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Satisfaction with HMOs and Health Insurance Plans

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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

Medicare Prescription Drug Plans - Premiums and Quality Ratings  Editor's Pick

Compare the prices (monthly premium average cost) for prescription drug coverage through Medicare (medicare.gov) and see which plans have higher ratings. Uses a 5-star quality rating system that includes member satisfaction survey reports. 2012 data available

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

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

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

J.D. Power - 2012 Health Insurance Plan Ratings - consumer opinions

J.D. Power and Associates shows ratings in selected states and regions for commercial health plans on Overall member satisfaction, Choice of doctors & hospitals, Communication, Approval processes, Claims processing, Insurance statements, Coverage and benefits, and Customer service (click on More). Methodology for member satisfaction survey data was not readily found on the website

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

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

Other Helpful Listings

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

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

IL Health Care Consumer Complaints 2004-2005 (pdf)

Scroll to Bi-Annual Report for summary of complaints made to the Illinois Health Care Bureau. List for 2005 shows 706 complaints of improper billing, 296 for claims processing and payment problems, denials of care or coverage issues (235), 192 complaints about quality of care, and so on. Summary numbers and patterns only; no provider or insurance plans are identified by name. Published by Atty. General's office Dec. 2006 (most recent available as of Sept. 2009)

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

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

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

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

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

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 - 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 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)

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

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

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

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