Top 10 Performers in 5 Effectiveness of Care Measures
| Follow-Up After Hospitalization
for Mental Illness
(% patients who had follow-up visit within 30 days of discharge) |
|
| National HMO average: | 69.1% |
| BlueChoice (Phoenix) | 100% |
| Group Health Cooperative (Madison, WI) | 98.4% |
| Health Network (Colorado Springs, CO) | 96.9% |
| NorthMed (Traverse City, MI) | 94.1% |
| BlueSelect (Phoenix) | 93.9% |
| Blue Choice (Manchester, NH) | 93.1% |
| Fallon Community Health Plan (Worcester, MA) | 93.1% |
| Kaiser (Denver) | 92.9% |
| Welborn Health Plan (Evansville, IN) | 92.7% |
| Health New England (Springfield, MA) | 92.3% |
| Childhood Immunization
Status
(% 2-year-olds who had all five immunizations oral polio, diphtheria, MMR, HIB, Hepatitis B in the reporting year) |
|
| National HMO average: | 64.4% |
| Group Health Cooperative (Madison, WI) | 93.4% |
| Group Health Cooperative of Puget Sound | 91.5% |
| ConnectiCare (Farmington, CT) | 91.2% |
| HealthAmerica (Pittsburgh) | 90.6% |
| Fallon Community Health Plan (Worcester, MA) | 90.0% |
| Tufts HMO (Waltham, MA) | 89.8% |
| HealthAssurance (Pittsburgh) | 87.8% |
| Health Care Plan (Buffalo, NY) | 87.6% |
| PHP (Baldwinsville, NY) | 87.2% |
| PHP Options (Baldwinsville, NY) | 87.2% |
| Cervical Cancer Screening
(% women who had a Pap smear in the last three years) |
|
| National HMO average: | 72.1% |
| American HMO (Matteson, IL) | 100% |
| Blue Care Network (Lansing, MI) | 89.5% |
| HMO Choice (South Portland, ME) | 89.5% |
| Group Health Cooperative (Madison, WI) | 88.3% |
| Finger Lakes POS (Rochester, NY) | 87.9% |
| Finger Lakes HMO (Rochester, NY) | 87.9% |
| Network Health Plan (Mensasha, WI) | 87.7% |
| Central Minnesota Group Health (Waite Park, MN) | 87.2% |
| Fallon Community Health Plan (Worcester, MA) | 87.2% |
| Blue Care Network (Saginaw) | 86.3% |
| Prenatal Care in First
Trimester
(% women who visited provider) |
|
| National HMO Average: | 83.8% |
| American HMO (Matteson, IL) | 100% |
| Blue Cross/Blue Shield of MA (Boston) | 99.0% |
| Central Minnesota Group Health (Waite Park, MN) | 98.7% |
| Paramount Health Care (Maumee, OH) | 98.5% |
| Harvard Pilgrim (Boston) | 98.1% |
| UHC Ohio HMO (Columbus, OH) | 97.1% |
| UHC Ohio POS (Columbus, OH) | 97.1% |
| Fallon Community Health Plan (Worcester, MA) | 97.0% |
| Health Alliance Medical Plan (Urbana, IL) | 97% |
| HMO Maine (South Portland, ME) | 97% |
| Breast Cancer Screening
(% women 50-69 who had a mammogram in the reporting year) |
|
| National HMO Average: | 71.8% |
| American HMO (Matteson, IL) | 100% |
| NorthMed (Traverse City, MI) | 88.9% |
| Blue Care Network, Mid MI (Lansing, MI) | 88.6% |
| Welborn Health Plan (Evansville, IN) | 87.2% |
| Central Minnesota Group Health (Waite Park, MN) | 86.6% |
| Finger Lakes POS (Rochester, NY) | 86.4% |
| Fallon Community Health Plan (Worcester, MA) | 85.6% |
| HMO Choice (South Portland, ME) | 85.4% |
| Premier Blue (Topeka, KN) | 85.0% |
| Healthsource MA (Worcester) | 84.7% |
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