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2011 New Jersey HMO Performance Report |
Staying Healthy |
Does the HMO help members stay healthy and avoid illness?
HMOs should work with doctors to provide important preventive services that help members stay healthy. HMOs reported on the percentage of their relevant membership who received the following services:
- Testing for breast cancer
- Testing for cervical cancer
- Testing for colorectal cancer
- Immunizations for children
The following tables show how well each HMO did and how well HMOs in New Jersey performed on average. |
HMO |
Testing for
breast
cancer % |
Testing for
cervical
cancer % |
Testing of colorectal
cancer % |
Immunizations
for children % |
Aetna - HMO/POS |
67 |
77 |
59 |
77 |
AmeriHealth - HMO/POS |
69 |
70 |
58 |
*76 |
CIGNA - HMO/POS |
68 |
77 |
65 |
77 |
Horizon - HMO |
64 |
66 |
53 |
72 |
Oxford - HMO/POS |
66 |
79 |
56 |
68 |
|
*Only AmeriHealth used 2010 Data for Childhood Immunization. Other Health Plans used 2009 data for this health measure. |
|
Testing for breast cancer
Mammograms are recommended for detection of breast cancer. Percentage of women aged 42–69 who received a mammogram within the past two years: |
|
Testing for cervical cancer
Pap smears are recommended for detection of cervical cancer. Percentage of women aged 21–64 who received a Pap test within the past three years: |
 |
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|
|
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Colorectal Cancer Screening
Colonoscopy is used to look for early signs of colorectal cancer. Percentage of members 50-75 who had appropriate screening for colorectal cancer: |
|
Immunizations for children
Immunizations prevent childhood diseases
such as polio, measles, mumps, rubella and
whooping cough. Percentage of children who received
recommended immunizations by age two: |
|
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|
|
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*Aetna, CIGNA, Horizon and Oxford used 2009 data for reporting year 2010 |
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