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National Committee for Quality Assurance (NCQA) is a widely recognized, evidence-based program dedicated to quality assurance and patient safety. Achieving NCQA Accreditation has become a gold standard for healthcare organizations striving for excellence and alignment with both state and federal regulations. Oscar is proud to have NCQA Accreditation status for all of our operating state health plans and additional Accreditation programs dedicated to Utilizement Management (UM), Credentialing (CR), Provider Network (NET) and Health Equity (HEA).
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Oscar Management Corporation

NCQA Utilization Management

Utilization Management Accreditation

The NCQA Utilization Management Accreditation provides a framework to ensure: fair and timely utilization evaluations using objective, evidence-based criteria, collection and use of relevant clinical information to make utilization management decisions, qualified health professionals that assess requests and utilization management decisions, and alignment with state requirements.

Health Equity Accreditation

Health Equity Accreditation

The NCQA Health Equity Accreditation Program focuses on: building a culture that supports the organization’s health equity work; data that help the organization create and offer language services and provider networks mindful of individuals’ cultural and linguistic needs. The health care industry is reevaluating how to improve health equity across all populations. Oscar is committed to reducing health disparities in underserved populations so that it results in better health outcomes, but also reduces overall treatment costs.

Health Plan Accreditation

Health Plan Accreditations

Please view Oscar Health’s current accreditation status for all markets via NCQA's Health Plan Report Card link, providing up-to-date information on the accreditation for all active Oscar Health Plan markets.

View Accreditations

Health Plan Accreditations

STAR Rating Year 2024

STAR Ratings

CMS uses a star rating between 1 and 5 (5 is the highest) to demonstrate how a health plan compares to other plans on HealthCare.gov. Health plans receive an Overall Rating which accounts for three categories: Medical Care, Member Experience, and Plan Administration.
Star rating

Final Rating (STAR Year 2026)

  • Arizona: 3
    • Florida: 3
      • Georgia: 2
        • Illinois: 2
          • Iowa: 2
            • Kansas: 2
              • Missouri: 2
                • New Jersey: 3
                  • New York: 4
                    • Ohio - Columbus: 3
                      • Ohio - Cleveland: 5
                        • Oklahoma: 2
                          • Pennsylvania: 3
                            • Tennessee: 3
                              • Texas: 2