. 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
Allows you to choose specific plans for comparison


2000 HMO Performance Report

Getting Better/Living with Illness (Part 1)

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

This section shows how the largest 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 Controlling
high blood pressure
Cholesterol management of
heart patients
Beta blocker treatment after
a heart attack
Care after hospitalization for mental illness
Aetna USHC-HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Horizon-HMO
One Health
NA
NA
NA
Oxford-HMO/POS
PHS-HMO/POS
United-HMO/POS
NA
University-HMO/POS
NA
NA
NA
NA
WellChoice
NA
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:

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 46–85 with hypertension whose blood pressure was under control at their most recent medical visit:

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

Cholesterol management of heart patients

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

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

Beta blocker medication after a heart attack

Beta blockers after a heart attack can help prevent future heart attacks. Percent of members who had a heart attack and received beta blockers:

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

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:

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
   
  Continue


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