Keystone Health Plan West
Medicare | HMO | www.highmarkbcbs.com
| States: | Pennsylvania |
| Rank: | 14 |
| Score: | 83.8 |
| 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 28 individual measures.
How This Plan Performed (methodology)
Prevention 5
| Breast cancer screening | 3 |
| Colorectal cancer screening | 5 |
| Glaucoma screening | 3 |
| Mental health status | 3 |
| Physical health status | 5 |
Treatment 4
| Diabetes | 4 |
|---|---|
| Retinal eye exams | 4 |
| Glucose testing | 4 |
| Glucose control | 4 |
| LDL cholesterol screening | 3 |
| LDL cholesterol control | 3 |
| Monitoring kidney disease | 3 |
| Heart disease | 4 |
| Giving beta blocker after heart attack | 5 |
| Staying on beta blocker after heart attack | 5 |
| Controlling high blood pressure | 3 |
| LDL cholesterol screening | 3 |
| LDL cholesterol control | 4 |
| Mental and behavioral health | 4 |
| Depression—appropriate follow-up after diagnosis | 3 |
| Depresssion—adhering to medication for 12 weeks | 4 |
| Depresssion—adhering to medication for six months | 4 |
| Follow-up after hospitalization for mental illness | 3 |
| Alcohol or drug dependence treatment initiated | 5 |
| Alcohol or drug dependence treated for 30 days | 3 |
| Other treatment measures | |
| Medication for rheumatoid arthritis | 3 |
| Monitoring of key long-term medications | 4 |
| Spirometry testing for COPD | 3 |
| Managing osteoporosis in women after a fracture | 5 |
| Discussing and treating urinary incontinence | 3 |
| Avoiding high-risk medications | 4 |
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.
