Appropriate Use of Tests, Treatments and Procedures Summary

Appropriate Use of Tests, Treatments and Procedures Summary 2024-25 Edition

Why is it important to get enough care, and avoid excessive care?

Getting the care you need is very important to staying healthy. But getting too much care can cause unneeded harm to your body, and could drive up health care costs. Some procedures may be invasive and costly, and could cause more harm than benefit. It is important to know the appropriate amount of care you should receive.

What do the stars mean?

The stars tell you how successful each plan was at providing the right care at the right time, without providing too much or not enough. More stars are better.

Appropriate Use of Tests, Treatments and Procedures
Aetna - PPO
Aetna Health of California, Inc. - HMO
Anthem Blue Cross - HMO
Anthem Blue Cross - PPO
Blue Shield of California - HMO
Blue Shield of California/Blue Shield Life - PPO
CIGNA - HMO
CIGNA - PPO
Health Net of California, Inc. - HMO
Health Net of California, Inc. - PPO
Kaiser Permanente - Northern California - HMO
Kaiser Permanente - Southern California - HMO
Sharp Health Plan - HMO
UnitedHealthcare Insurance Co., Inc. - PPO
UnitedHealthcare of California - HMO
Western Health Advantage - HMO

Data Disclaimer

The data source for data for the Report Cards is Quality Compass® 2024 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2024 includes Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors. NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass and HEDIS are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Users of the data shall not have the right to alter, enhance, or otherwise modify the data. Anyone who wants to use or reproduce the data without modification for a noncommercial purpose may do so without obtaining any approval from NCQA. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. Use by healthcare providers in connection with their own practices is not commercial use. A "commercial use" refers to any sale, license, or distribution of the data for commercial gain, or incorporation of the data into any product or service that is sold, licensed, or distributed for commercial gain, even if there is no actual charge for inclusion of the data. ©2004-2024 National Committee for Quality Assurance, all rights reserved.

Why isn't my health plan listed?

Search Results