Monday, November 9, 2009

Best Health Plans

DC Chartered Health Plan

Medicaid | HMO | www.chartered-health.com

   
States: District of Columbia
Rank: 53
Score: 79.9
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 35 individual measures.

How This Plan Performed (methodology)

Consumer assessment
2
Getting care
1
Getting needed care
1
Getting needed care quickly
2
Satisfaction with physicians
3
How well doctors communicate
3
High rating of personal doctor
3
High rating of specialists
3
High rating of care received
3
Satisfaction with health plan services
3
High rating of health plan
3
Customer service
3
Prevention
4
Children and adolescents
4
Well-child visits (birth to 15 months)
3
Well-child visits (3-6 years old)
4
Access for children (7-11 years old)
4
Adolescent well-care visits
5
Immunizations
4
All immunizations at age 2
4
Women's reproductive health
1
Timeliness of prenatal checkups
1
Postpartum care
1
Cancer screening
4
Breast cancer screening
3
Cervical cancer screening
4
Other preventive services
Chlamydia screening
5
Treatment
3
Asthma
3
Medicate appropriately (5-9 years old)
3
Medicate appropriately (10-17 years old)
3
Medicate appropriately (18-56 years old)
3
Diabetes
3
Blood pressure control (130/80)
2
Blood pressure control (140/90)
2
Retinal eye exams
4
Glucose testing
3
Glucose control
3
LDL cholesterol screening
3
LDL cholesterol control
3
Monitoring kidney disease
4
Heart disease
3
Controlling high blood pressure
2
Advising smokers to quit
2
Discussing stop-smoking strategies
1
Discussing stop-smoking medications
2
LDL cholesterol screening
1
LDL cholesterol control
3
Other treatment measures
Appropriate antibiotic use, adults with acute bronchitis
3
Appropriate testing and care, children with pharyngitis
1
Monitoring key long-term medications
2
Appropriate antibiotic use, children with URI
4

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.

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About NCQA

NCQA

NCQA is a private, non-profit organization whose mission is to improve health care quality. The organization measures and reports on various aspects of performance and offers a range of accreditation and certification programs for different entities and individual physicians.

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