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Health Insurance Plan Quality & Satisfaction Ratings - free

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Help Guide - Before You Select a Health Plan - Three Steps (READ ME) (no link)

1. Compare the health insurance plans you are interested in by visiting the NCQA website to see if they are accredited, and how their quality scores compare. 2. Visit at least one of the state-specific reports to find out what the rate of complaints is for the health plan you're interested in, what hospitals it uses, and information about quality measures. Note: Every state or regional report may be different. If your state is not listed here, see what other states make available. Even if it's not online, the data probably are collected by your state. 3. See what AMA physicians say about working with certain health plans (link above)

NCQA Health Insurance Plan Ratings and Report Card 2012  Editor's Pick

Compare quality ratings for HMOs and PPO health insurance plans. Aetna, Anthem Blue Cross, Cigna, Humana, Kaiser, United - they're all here. Star ratings shown for accredited commercial, Medicare and Medicaid plans. NCQA (National Committee for Quality Assurance) is a private nonprofit organization that sets standards for quality of care and service that health plans provide to their members. NCQA Accreditation is a nationally recognized seal of approval. Updated 2012

Link to Your State Insurance Department Site (all states)

If you like to browse, your state's site may have additional information about health insurance. These links are provided by the National Association of Insurance Commissioners (NAIC), the organization of insurance regulators from the 50 states, the District of Columbia and the five U.S. territories. The NAIC site also has a company search feature (under Consumer Information, from the Home page) that allows you to obtain financial information, and complaint information on HMOs and other health insurance providers.

California - 2012 HMO, PPO, & Medical Group Ratings Report Card  Editor's Pick

Compare California HMO health insurance plans: Aetna Health, Anthem Blue Cross HMO, Blue Shield, CIGNA, Health Net, Kaiser Permanente Northern and Southern CA regions, United Healthcare (formerly PacifiCare) and Western Health Advantage. Compare PPOs: Aetna, Anthem Blue Cross, Blue Shield, CIGNA, Health Net, United Healthcare. Clear, simple star system used for overall rating. In addition, get more details about member satisfaction, complaint rates, asthma, cancer screening, child/adolescent health, diabetes, heart care, maternity care, mental health, back pain, immunization, and smoking cessation. Medical group ratings also provided by county for the larger groups of doctors. Prepared by the California state Office of the Patient Advocate (OPA), using 2010 data

California - CalPERS 2012 Health Insurance Plan Member Ratings

See how CalPERS' members rank health plans on member satisfaction and care quality. CalPERS is the California Public Employees' Retirement System.

California Health Insurance Ratings, 2011 CCHRI Report (pdf)

Compare HMO and PPO health insurance plan ratings: Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, Kaiser Permanente North, Kaiser Permanente S. Cal. United and Western. Clinical performance (HEDIS measures) for prenatal maternity care, child illnesses & immunizations, asthma, diabetes, heart care, high blood pressure, cholesterol management, cancer screening, back pain, osteoporosis, drug treatment, behavioral health care and more. Prepared by CCHRI (California Cooperative Healthcare Reporting Initiative), a group of employers, health plans, and health care providers across CA

Colorado Health Insurance Plan Ratings 2010-2011

Compare CO health plans on consumer member satisfaction (CAHPS), NCQA accreditation and clinical scores (HEDIS) for Heart, Diabetes, Blood pressure, Cholesterol, Cancer screening, prenatal care, immunizations, mental health. HMO and PPO Plans: Aetna, CIGNA, Denver Health, HMO-Colorado (Anthem Blue Cross BlueShield), Humana, Kaiser Permanente, PacifiCare, Rocky Mountain, and United Healthcare. Sample prices for knee MRI & Back CT are shown. Click on smaller report. Published by Colo. Business Group on Health (CBGH) 2011

Florida Health Insurance Plans - Quality Ratings & Satisfaction  Editor's Pick

Member Satisfaction and quality ratings for cancer screening, diabetes, asthma, well child care for HMOs, PPOs, Medicare HMOs and more. Aetna, America's Health Choice, Amerigroup, Av-Med, Blue Cross Blue Shield (Health Options), Capital, CarePlus, Cigna, Citrus, DoctorCare, Florida Health Care, Freedom Health, Great-West, Health First, Healthy Palm Beaches, HealthEase & Well Care, Humana, Leon Medical Centers, Medica, Neighborhood, Optimum, PartnerCare, Preferred, Public Health Trust of Dade Co. (JMH), Quality Health, Total Health Choice, United Healthcare, Universal, Vista. Data collected in 2012. Search by county. No need to download a pdf to see the scores or the star rankings

Georgia Health Insurance Plan Ratings and Comparisons 2012

Compare quality ratings and member satisfaction scores for Medicaid plans Amerigroup, PeachState and WellCare of GA. Covers access to care, dental visits, childhood immunizations and obesity, ER visits, lead screening, well child visits, provider satisfaction and member opinions for 2008 through 2010. View one plan at a time. Released October 2011 by Georgia Dept. of Community Health at dch.georgia.gov

Illinois HMO Complaints 2009 by Consumers & Physicians (pdf)

Complaint record from 2009, supplied by the Illinois Dept. of Insurance. Note: you will find the Blue Cross Blue Shield complaints under Health Care Service Corporation. Other HMOs include Aetna, Cigna (IL and St. Louis), Group Health, Health Alliance, Humana, Medical Associates, Mercy, Personal Care Insurance, Unicare, Union, United Healthcare (IL, Midwest and Rivervalley). Both consumer and provider complaints about the HMO are counted, and classified by type (such as claims or denial of care/ treatment. Two pages, July 2010

Indiana Health Insurance Complaint Index 2011

Compare complaint rates for Indiana health insurance companies (health carriers). From IN Department of Insurance

Iowa HMO and Health Insurance Complaint Rates (2009)

Find consumer complaint ratios for IA HMOs and Health Insurance companies: Ability, Aetna, Conseco, Bankers Life, United HealthCare, Principal, Time Insurance, Coventry, Metropolitan Life, Transamerica and Wellmark

Louisiana Health Insurance Plan Ratings 2010

Compare health plan quality and customer satisfaction for insurance plans Aetna, Connecticut General, Coventry, Group Health, HMO Louisiana Blue Cross Blue Shield, Humana, BC BS of LA, United Healthcare PPO, HMO POS. Quality scores for diabetes, maternity, postpartum, well child, cancer screening, blood pressure, asthma, chlamydia, medical care use HEDIS 2009 scores (2008 data). Try not to be surprised at how low some of the scores are. Not all plans report

Maryland HMO & Health Insurance Plan Ratings 2011

Compare Aetna, CareFirst BlueChoice, BluePreferred PPO, CIGNA, Connecticut General, Coventry, Kaiser Mid-Atlantic, MD-IPA, Optimum Choice OCI and United Healthcare on member satisfaction (CAHPS), getting appointments, and HEDIS measures such as immunizations, children's health, cancer screening, flu shots, heart and diabetes care, ADHD & mental health behavioral care, and more. 2011 Performance Report by Maryland Health Care Commission, released January 2012

Maryland: HealthChoice (Medicaid) Health Plan Ratings

Report Card for Consumers, 2011 in English and Spanish, compares Amerigroup, Diamond Plan, JAI Medical Systems, Maryland Physicians Care, Medstar Family Choice, Priority Partners and United Healthcare. Two MD HealthChoice health plans get 3 stars (the best) for diabetes care. Ratings also on doctor communication, appointments, cancer screening, pregnancy & maternity care, check-ups for kids and more. Click on MCO Report 2011

Minnesota HMO and Health Insurance Plan Ratings

Quality (HEDIS scores) for HMOs show rates of immunization, cancer screening, heart attack treatment, diabetes care, high blood pressure or high cholesterol management, asthma, mental health care, osteoporosis, glaucoma screening, prenatal care, drug treatment and more. Quality data 2010, financial data (including Form 990, Executive Compensation - see who makes $1 million salary) 2010-2011. Compare health insurance plan performance for Blue Plus, First Plan, HealthPartners / Group Health, IMCare, Itasca, Medica, MHP, PreferredOne, PrimeWest, Sanford, South Country Health Alliance, and UCare. Complaint statistics not shown. Site by MN Dept. of Health

New Jersey 2011 HMO Performance Report - Compare plans

Compare five health insurance plans (HMO and POS): Aetna, AmeriHealth, CIGNA, Horizon, and Oxford, on quality ratings related to asthma, cancer screening, heart care, hypertension, cholesterol, diabetes, mammograms, new moms, immunizations, mental health; frequency of cardiac cath and tonsillectomies; more. Easy to read; fast response. Member satisfaction is no longer included. Pub. by NJ Dept. of Banking and Insurance, Oct. 2011

New Mexico HMO and Health Insurance Plan Ratings (2009)

Compare 3 health insurance plans on how health plans scored on care such as cancer screenings, immunizations, diabetes, high blood pressure and mental illness care. Blue Cross Blue Shield New Mexico (BCBSNM HMO - rated commendable), Lovelace (excellent), and Presbyterian (the largest and also Excellent overall NCQA ratings). Click on Consumer Guide to Managed Care 2009 prepared by the state of NM Health Policy Commission

New York and New Jersey 2010 HMO and Hospital Report Card (nyshaf.org)  Editor's Pick

Compare cost and quality ratings for HMOs such as Aetna, AmeriHealth, Anthem BCBS, Blue Choice, CDPHP, CIGNA, Community, Empire, GHI, Health Net, HIP, Independent, MVP, Oxford, & Preferred Care, side-by-side in NY and NJ, for diabetes, asthma, postpartum care, some cancer care, mental health, antibiotic use for children, low back pain care, Board-certified physicians, monthly health insurance premiums, overall patient satisfaction experience & more. Hospital quality comparisons on heart attack, heart failure, pneumonia and surgical infections also provided for NY hospitals. Inpatient volumes, average length of stay and average price (charges) provided for appendectomy, asthma, maternity (incl. newborn & c-section delivery), chest pain, depressive neuroses, diabetes, gall bladder surgery, heart failure, hip replacement, hysterectomy, stroke, cardiac procedures, pneumonia, and COPD. Some survival ratings. Impressive list of measures, too numerous to mention. Health Care Report Card prepared by the NYS Health Accountability Foundation - a partnership of the NY Business Group on Health and IPRO (the QIO). Dates of data vary; HMO premiums are supposed to be current to the month

New York State HMO Comparisons (Ratings & Cost Premiums)  Editor's Pick

Compare about 20 HMO health insurance plans in NY: Aetna, Atlantis, Blue Choice, BSNENY, CDPHP, CIGNA, Community Blue (HealthNow), Empire HealthChoice, Excellus, GHI HMO Select, Health Net, HIP, IHA Independent Health, MVP, Oxford, Preferred Care Rochester Area HMO, UnitedHealthcare, Univera, Upstate. Topics include member satisfaction opinions, attention deficit medication, BMI screening for kids, breast cancer screening, bronchitis care, cholesterol control, Board certified doctors, complaint volume & more. Monthly 2009 premium rates for individual plans (consumers will be hard-pressed to find a plan under $800/month single). Prepared by the state of New York using 2006 member data (nysHMOguide.org)

Pennsylvania Insurance Company Comparisons (2012)

Limited information on PA health insurance companies is available through the Pennsylvania Insurance Department - comingled with all types of insurance. Find complaint ratios, one health plan at a time

Rhode Island - Health Insurance Plan Ratings, 2009 (pdf)

Compare health insurance plans in Rhode Island (Blue Cross BC-RI, United Healthcare NE and Blue Cross -MA). Clinical quality scores such as cancer screening, diabetes care, heart attack care, and mental health care, plus information about access to prenatal care, well child, immunizations and asthma care; member satisfaction levels with their health plans, market share enrollment levels; profits; 2005-2008 data. Commercial average premium per month was $364.83, in 2008. Published by RI Health Insurance Commissioner (Dept. of Health) November 2009

South Carolina Medicaid Health Insurance Plan Ratings 2009

Compare SC Medicaid health plan ratings (one to three stars) for Absolute Total Care, BlueChoice, First Choice, SC Solutions, Unison and Fee for Service. Topics include dental care, children's immunizations and care, prevention, asthma, diabetes, cancer screening, prenatal care, behavioral health, member satisfaction and more. By Dept. of Health & Human Svcs, Sept. 2010

Tennessee HMO Grievances and Membership Levels

Find HMO Grievance Statistics for Aetna, Bluegrass Family, Cigna of TN, Humana, and United Healthcare (including River Valley). History of complaints and member enrollment levels for more than 10 years (if health insurance plan has been in business that long), through 2009. Separate PDF reports for each company. Site by TN Department of Commerce & Insurance

Texas - Comparacion de los HMOs en Texas 2011

Compare Texas HMOs in Spanish language

Texas - Compare Health Insurance Company Complaints 2011

List of hundreds of Health Insurance companies licensed in Texas, and the number of justified complaints from consumers in 2011. Compare TX Complaint Index for Aetna, Bankers Life, BCS, Blue Cross and Blue Shield, CIGNA, Conseco, Golden Rule, Humana, MEGA Life & Health, Pacificare, Scott & White, Senior Health of PA, SHA, Superior, Texas Health Insurance Risk Pool, Time, Unicare, and United Healthcare. The 2009 Accident and Health Complaint Index from the TX Department of Insurance was updated April 2012

Texas - Compare HMO Complaints, 2009 (TDI)

Quickly compare HMO complaint rates in Texas, from TX Department of Insurance (TDI). Two-page summary, 2009 data, last updated Aug. 2010

Texas - Compare Texas HMOs 2011 Consumer Ratings (OPIC)

Texas consumer ratings of their health insurance plans & care. Compare HMO plans for Central Texas, East Texas, Gulf Coast, North TX, Panhandle/Plains area, South Texas, West Texas regions. Satisfaction ratings, complaints and market share shown for Humana, Aetna Health, PacifiCare of TX, Scott and White Health Plan, Community First, HMO Blue Texas, FirstCare, CIGNA, United Healthcare, Valley Baptist, Mercy Health Plans of MO and UTMB. Shows complaint rates (2009-2011). Both provider and patient complaints are recorded, with providers complaining much more frequently than patients. Report by Texas OPIC (Office of Public Insurance Counsel)

Texas - Guide to Texas HMO Quality 2011 (OPIC)

Lengthy (223 pages) but valuable report showing detailed clinical quality comparisons between HMO health insurance plans for indicators such as asthma, childhood immunizations, cancer screening, heart care, high blood pressure, high cholesterol, diabetes care, prenatal care, mental health care, flu shots, ER visit rates, rates of physician board certification, and more. Pub. by TX Office of Public Insurance Council Jan. 2012

Utah HMO Health Insurance Plan 2008 Ratings

Compares Utah HMOs covering about 40% of Utah residents - health insurance plans Altius, HealthWise, SelectHealth, United Healthcare, and Medicaid plans (Healthy U, Molina, IHC Preferred, Select Access PEHP CHIP) on back pain, cancer screening, and high blood pressure (categorized under Health Care for Adults); diabetes, antidepressant medication, prenatal & maternity, preventive care, well-child visits & immunizations, overall member satisfaction rates, and more. Shows actual performance rates, and a star-rating. Members rated slightly higher satisfaction with Altius than with other plans, but the HEDIS quality scores are not necessarily higher. Which is more important to you: Satisfaction or Quality? Click on Download Print Version for complete pdf (on left), or see individual topics under Quality of Care and Consumer Satisfaction. Key Findings do not show HMO names. 2008 Performance Report published by utah.gov Nov. 2008

Utah Member Satisfaction Ratings with Health Insurance Plans (CAHPS)

2010 Consumer Satisfaction Report (CAHPS) from Utah shows member opinions about HMOs and PPOs. Compare satisfaction with SelectHealth, Regence BlueCross BlueShield of UT, Altius, United Healthcare, Aetna, Educators Mutual, Cigna, Deseret, PEHP, Molina Medicaid and CHIP, others. Survey done in spring 2010

Vermont - Compare Health Insurance Plan Ratings 2009 (pdf)

Compare Blue Cross Blue Shield of VT, CIGNA, MVP, and The Vermont Health Plan, on consumer and patient experiences; how well the plans do cancer screening, flu shot and other immunizations, antibiotic use in kids, prenatal care, asthma & bronchitis care, mental health treatment, back pain evaluation, blood pressure mgmt, alcohol dependence, arthritis and COPD care. State BISHCA report by Dept. of Banking, Insurance uses 2009 CAHPS and 2008 HEDIS data; 11 pages

Virginia - Compare HMOs (Quality and Satisfaction)  Editor's Pick

Easy to use tool to compare insurance plan ratings: Aetna, CareFirst BlueChoice, CIGNA, HealthKeepers, Kaiser Mid-Atlantic, MD IPA, Optima, Optimum Choice, Peninsula, Priority, Southern, UnitedHealthcare MidAtlantic and River Valley. Choose measures for access, asthma, ADHD, heart, diabetes, arthritis, immunizations, medications, mental health, preventive care, spirometry for COPD, prenatal, maternity and newborn care; well child visits and childhood illnesses, member satisfaction for 2009. Also includes Board certification rates for some types of physicians, number of enrollees, and financial data

Washington - Health Insurance Plan Complaint Index 2009

Compare complaint levels for WA health insurance plans (2009 Health Carrier Complaints) for Kaiser Northwest, Group Health (Options and Cooperative), Community Health, Pacificare, Providence, Health Net of Oregon, Regence BlueCross BlueShield, Asuris, Premera Blue Cross, KPS, Lifewise, Aetna and Washington Dental and more. State Office of Insurance Commissioner OIC

Wisconsin - Health Insurance Plan Profiles by HMO Name

Find HMO quality ratings for cancer screening, diabetes, mental health care, pediatric visits; member satisfaction, complaints and grievance rates; administrative expenses, financial profits, number of enrollees, and more. Prepared by the state Office of Commissioner of Insurance using 2009-2011 data. Plans include Care WI, Children's, Community Care, Compcare (Atrium), Dean, Group Health Cooperative, Gundersen Lutheran, Health Tradition/ Greater La Crosse, Humana, Independent Care, Managed Health Services, Medical Associates Clinic, MercyCare HMO, Molina (Abri), Network Health, Partnership, Physicians Plus, Security, UnitedHealthcare, Unity, and WPS. Updated July 2012

Wisconsin - HMO Health Plan Quality and Consumer Satisfaction Graphs

Links (at the bottom of page) to graphs comparing rates for breast cancer screening, cervical cancer screening, diabetes care / eye exams, follow-up for mental illness, time spent with physician, children's visits to primary care providers, and overall rating of health insurance plans: Dean, Group Health Coop, Gundersen Lutheran, Humana, MercyCare HMO, Network, Physicians Plus, UnitedHealthcare, Unity, WPS and more. 2010 data, by State of WI, OCI

Wisconsin Collaborative (WCHQ) - Health Insurance Plan Ratings

Compare Dean, Gundersen Lutheran, Mercy, Physicians Plus, Security and Unity Health Plan, on 17 quality and satisfaction ratings (CAHPS & HEDIS measures). Includes Diabetes, Heart Care, High Blood Pressure, Cholesterol, and Patient Satisfaction with their doctor and health insurance plan. Shows 2009 data, one measure at a time. Report by WI Collaborative for Healthcare Quality

Other Helpful Listings

Accredited Ambulatory Health Care and Surgery Centers (AAAHC)

The nonprofit Accreditation Association for Ambulatory Health Care (AAAHC) currently accredits over 4000 organizations in a wide variety of ambulatory health care settings, including ambulatory and office based outpatient surgery centers, IVF clinics and specialty clinics. Consumers can specify Student health center, Endoscopy center, Indian health center, military health care facility or ambulatory surgery center under Organization Type

Government Employee 2012 Health Insurance Cost and Ratings (FEHB)  Editor's Pick

A very interesting web site from US Office of Personnel Management (OPM) helps federal employees and others compare the benefits, member satisfaction, and employee costs of up to 4 health insurance plans at one time. Search by zip code; choose local plans and/or national plans. Very convenient and current. Dental premiums (click on left navigation list) are shown by a more complicated rating area code. Click on Health Insurance Premiums (on left) to see the amount that taxpayers and government institutions pay toward the total health care premiums

Nevada HMO Industry Profile - Enrollment Volume only

Quarterly updates about Nevada HMOs and PPOs, showing numbers of enrollees (members) by county. No quality evaluations shown, but you can see market share and who is growing or shrinking. Plans included: Aetna, Health Plan of Nevada (Sierra), HMO Nevada / Anthem Blue Cross & Blue Shield, Hometown Health, NevadaCare / Summerlin, PacifiCare, and Saint Mary's HealthFirst. Medicare and Medicaid health insurance plans in NV also shown; last produced 3rd Qtr 2007

URAC - searchable database

URAC is a nonprofit organization that performs accreditation and certification work. Its many accreditation programs include, among others, Case Management, Comprehensive Wellness, Health Call Centers, Health (clinical information) Web Sites, Health Utilization Management and Review, and Workers Compensation Management. This site may help employers determine which companies they want to consider as service providers. In addition, a few health insurance plans (over 30, including Medicare Advantage, as of Sept. 2009) have also sought health plan accreditation from URAC

Wisconsin Health Insurance Cost Rankings 2011-2012

Monthly premiums (2011 rates) for WI state employee health insurance were an average $688 per month for single coverage. Citizen Action of Wisconsin, a coalition of individuals and organizations (such as AARP-WI, AFSCME locals, SEIU, UAW, AFL-CIO, WEAC), reports health insurance cost in 8 metro regions, including Twin Cities. Rates in LaCrosse ($757 per month, single) were 32% higher than Madison rates ($574 per mo.) Most areas exceeded $700 single. Health plan costs shown for Twin Cities, Oshkosh, Green Bay, Appleton, Manitowoc, Sheboygan, Fond du Lac, Janesville/ Beloit, Wausau, Stevens Point, Marshfield, Superior, EauClaire, Kenosha, Racine, Milwaukee, more. Ratings for 16 plans also shown. Uniform benefits package was used for all areas, however the report does not specify what type of benefits and deductibles were included. The report also does not indicate whether the rates were adjusted for regional differences in age, or healthy behaviors. Information from State of Wisconsin's Group Health Insurance Program (GHIP) released Dec. 20, 2011

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