Health Plan Technical Information


Maryland Health Care Commission (MHCC) is committed to promoting improvements in health care by reporting on the quality and performance of health benefit plans operating in the State of Maryland. In 1997, Maryland became the first state in the nation to release a comprehensive health benefit plan “report card” that contained audited data on health maintenance organizations (HMOs). In 2008, Maryland was again the first state to provide consumers with audited, comparative analyses of clinical and member satisfaction measures for preferred provider organizations (PPOs). Health plans in this guide are rated using a 5-star scale. There are three individual measurement areas used in calculating this star rating: HEDIS, CAHPS, and behavioral health (BHA).

HEDIS Ratings

CAHPS Ratings

BHA Ratings