HMO Performance Report 2005

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Introduction

Quality Matters

Performance Summary

Service and Access

Doctors & Medical Care

Staying Healthy

Getting Better/Living with Illness

Choosing Your Health Plan

Taking Responsibility for Your Health Care

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Appeals and Complaints

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Plan Comparison Tool

Performance Report (PDF)

Additional Charts on HMO Trends and National/Regional Comparisons

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Doctors and Medical Care

Are health plan members satisfied with their doctors and medical care?

A comparison of each health plan's performance to the New Jersey plan average shows how effective the plans are in providing high quality medical care to their members (pages 6 and 7). Higher than average scores mean better performance.

Circles compare each selected health plan's score to the average for New Jersey health plans. Higher than average scores mean better performance. Bar graphs show scores for each plan on these topics.

Performance Compared to the Average
	Higher than the New Jersey health plan average
	About the same as the New Jersey health plan average
	Lower than the New Jersey health plan average

Health Plan	Rating of health care	Getting care quickly	Rating of personal doctor	How well doctors communicate
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
WellChoice
Due to differences in sample size, health plans with the same or similar scores can have different circle ratings.

See each health plan's scores below:

Rating of health care	Getting care quickly
Rating of personal doctor	How well doctors communicate

Rating of health care

Percent of members who rated their quality of care a 9 or 10 on a scale from 0 (worst possible) to 10 (best possible):

NJ Plan Average
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
WellChoice

Getting care quickly

Percent of members who said they • always were able to obtain advice, get timely appointments and get care for an illness or injury • never had to wait over 15 minutes past appointment time to see a provider:

NJ Plan Average
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
WellChoice

Rating of personal doctor

Percent of members who rated their personal doctor a 9 or 10 on a scale from 0 (worst possible) to 10 (best possible):

NJ Plan Average
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
WellChoice

How well doctors communicate

Percent of members who said their doctor always • listened carefully • explained things clearly • showed respect • spent enough time with them:

NJ Plan Average
Aetna
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
WellChoice

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