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Satisfaction with HMOs and Health Insurance Plans

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NCQA Health Insurance Plan Ratings and Report Card 2017  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, as are many non-profit regional plans. Star ratings and number of enrollees 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 2017

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 2014

Compare CO health plans on consumer member satisfaction (CAHPS) and clinical scores (HEDIS) for Heart, Diabetes, Blood pressure, BMI-Obesity care, Cholesterol, Cancer screening, prenatal care, immunizations, mental health. HMO and PPO Plans: Aetna, Anthem HMO, Cigna, HMO Colorado HealthOP, Kaiser Permanente, Rocky Mountain HMO and PPO, and UnitedHealthcare PPO. Click on Health Plan Edition of the Quality Reports. Published by Colo. Business Group on Health (CBGH) 2014 report uses 2013 data.

Georgia Health Insurance Plan Ratings and Comparisons 2016

Compare quality ratings and member satisfaction scores for Medicaid, Amerigroup, WellCare, PeachState and PeachCare in GA. Covers access to care, dental visits, ADHD medications, ER visits, diabetes care, postpartum care, provider satisfaction, member opinions and more for 2015-2016. View one plan at a time. Released by Georgia Dept. of Community Health at dch.georgia.gov

Government Employee Health Insurance Cost Comparisons (FEHB)

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. Convenient and current. The amount that taxpayers and government institutions pay toward the total health care premiums is no longer readily available

J.D. Power - 2015 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, Claims processing, Out-of-pocket costs, Coverage and benefits, and Customer service. Methodology for member satisfaction survey was not readily found on the website

Other Helpful Listings

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, Medicare HMOs and Medicaid. Aetna, Amerigroup, Av-Med, Better Health, Blue Cross Blue Shield (Health Options), Capital, CarePlus, Cigna, Clear Health Alliance, Community, Coventry, Florida Health Care, Freedom Health, Golden Rule, Health First, Humana, Magellan, Molina, Neighborhood, Positive, Prestige, Simply, Staywell, Sunshine, United Healthcare, WellCare. Data collected in 2016. Search by county. Easy to read

Illinois HMO Complaints 2014 by Consumers (pdf)

Complaint record from 2014, 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, Health Alliance, Humana, Medical Associated, Meridian, Union, United Healthcare (IL and Rivervalley). Consumer complaints about the HMO are counted, and classified by type (such as claims handling. Four pages.

Maryland HMO & Health Insurance Plan Ratings 2016

Compare Aetna, CareFirst BlueChoice, CFMI & GHMSI; Cigna, Coventry, Kaiser Permanente, KPIC, MAMSI, MD-IPA, Optimum Choice 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. Check both Consumer Ratings & Clinical Ratings. 2016 Performance Report by Maryland Health Care Commission uses 2015 data

New Mexico Medicare Advantage Insurance Plan Ratings

Compare 10 health insurance Medicare Advantage plans in New Mexico. Provided by Consumer Reports in 2013. Unclear what year(s) the data and rankings were based on. Go to NCQA to see detailed reports and more current information

Rhode Island - Top Ratings for Health Insurance Plans (NCQA)

Tufts had two plans that earned the top 5.0 rating from NCQA. Based on Quality, Member Satisfaction and accreditation results. Published Sept. 2016

Texas - Compare Texas HMOs 2016 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, Alllegian, FIRSTCARE, Scott and White Health Plan, Sendero, Community First, HMO Blue Texas, FirstCare, Molina, CIGNA, United Healthcare and more. Shows 2016 complaint rates. Both provider and patient complaints are recorded, with consumers complaining much more frequently than providers. Report by Texas OPIC (Office of Public Insurance Counsel)

Utah HMO Health Insurance Plan 2015 Ratings

Compares Utah HMOs - health insurance plans Aetna, Altius, Cigna, Educators Mutual EMI, Humana, PEHP, Regence Blue Cross BS, SelectHealth, Tall Tree, United Healthcare, and Medicaid plans (Healthy U, Molina, SelectHealth CHIP) on member satisfaction, back pain, cancer screening, and high blood pressure; diabetes, mental health, prenatal & maternity, preventive care, well-child visits & immunizations, and more. Shows actual performance rates. 2016 Performance Report published by utah.gov using 2015 data

Utah Member Satisfaction Ratings with Health Insurance Plans (CAHPS)

Scroll to see Adult and Child Results in separate reports. 2015 data shown in Consumer Satisfaction Report (CAHPS) from Utah

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

Easy to use tool to compare insurance plan ratings: Aetna, CareFirst BlueChoice, Coventry, HealthKeepers (Peninsula & Priority), Innovation Health Plan, Kaiser Mid-Atlantic, Optima, Optimum Choice, United Healthcare 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; weight assessment, well child visits and childhood illnesses, member satisfaction for 2015 and more. 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

View 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, Medical Associates, Medica, MercyCare HMO, Network, Physicians Plus, UnitedHealthcare, Unity, WPS and more. 2015 data, by State of WI, OCI

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