Blue Shield of California Promise Health Plan Achieves Prestigious 4 Star Rating for Two Consecutive Years
Blue Shield of California Promise Health Plan's 4 Star Rating Success
On October 8, 2025, Blue Shield of California Promise Health Plan announced an impressive achievement: it secured a rating of 4 out of 5 stars in the National Committee for Quality Assurance (NCQA) Medicaid Health Plan Ratings for 2025. This marks the second consecutive year the organization has received such a commendation, underscoring its ongoing commitment to excellence in health care quality and member experiences.
The NCQA employs strict standards to evaluate health plans, grading them on a scale from one to five stars, with five being the highest possible score. Their ratings consider various factors, including clinical quality and member satisfaction, derived from comprehensive data such as HEDIS® and CAHPS®. Blue Shield Promise is among the select few Medi-Cal plans that cater to both Los Angeles and San Diego counties to achieve a rating of 4 stars or better.
Kristen Cerf, the president and CEO of Blue Shield Promise, expressed enthusiasm about the rating. She stated, "Our rating underscores Blue Shield Promise's deep commitment to clinical quality excellence, preventive care, and member experience. Achieving this level of performance for a second year reflects the dedication and investments we've made to improve care delivery for our Medi-Cal members." This statement highlights the organization's focused efforts to enhance care delivery and prioritize the health of its members.
Focus on Preventive Care and Clinical Quality
The evaluation revealed that Blue Shield Promise excelled particularly well in the categories concerning treatment, as well as prevention and population health. The organization demonstrated a strong commitment to delivering superior quality care that ensures members remain healthy and supported at all life stages.
In the treatment category, Blue Shield Promise achieved an impressive score of 4.5 stars for its efforts in promoting adherence to behavioral health medication. This score reflects the plan's supportive approach toward members grappling with behavioral health challenges and opioid use disorders, emphasizing easy access to psychiatric services tailored to individual member needs.
Furthermore, in the prevention and population health composite category, the plan scored 4 stars for providing well-care services to children and adolescents. The rating reflects a commitment to ensuring timely checkups, vaccinations, and other preventive services that are vital for healthy growth while eliminating barriers to necessary care for families.
For individuals interested in understanding the intricacies of NCQA ratings, further detailed information is available, showcasing how health plans are assessed in various areas.
About Blue Shield of California Promise Health Plan
The Blue Shield of California Promise Health Plan operates as a managed care organization and is wholly owned by Blue Shield of California. It is dedicated to the Managed Medi-Cal program, driven by health care professionals who uphold a
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