Total Health Care
Commercial | HMO | www.totalhealthcareonline.com
| States: | Michigan |
| Rank: | 193 |
| Score: | 79.2 |
| NCQA accreditation: | Yes |
Score reflects results of consumer surveys and success in preventing and treating illness compared with average plan. Here's how this plan was viewed by members and how it performed in prevention and treatment, broken down into 50 individual measures.
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How This Plan Performed (methodology)
Consumer assessment
1
| Getting care | 1 |
|---|---|
| Getting needed care | 3 |
| Getting needed care quickly | 1 |
| Satisfaction with physicians | 1 |
| How well doctors communicate | 1 |
| High rating of personal doctor | 3 |
| High rating of specialists | NA |
| High rating of care received | 3 |
| Satisfaction with health plan services | I |
| Claims processing | NA |
| High rating of health plan | 3 |
| Customer service | NA |
Prevention
3
| Children and adolescents | 3 |
|---|---|
| Well-child visits (birth to 15 months) | 3 |
| Well-child visits (3-6 years old) | 3 |
| Access for children (7-11 years old) | 1 |
| Adolescent well-care visits | 4 |
| Immunizations | 5 |
| All immunizations at age 2 | 5 |
| Women's reproductive health | 3 |
| Timeliness of prenatal checkups | 3 |
| Postpartum care | 3 |
| Cancer screening | 1 |
| Breast cancer screening | 2 |
| Cervical cancer screening | 3 |
| Colorectal cancer screening | 1 |
| Other preventive services | |
| Chlamydia screening | 5 |
Treatment
2
| Asthma | I |
|---|---|
| Medicate appropriately (5-9 years old) | NA |
| Medicate appropriately (10-17 years old) | NA |
| Medicate appropriately (18-56 years old) | 3 |
| Diabetes | 1 |
| Blood pressure control (130/80) | 1 |
| Blood pressure control (140/90) | 2 |
| Retinal eye exams | 2 |
| Glucose testing | 2 |
| Glucose control | 2 |
| LDL cholesterol screening | 1 |
| LDL cholesterol control | 1 |
| Monitoring kidney disease | 2 |
| Heart disease | 3 |
| Staying on beta blocker after heart attack | NA |
| Controlling high blood pressure | 3 |
| LDL cholesterol screening | 3 |
| LDL cholesterol control | 1 |
| Mental and behavioral health | I |
| Depression--appropriate follow-up after diagnosis | NA |
| Depresssion--adhering to medication for 12 weeks | NA |
| Depression--adhering to medication for 6 months | NA |
| Follow-up after hospitalization for mental illness | NA |
| Alcohol or drug dependence treatment initiated | 3 |
| Alcohol or drug dependence treated for 30 days | 1 |
| Follow-up after ADHD diagnosis | NA |
| Continued follow-up after ADHD diagnosis | NA |
| Other treatment measures | |
| Appropriate antibiotic use, adults with acute bronchitis | 3 |
| Appropriate testing and care, children with pharyngitis | 1 |
| Medication for rheumatoid arthritis | NA |
| Monitoring key long-term medications | 2 |
| Spirometry testing for COPD | 3 |
| Appropriate antibiotic use, children with URI | NA |
I = Insufficient Data.
NA = Not applicable: Benefit is not offered, few members are affected, or the plan was not required to submit the data (Medicare only).
NR = Not reported: Plan did not calculate the measure or calculated it but did not report it.
Note: Apparent ties are due to rounding. Accreditation status is as of July 31, 2008.
