Harvard Pilgrim Health Care of New England
Commercial | HMO/POS Combined | www.harvardpilgrim.org
| States: | New Hampshire |
| Rank: | 3 |
| Score: | 90.6 |
| NCQA Accredited: | 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.
How This Plan Performed (methodology)
Consumer assessment5
| Getting care | 4 |
|---|---|
| Getting care needed | 4 |
| Getting care needed quickly | 4 |
| Satisfaction with physicians | 5 |
| How well doctors communicate | 3 |
| High rating of personal doctor | 5 |
| High rating of specialists | 5 |
| High rating of care received | 5 |
| Satisfaction with plan services | 5 |
| Claims processing | 5 |
| High rating of plan services | 5 |
Prevention 5
| Children and adolescents | 5 |
|---|---|
| Well-child visits (birth to 15 months) | 5 |
| Well-child visits (3-6 years old) | 5 |
| Access for children (7-11 years old) | 5 |
| Adolescent well-care visits | 5 |
| Immunizing children and adolescents | 5 |
| All immunizations at age 2 | 4 |
| All immunizations at age 13 | 5 |
| Women's reproductive health | 4 |
| Timeliness of prenatal checkups | 4 |
| Postpartum care | 4 |
| Cancer screening | 5 |
| Breast cancer screening | 5 |
| Cervical cancer screening | 5 |
| Colorectal cancer screening | 5 |
| Other preventive services | |
| Chlamydia screening (16-25 years old) | 4 |
Treatment 5
| Asthma | 3 |
|---|---|
| Medicate appropriately (5-9 years old) | 3 |
| Medicate appropriately (10-17 years old) | 3 |
| Medicate appropriately (18-56 years old) | 3 |
| Diabetes | 4 |
| Retinal eye exams | 5 |
| Glucose testing | 4 |
| Glucose control | 4 |
| LDL cholesterol screening | 4 |
| LDL cholesterol control | 4 |
| Monitoring kidney disease | 4 |
| Heart disease | 4 |
| Giving beta blocker after heart attack | 5 |
| Staying on beta blocker after heart attack | 3 |
| Controlling high blood pressure | 3 |
| Advising smokers to quit | 3 |
| Discussing stop-smoking strategies | 3 |
| Discussing stop-smoking medications | 3 |
| LDL cholesterol screening | 5 |
| LDL cholesterol control | 4 |
| Mental and behavioral health | 5 |
| Depression—appropriate follow-up after diagnosis | 5 |
| Depresssion—adhering to medication for 12 weeks | 3 |
| Depresssion—adhering to medication for six months | 3 |
| Follow-up after hospitalization for mental illness | 5 |
| Alcohol or drug dependence treatment initiated | 3 |
| Alcohol or drug dependence treated for 30 days | 3 |
| Follow-up after ADHD diagnosis | 5 |
| Other treatment measures | |
| Medication for rheumatoid arthritis | 5 |
| Monitoring of key long-term medications | 5 |
| Spirometry testing for COPD | 3 |
| Appropriate antibiotic use, children with URI | 4 |
| Appropriate testing and care, children with pharyngitis | 3 |
| Appropriate antibiotic use, adults with acute bronchitis | 1 |
I = Insufficient Data; NA = Not applicable; NR = Not reported
Note: Apparent ties are due to rounding. Accreditation status is as of July 31, 2007.
In association with NCQA.
