blue Shield of California Promise Health Plan Earns 4 out of 5 Stars in NCQA Medicaid ratings for 2025

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

Health plans are rated on a scale of 1 to 5 stars, wiht 5 out of 5 being the highest rating, by NCQA, which evaluates clinical quality and member experience using HEDIS® and CAHPS® data. Blue Shield Promise is one of two Medi-cal plans rated 4 out of 5 or better serving Los Angeles and San Diego counties. blue Shield Promise received the same NCQA rating in 2024.

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

Preventive care and clinical quality

Blue Shield Promise performed well in the treatment and prevention and population health composite categories, emphasizing its commitment to providing high-quality care that keeps members healthy and supported at all stages of life.

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

Within the composite prevention and population health category, Blue Shield Promise received a 4 out of 5 star rating for child and teen care, reflecting its commitment to providing crucial screenings.

Blue Shield of California Promise Health Plan Expands Telehealth Services to Improve Access to Care

LOS ANGELES, CA – October 8, 2025 – Blue Shield of California Promise Health Plan is significantly expanding its telehealth services, making healthcare more accessible and convenient for its members.This expansion focuses on increasing access to primary care, behavioral health, and chronic condition management through virtual visits.

The health plan recognizes the growing demand for telehealth and its potential to address healthcare disparities. Telehealth removes barriers like transportation, childcare, and time off work, allowing members to connect with providers from the comfort of their homes. This is notably beneficial for individuals in rural areas or those with mobility challenges.

“We’re committed to providing our members with high-quality, affordable healthcare, and telehealth is a critical component of that commitment,” says Dr. Ashwini Zen, Chief Medical Officer at Blue Shield of California Promise Health Plan. “By expanding these services, we’re ensuring more people can receive the care they need, when and where they need it.”

Key features of the expanded telehealth services include:

• Increased Primary Care Access: Members can now schedule virtual appointments with primary care physicians for routine check-ups, sick visits, and preventative care.
• Enhanced Behavioral Health Support: Telehealth options for mental health services, including therapy and counseling, are being broadened.
• chronic Condition Management: Remote monitoring and virtual consultations are available for members managing chronic conditions like diabetes and hypertension.
• 24/7 Virtual Urgent Care: Access to immediate medical attention for non-emergency conditions is available around the clock.

Blue Shield of California Promise Health Plan is investing in technology and provider training to ensure a seamless and effective telehealth experience. The health plan also provides resources to help members navigate and utilize these new services.

Members can learn more about telehealth options by visiting www.blueshieldca.com/promise.For more news about Blue Shield of California Promise Health plan, visit promisenews.blueshieldca.com. Or follow us promisenews.blueshieldca.com.