MADISON, WISCONSIN, September 16, 2022 – Group Health Cooperative of South Central Wisconsin (GHC-SCW) announces it has achieved a 4.5 out of 5 rating according to the National Committee for Quality Assurance’s (NCQA) Private Commercial Health Insurance Plan Ratings for 2022.
Of 536 health plans nationally reporting partial or full data to NCQA, only 36 plans received a 4.5 rating, putting GHC-SCW in the top 10% of plans nationally. No other plans in Wisconsin ranked higher.
“We’ve made it our mission to continually innovate and improve for our members,” said Dr. Mark Huth, GHC-SCW Chief Executive Officer. “We’ve earned an ‘excellent’ accreditation status for 27 years from NCQA and regard the ratings as a kind of ‘People’s Choice Award,’ because they represent direct feedback from our members about their experiences at GHC. And that’s why all 800+ of us get out of bed in the morning – to provide superb care to our members.”
NCQA ratings compare the quality and services of health plans in the United States and provides information on their website to help consumers, employers and others make better informed health care choices.
The ratings aggregate three major performance categories:
- Patient Experience: What patients say about their health plans in satisfaction surveys, including about claims processing and customer service.
- Prevention: Checkups, tests and other care that keeps people-especially children-healthy.
- Treatment: How consistently a plan provides scientifically recommended care for common, costly conditions such as diabetes, depression, and heart disease.
GHC’s unique money-back guarantee – ensuring a positive experience in our clinics – set a new standard for primary care delivery, and one that fuels constant innovation and service upgrades.
“The guarantee was one way for us to affirm our commitment to exceptional care, but also to put the verdict in the hands of our members,” Huth said. “If we fail you, you won’t pay for that experience. And in the four years since implementing the guarantee, we haven’t failed very often.”
NCQA’s complete rating summary can be found here.
About NCQA
National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used performance measurement tool in health care. NCQA’s Web site (ncqa.org) contains information to help consumers, employers and others make more informed health care choices.
About GHC-SCW
Group Health Cooperative of South Central Wisconsin (GHC-SCW) is Wisconsin’s first and Dane County’s only member-owned, non-profit health care cooperative. With the largest primary care network in Dane County, the Cooperative has more than 83,000 members and serves the greater Dane County area and the South Central Wisconsin region with insurance and clinical services. GHC-SCW is the first health plan in Wisconsin to offer patients a money-back guarantee if they are not satisfied with their experience at a GHC-SCW clinic. GHC-SCW is perennially a national leader for quality. In 2022, GHC-SCW achieved a rating of 4.5 out of 5 among commercial plans; no other health plan in Wisconsin scored higher, according to the National Committee for Quality Assurance (NCQA). To learn more about GHC-SCW, visit ghcscw.com.
