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Providence Health Plan earns 4-stars from NCQA

26 septiembre 2025

Providence Health Plan’s Commercial and Medicare Advantage plans have earned 4-star ratings from the National Committee for Quality Assurance (NCQA) in its 2025 Health Plan Ratings, placing us in the top 32% of health plans nationwide.

These ratings reflect our commitment to delivering high-quality care and supporting the health and well-being of our members.

What the NCQA ratings mean

NCQA evaluates health plans based on:

• Quality of care members receive

• Member satisfaction

• Health plans’ efforts to improve care and outcomes

Ratings are based on nearly 50 measures, including HEDIS® scores and the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey. These assessments track patient experience and outcomes across a wide range of services.

Leading in chronic condition care

Providence Health Plan stood out as the only accredited Commercial plan in Oregon to earn a 4.5-star rating in diabetes management – the highest in the state. Our Commercial plans also earned 4-star ratings in:.

• Heart disease management

• Cancer treatment

• Behavioral health care

These results place us among the top-performing health plans in Oregon, alongside peers such as Cigna and Moda. Nationally, only eleven plans earned a perfect five-star rating, underscoring the rigor of NCQA’s standards.

Why it matters

According to NCQA, these ratings help healthcare consumers make informed choices and encourage health plans to focus on quality, equity, and accountability. We’re proud to be recognized for our efforts to improve care and outcomes for our members.