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Home > Insurance Division > Life and Health > Life & Health Actuarial > HMO Performance Report
2007 New Jersey HMO Performance Report
   
Getting Better/Living with Illness

 

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How well does the HMO care for members who are sick?

A comparison of each HMO’s performance to the New Jersey HMO average shows how effective the HMOs are in working with doctors to care for members who are sick or living with chronic illness.

Higher than average scores mean better performance.

Circles compare each selected HMO's score to the average for New Jersey HMOs. Bar graphs show scores for each HMO on these topics.
Performance Compared to the Average
higher Higher than the New Jersey HMO average
same About the Same as the New Jersey HMO average
lower Lower than the New Jersey HMO average

HMO Management of medicine for depression Care after hospitalization for mental illness Appropriate medications for asthma (children) Controlling high blood pressure
Aetna - HMO/POS lower lower lower same
AmeriHealth - HMO/POS lower same same same
CIGNA - HMO/POS same same higher same
Health Net - HMO/POS higher same higher higher
Horizon - HMO higher higher same higher
Oxford - HMO/POS same lower same lower

Due to differences in sample size, HMOs with the same or similar scores can have different circle ratings.
Not Applicable—HMO was unable to report the measure due to the small number of eligible members.

   
 
Management of medicine for depression
People taking medicine for depression need to be monitored. Percent of members given medicine for depression who had follow-up visits:
  Care after hospitalization for mental illness
Therapy after a hospital stay for mental illness is important for recovery. Percent of members hospitalized for mental illness who received care afterwards:
Management of medicine for depression   Care after hospitalization for mental illness
     
Appropriate medications for asthma (children)
With appropriate therapies, long term control of persistent asthma can be achieved, resulting in a decrease in hospitalizations and emergency room visits for treatment. Percent of pediatric members aged 5–17 with persistent asthma who received an appropriate therapy in the past year:
  Controlling high blood pressure
High blood pressure (hypertension) is a major risk factor for a number of diseases and must be closely monitored and controlled. Percent of members aged 18–85 with hypertension whose blood pressure was under control at their most recent medical visit:
Appropriate medications for asthma (children)   Controlling high blood pressure
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New Jersey Department of Banking and Insurance