UnitedHealthcare Community Plan of Rhode Island recognized by NCQA

UnitedHealthcare Community Plan of Rhode Island is committed to providing equitable, high-quality care for Medicaid populations. In 2024, the health plan achieved an impressive 4.5-star rating from the National Committee for Quality Assurance (NCQA), placing it among the highest-rated Medicaid health maintenance organizations (HMOs) in the state.

Having earned NCQA Health Equity Accreditation as well, UnitedHealthcare Community Plan of Rhode Island continues to prioritize the health and well-being of underserved populations. The 4.5-star NCQA rating highlights the plan's ongoing efforts to improve health outcomes, increase patient satisfaction and deliver care that is both effective and equitable.

NCQA star rating

The health plan's 4.5-star rating reflects excellence across several key areas¹:

• Patient experience: The health plan received high marks for delivering a positive member experience emphasizing easy and quick access to care.
• Prevention/equity: UnitedHealthcare Community Plan of Rhode Island’s focus on equity ensures all Medicaid members receive the care they need, regardless of socioeconomic or demographic barriers. The plan excelled in child and adolescent immunizations, BMI percentile assessment and post-partum care.
• Behavioral care coordination: Recognizing the importance of mental health, the plan excelled in coordinating behavioral health services, ensuring members receive comprehensive and integrated care.
• Heart Disease: Patients had their high blood pressure under control.
• Diabetes: Patients with diabetes received eye exams and maintained their blood sugar level below 8%.

Commitment to excellence

UnitedHealthcare Community Plan of Rhode Island’s success against these metrics highlights its dedication to improving the quality of care for Medicaid beneficiaries. The NCQA rating is a reflection of the plan's strategic focus on health equity, patient satisfaction and coordinated care. As the health plan continues to enhance its services, it remains committed to driving positive health outcomes and making a meaningful impact in the lives of Rhode Island’s Medicaid population. Learn more about the health plan’s efforts to improve the care experience for its members by visiting the plan’s webpage.