2025 NCQA’s Medicaid Health Plan Ratings for 2025 – 4 out of 5 for second year in a row

OAKLAND, Calif., Oct. 8, 2025 /PRNewswire-HISPANIC PR WIRE/ — Blue Shield of California Promise Health Plan announced it has received a rating of 4 out of 5 in the National Committee for Quality Assurance’s (NCQA) Medicaid Health Plan Ratings for 2025.

Health plans are rated on a scale of 1 to 5 Stars with 5 out of 5 as the highest rating by the NCQA – which evaluates their clinical quality and member experience using HEDIS® and CAHPS® data. Blue Shield Promise is one of two Medi-Cal plans that received a rating of 4 out of 5 or better that serve both Los Angeles and San Diego counties. Blue Shield Promise received the same rating from the NCQA in 2024.

“Our rating underscores Blue Shield Promise’s deep commitment to clinical quality excellence, preventive care, and member experience,” said Kristen Cerf, president and CEO of Blue Shield Promise. “Achieving this level of performance for a second year in a row reflects the dedication and investments we’ve made to improve care delivery for our Medi-Cal members.”

Preventive care and clinical quality

The treatment and prevention and population health composite categories are where Blue Shield Promise performed well, emphasizing its commitment to the delivery of high-quality care that keeps members healthy and supported across every stage of life.

In the treatment composite category, Blue Shield Promise was rated 4.5 out of 5 Stars for behavioral health medication adherence and received high ratings for supporting members with behavioral health needs and opioid use disorders. One example, providing easy access to psychiatry services by allowing members to meet with their provider of choice on their own schedule.

Within the prevention and population health composite category, Blue Shield Promise was rated 4 out of 5 Stars for children and adolescent well-care, reflecting its commitment to providing important screenings through timely checkups, pediatric and adolescent vaccines, and other preventive services that support healthy growth and remove barriers to care for families.

Learn more about NCQA ratings.

About Blue Shield of California Promise Health Plan

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering the Managed Medi-Cal program. It is led by healthcare professionals with a “members-first” philosophy and is committed to supporting a quality network of providers and partnering with community organizations.  We serve about 580,000 members across Los Angeles and San Diego counties. It was also rated 4 out of 5 in NCQA’s Medicaid Health Plan Ratings 2024. For more information about Blue Shield of California Promise Health Plan, please visit www.blueshieldca.com/promise. For more news about Blue Shield of California Promise Health Plan, please visit promisenews.blueshieldca.com. Or follow us on LinkedIn. 

About NCQA
The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. NCQA Accredits and Certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA’s HEDIS® is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make informed health care choices.

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SOURCE Blue Shield of California Promise Health Plan