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Home > Insurance Division > Life and Health > Life & Health Actuarial > HMO Performance Report
2009 New Jersey HMO Performance Report
Getting Better/Living with Illness (continued)



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.

HMO Cholesterol management of heart patients Persistence of Beta blocker treatment after a heart attack Blood sugar testing for people with diabetes
 Eye exams for people with diabetes
Aetna - HMO/POS 64 79 87 60
AmeriHealth - HMO/POS 65 73 90 50
CIGNA - HMO/POS 61* 84 88 56
Health Net - HMO/POS 60* 85 91** 55***
Horizon - HMO 59 89 86 60
Oxford - HMO/POS 54 77 84** 43***

* Cholesterol Management Data for CIGNA and Health Net reflects 2007 rather than 2008 reporting year.
** Blood Sugar Testing Data for Health Net and Oxford reflects 2007 rather than 2008 reporting year.
*** Eye Exams Data for Health Net and Oxford reflects 2007 rather than 2008 reporting year.

 

Cholesterol management of heart patients
Reducing cholesterol lowers the chances of having a heart attack. Percent of members with heart conditions who had their cholesterol level controlled:

  

Persistence of beta blocker treatment after a heart attack
Beta blockers after a heart attack can help prevent future heart attacks. Percent of members who received persistent beta-blocker treatment for six months after discharge:
Cholesterol management of heart patients   Persistence of beta blocker treatment after a heart attack
     

Blood sugar testing for people with diabetes
Controlling blood sugar levels can prevent complications from diabetes. Percent of members with diabetes who had a blood sugar (HbA1C) test:

  

Eye exams for people with diabetes
Regular eye exams can reduce the risk of blindness from diabetes. Percent of members with diabetes who received an eye exam:
Blood sugar testing for people with diabetes   Eye exams for people with diabetes
 
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