HMO Quality Ratings Summary <value>2018-19 Edition</value>

Quality health care is getting the right care at the right time.

This Report Card shows the quality of health care for millions of Californians who get their care through commercial insurance provided by Health Maintenance Organizations (HMOs). The 10 largest HMOs in the state are included in this Report Card.

The HMO Report Card includes health care quality scores for two major areas:

Clinical Performance Scores – See the “HMO Uses Treatments Proven to be Effective” column below. To find more information on 11 health conditions/topics go to the dark blue box in the right column.
Patient Experience Scores – See the “Patients Rate their Experience” column below. Additional information is found in the light blue box in the right column.

The Report Card also provides other helpful information on each HMO. Click on each health plan name to find its consumer assistance number, service area, website and more.
Learn more about these ratings.

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Select health plans to compare by clicking in the box next to the plan name

Click on plan name for plan’s star ratings and information:	QUALITY OF MEDICAL CARE The California Office of the Patient Advocate compared HMO members’ records in 2015 to a set of national standards for quality of care to make sure that health plans are offering quality preventive care and service to members.		PATIENTS RATE OVERALL EXPERIENCE 'Patients Rate Their Experience’ is the roll- up of three topic summary ratings: 'Getting Care Easily', 'Satisfaction with Plan Services' and 'Satisfaction with Plan Doctors'.
Aetna Health of California, Inc. - HMO
Anthem Blue Cross - HMO			Too few patients in sample to report
Blue Shield of California - HMO
CIGNA - HMO
Health Net of California, Inc. - HMO
Kaiser Permanente - Northern California - HMO
Kaiser Permanente - Southern California - HMO
Sharp Health Plan - HMO
UnitedHealthcare of California - HMO			Too few patients in sample to report
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.

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HMO USES TREATMENTS PROVEN TO BE EFFECTIVE

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PATIENTS RATE THEIR EXPERIENCE

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HMO Quality Ratings Summary <value>2018-19 Edition</value>

Quality health care is getting the right care at the right time.

QUALITY OF MEDICAL CARE

PATIENTS RATE OVERALL EXPERIENCE

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