Measuring quality

We participate in a number of independent reports on quality of care and service so that our members and the public have reliable information to better understand the quality of care we deliver at Kaiser Permanente in the Mid-Atlantic States, as well as a way to compare our performance to other Mid-Atlantic health plans.
 

Regional quality performance

The National Committee for Quality Assurance (NCQA) is a private nonprofit organization that accredits and rates health care providers. The NCQA’s Health Insurance Plan Ratings are based on combined scores for health plans in Healthcare Effectiveness Data and Information Set®, commonly called HEDIS; the Consumer Assessment of Healthcare Providers and Systems®, or CAHPS; and NCQA Accreditation standards scores. We’re proud that Kaiser Permanente is recognized year over year as one of the nation’s finest for prevention, treatment, and consumer experience. Only 17 (1.6%) of the more than 1,000 health plans rated by NCQA receive a 5.0 rating, 106 (10.3%) achieved 4.5 stars or higher, and 375 (36.3%) achieved 4 stars or higher. With 6 of the 5-star ratings – three coming from the Mid-Atlantic States Region -- Kaiser Permanente has more than any other health plan for the sixth ratings cycle in a row.

 

Hospital quality measures

Plan Hospitals

Kaiser Permanente of the Mid-Atlantic States carefully selects local hospitals to partner with us in taking great care of you.

For more information, visit our provider directory or the hospital web sites.

 

Recognition

Kaiser Permanente has received the following acclaim from independent organizations:

Highest Possible Rating — Kaiser Permanente Medicare health plan is rated 5 out of 5 Stars in Maryland, Virginia, and Washington, D.C. for 2019.1

Among top 1% in nation — Out of more than 1,000 health plans evaluated this year, Kaiser Permanente of the Mid-Atlantic States was the only plan to receive the highest possible rating (5 out of 5) from the National Committee for Quality Assurance2 for every private, Medicare and Medicaid plan offered.

172 Doctors of Distinction — Washingtonian Magazine listed 172 Mid-Atlantic Permanente Medical Group physicians in 31 specialties its annual Top Doctors listing in its November 2018 issue.4

57 Top Doctors — Baltimore Magazine selected 57 Mid-Atlantic Permanente Group physicians in 52 specialties and subspecialties as 2018
“Top Doctors” from a survey of 13,000 physicians.3

140 Best of the Best — Northern Virginia Magazine named 140 Mid-Atlantic Permanente Medical Group physicians in its 2018 announcement of survey results from both a panel and peers.5

1Every year, Medicare evaluates plans based on a 5-star ratings system.

2NCQA evaluated over 1,000 health plans based on clinical performance, member satisfaction and NCQA Accreditation.

3The Baltimore magazine has been conducting an annual peer survey to identify physicians regarded as the best in their field for 32 years.

4The annual “Top Doctors” list in Washingtonian magazine represents the Washington Metropolitan area’s best physicians chosen by their peers.

5The annual “Top Doctors” list is compiled based on peer and panel recommendations. The physicians represented in the list include experts in dozens of medical specialties, from allergy to urology.

Regional quality performance reviewed by Susan Hardy, RN, MS, December 2021