Harvard Pilgrim Health Care Home
  Learn more.
  Sign up for HPHConnect.
Medical Management
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Office Support
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
Print    Text Size

Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

October 2015

Harvard Pilgrim Rated 5 Out of 5 by NCQA

Harvard Pilgrim has once again been recognized by the National Committee for Quality Assurance (NCQA) for our commitment to clinical excellence, receiving a rating of 5 out of 5 for our private HMO/POS and PPO plans on their annual rating of private health plans. Our New Hampshire affiliate, Harvard Pilgrim Health Care of New England, was rated 4.5 out of 5 for its private HMO/POS plans.

"This rating continues our history of being one of the highest-ranked private health plans in America,” said Eric H. Schultz, president and chief executive officer of Harvard Pilgrim Health Care. “Thanks to strong partnerships with our doctors, hospitals, employers, brokers and, of course, our employees, we have successfully delivered on this promise and will continue setting the bar high for our members. In addition, we want to empower members to make the best health care decisions for themselves and their families by making cost and quality information more accessible.” 

The ratings are based on clinical quality as measured by The Healthcare Effectiveness Data and Information Set (HEDIS)®, a tool developed by NCQA to enable purchasers and consumers to make reliable comparisons of health care plan performance. For more information, please view Harvard Pilgrim’s press release.

*NCQA’s Private Health Insurance Plan Ratings 2015-16. NCQA’s Private Health Insurance Plan Rankings, 2011-15, HMO/POS/PPO.

Email this article to a colleague   

Network Matters Archives

Download printer-friendly version


Harvard Pilgrim Rated 5 Out of 5 by NCQA

Medicare Advantage Reminders: Expansion and Prior Authorization Policies

Harvard Pilgrim Offers Provider Support for ICD-10

Harvard Pilgrim Creates Benevera Health in New Hampshire

New HMO Product, Maine’s ChoiceSM, Offered for 2016

Connecticut Hearing Aid Mandate Expands Coverage

New Hampshire Premium Assistance Program: Medicaid Expansion

Medical Group Name to be Listed in Provider Directory


Reminder: Referral Procedure Change for Massachusetts Providers

New Medical Policy on Treatment of Uterine Fibroids

ADHD Diagnosis and Follow-up Care

Harvard Pilgrim Discontinuing Dispensing of C-II Opioids by Mail


2016 CPT and HCPCS codes


Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator