Health Net of California
www.healthnet.com | Medicaid, HMO
- #57
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in Medicaid Health Plans
Rank and score of 0 to 100 indicate satisfaction of surveyed members and success relative to other Medicaid plans in preventing and treating illness.
Available in: California
| Overall Score: | 76.6 |
| Satisfaction: |  |
| Prevention: |  |
| Treatment: | |
| NCQA Accredition: | Yes |
How This Plan Performed (methodology)
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Treatment
Treating chronic and acute conditions.
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| Asthma | |
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Medicate appropriately (5-9 years old)
Appropriate drugs prescribed for asthmatic children ages 5 to 9.
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Medicate appropriately (10-17 years old)
Appropriate drugs prescribed for asthmatic children ages 10 to 17.
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Medicate appropriately (18-56 years old)
Appropriate drugs prescribed for asthmatic adults.
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| Diabetes | |
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Blood pressure control (130/80)
Diabetic members up to age 75 with blood pressure below 130/80 at last visit.
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NR |
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Blood pressure control (140/90)
Diabetic members up to age 75 with blood pressure below 140/90 at last visit.
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NR |
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Retinal eye exams
Eye exam given to diabetic members to age 75.
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Glucose testing
Blood sugar level checked in diabetic members to age 75.
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Glucose control
Blood sugar level maintained at 9 percent or below in diabetic members to age 75.
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LDL cholesterol screening
Cholesterol checked in diabetic members to age 75.
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LDL cholesterol control
Cholesterol level below 100 milligrams per deciliter maintained in diabetic members to age 75.
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Monitoring kidney disease
Kidney function checked in diabetic members to age 75.
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| Heart disease | |
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Controlling high blood pressure
Blood pressure below 140/90 at last visit in hypertensive adults to age 85.
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LDL cholesterol screening
Cholesterol checked in members with heart disease.
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LDL cholesterol control
Cholesterol level below 100 milligrams per deciliter maintained in adults with heart disease.
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Smoking advice
Practitioners advised smokers to stop.
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Stop-smoking strategies
Practitioners discussed ways to stop.
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Stop-smoking medications
Practitioners discussed stop-smoking drugs.
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| Other treatment measures | |
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Follow-up after ADHD diagnosis
Children ages 6 to 12 newly diagnosed with attention deficit hyperactivity disorder were prescribed drugs and saw practitioner within 30 days.
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Appropriate antibiotic use, adults with acute bronchitis
No immediate antibiotic for adults diagnosed with acute bronchitis.
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Appropriate testing and care, children with pharyngitis
Antibiotic and strep test prescribed for children diagnosed with sore throat.
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Monitoring key long-term medications
Adults with six-month prescriptions for certain drugs were clinically monitored.
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Appropriate antibiotic use, children with URI
No immediate antibiotic for children diagnosed with common cold.
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