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Getting Better/ Living with IllnessNext

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

This section (pages 10-13) 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 Management of medicine for depression Care after hospitalization for mental illness Appropriate medications for asthma (children) Controlling high blood pressure
Aetna- HMO/POS
AmeriHealth-HMO/POS
CIGNA-HMO/POS
Health Net-HMO/POS
Horizon-HMO Not Reported
Oxford-HMO/POS
United-HMO/POS
UHP-HMO/POS Not Reported Not Applicable Not Applicable
WellChoice-HMO Not Reported Not Applicable Not Applicable

Due to differences in sample size, health plans with the same or similar scores can have different circle ratings.
Not Applicable - Health plan was unable to report the measure due to the small number of eligible members.
* Some health plans believe that immunizations results are influenced by a shortage of vaccines.

See each health plan's scores below:

Management of medicine for depression Care after hospitalization for mental illness
Appropriate medications for asthma (children) Controlling high blood pressure

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:

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


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
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
UHP
WellChoice


Appropriate medications for asthma (children)

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
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
UHP
WellChoice


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
AmeriHealth
CIGNA
Health Net
Horizon
Oxford
United
UHP
WellChoice


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Department of Health and Senior Services
P. O. Box 360
Trenton, NJ 08625-0360

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