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March 24, 2006

Health Plan ranked highest in state

UPMC Health Plan is the highest ranked health plan in Pennsylvania, based on information compiled by the National Committee for Quality Assurance (NCQA). The ranking is a restatement of a list that was published last October by U.S. News & World Report.

The magazine used NCQA data to compile and publish a list of America’s Best Health Plans. On March 2, NCQA announced that errors resulted in inaccurate rankings as published in the magazine. The restatement also resulted in the Health Plan’s being ranked 20th in the nation. More than 257 companies were ranked.

The top plans were determined by measures established by the Health Plan Employer Data and Information Set (HEDIS). HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans.

NCQA said it erred in placing too little weight on clinical measures, such as the percentage of members in a health plan who received diabetic eye exams, the rate of children who received immunizations, and the rate of women who received mammograms.

UPMC for You, the Health Plan’s Medical Assistance product, retained its fifth place national ranking.

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