Humana Health Plan of Texas (Corpus Christi)
Commercial | HMO | www.humana.com
| States: | Texas |
| Rank: | - |
| Score: | No score—insufficient data |
| NCQA Accredited: | Yes |
How This Plan Performed (methodology)
Consumer assessmentI
| Getting care | I |
|---|---|
| Getting care needed | NA |
| Getting care needed quickly | NA |
| Satisfaction with physicians | I |
| How well doctors communicate | NA |
| High rating of personal doctor | NA |
| High rating of specialists | NA |
| High rating of care received | NA |
| Satisfaction with plan services | I |
| Claims processing | NA |
| High rating of plan services | NA |
Prevention 2
| Children and adolescents | 2 |
|---|---|
| Well-child visits (birth to 15 months) | NA |
| Well-child visits (3-6 years old) | 1 |
| Access for children (7-11 years old) | 3 |
| Adolescent well-care visits | 1 |
| Immunizing children and adolescents | I |
| All immunizations at age 2 | NA |
| All immunizations at age 13 | NA |
| Women's reproductive health | I |
| Timeliness of prenatal checkups | NA |
| Postpartum care | NA |
| Cancer screening | 1 |
| Breast cancer screening | 3 |
| Cervical cancer screening | 3 |
| Colorectal cancer screening | 1 |
| Other preventive services | |
| Chlamydia screening (16-25 years old) | NA |
Treatment I
| Asthma | I |
|---|---|
| Medicate appropriately (5-9 years old) | NA |
| Medicate appropriately (10-17 years old) | NA |
| Medicate appropriately (18-56 years old) | NA |
| Diabetes | 3 |
| Retinal eye exams | 2 |
| Glucose testing | 5 |
| Glucose control | 3 |
| LDL cholesterol screening | 3 |
| LDL cholesterol control | 3 |
| Monitoring kidney disease | 5 |
| Heart disease | I |
| Giving beta blocker after heart attack | NA |
| Staying on beta blocker after heart attack | NA |
| Controlling high blood pressure | 3 |
| Advising smokers to quit | NA |
| Discussing stop-smoking strategies | NA |
| Discussing stop-smoking medications | NA |
| LDL cholesterol screening | NA |
| LDL cholesterol control | NA |
| Mental and behavioral health | I |
| Depression—appropriate follow-up after diagnosis | NA |
| Depresssion—adhering to medication for 12 weeks | NA |
| Depresssion—adhering to medication for six months | NA |
| Follow-up after hospitalization for mental illness | NA |
| Alcohol or drug dependence treatment initiated | NA |
| Alcohol or drug dependence treated for 30 days | NA |
| Follow-up after ADHD diagnosis | NA |
| Other treatment measures | |
| Medication for rheumatoid arthritis | NA |
| Monitoring of key long-term medications | 3 |
| Spirometry testing for COPD | NA |
| Appropriate antibiotic use, children with URI | 1 |
| Appropriate testing and care, children with pharyngitis | NA |
| Appropriate antibiotic use, adults with acute bronchitis | NA |
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.
