Horizontal bar, 88 units
Blue Shield of California/Blue Shield Life - PPO 87%
Horizontal bar, 87 units
Horizontal bar, 86 units
Blue Shield of California - HMO 85%
Horizontal bar, 85 units
Western Health Advantage - HMO 84%
Horizontal bar, 84 units
Horizontal bar, 82 units
Kaiser Permanente - Northern California - HMO 82%
Horizontal bar, 82 units
UnitedHealthcare Insurance Co., Inc. - PPO 81%
Horizontal bar, 81 units
Kaiser Permanente - Southern California - HMO 80%
Horizontal bar, 80 units
Aetna - PPO 78%
Horizontal bar, 78 units
Health Net of California, Inc. - HMO 78%
Horizontal bar, 78 units
Health Net of California, Inc. - PPO 72%
Horizontal bar, 72 units
Aetna Health of California, Inc. - HMO Not enough data to score reliably
Anthem Blue Cross - HMO Not enough data to score reliably
Anthem Blue Cross - PPO Not enough data to score reliably
UnitedHealthcare of California - HMO Not enough data to score reliably
Score for top health plans nationwide  95%       
Score that ranks a health plan in the top 10% of all commercial health plans in the US.

Data Disclaimer  
The data source for data for the Report Cards is Quality Compass® 2023 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2023 includes Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors. NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass and HEDIS are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

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