. Cover Letter
. Quality Matters
. Performance Summary
. Service and Access
. Doctors and Medical Care
. Staying Healthy
. Getting Better /
Living with Illness
(Part 1)
. Getting Better /
Living with Illness (Part 2)
. Choosing Your Health Plan
. Taking Responsibility for
Your Health Care
. Contacting Your Health Plan
. Appeals and Complaints
. Other Important Resources
. HMO and POS Differences
. Consumer Bill of Rights

.

Return to Cover Page
.
Performance Report
(PDF)

.

Plan Comparison Tool


2000 HMO Performance Report

Getting Better / Living with Illness (Part 2)

How well does the health plan care for members who are sick?


This section shows how the health plans compare to the New Jersey plan average in working with doctors to care for members who are sick or living with chronic illness.

Higher than average scores mean better performance.

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 Blood sugar testing for people with diabetes Eye exams for people with diabetes Appropriate medications for asthma (children) Appropriate medications for asthma (adults)
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Horizon-HMO
One Health-HMO
NA
NA
Oxford-HMO/POS
PHS-HMO/POS
United-HMO/POS
University-HMO/POS
NA
WellChoice-HMO
NA
NA

Due to differences in sample size, health plans with the same or similar scores can have different circle ratings.
NA = Not Applicable - Health plan was unable to report the measure due to the small number of eligible members.
See each health
plan's scores below:

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 (glycohemoglobin) test:

NJ Plan Average
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Horizon-HMO
One Health-HMO
Oxford-HMO/POS
PHS-HMO/POS
United-HMO/POS
University-HMO/POS
WellChoice-HMO

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:

NJ Plan Average
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Horizon-HMO
One Health-HMO
Oxford-HMO/POS
PHS-HMO/POS
United-HMO/POS
University-HMO/POS
WellChoice-HMO

Appropriate medications for children with asthma

Asthma is the most common chronic childhood disease. With appropriate therapies, long term control of persistent asthma can be achieved, resulting in a decrease in hospitalizations and/or emergency room visits for treatment. Percent of pediatric members
aged 5–17 with persistent asthma who received one of four acceptable therapies in the past year:

NJ Plan Average
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Horizon-HMO
One Health-HMO
Oxford-HMO/POS
PHS-HMO/POS
United-HMO/POS
University-HMO/POS
WellChoice-HMO

Appropriate medications for adults with asthma

Much of the increasing death and morbidity associated with asthma is avoidable. With appropriate therapies, long term control of
persistent asthma can be achieved, resulting in a decrease in hospitalizations and/or emergency room visits for treatment. Percent of members aged 18–56 with persistent asthma who received one of four acceptable therapies in the past year:

NJ Plan Average
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Horizon-HMO
One Health-HMO
Oxford-HMO/POS
PHS-HMO/POS
United-HMO/POS
University-HMO/POS
WellChoice-HMO
   
  Back to Part 1

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