Sunday, May 18, 2008

Best Health Plans

US News Current Issue

Tufts Associated Health Maintenance Organization

Medicare | HMO | www.tufts-healthplan.com

   
States: Massachusetts
Rank: 3
Score: 85.8
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
5
Colorectal cancer screening
5
Glaucoma screening
5
Mental health status
3
Physical health status
3

Treatment
5

Diabetes
5
Retinal eye exams
5
Glucose testing
5
Glucose control
5
LDL cholesterol screening
5
LDL cholesterol control
4
Monitoring kidney disease
4
Heart disease
5
Giving beta blocker after heart attack
5
Staying on beta blocker after heart attack
4
Controlling high blood pressure
4
LDL cholesterol screening
4
LDL cholesterol control
4
Mental and behavioral health
5
Depression—appropriate follow-up after diagnosis
3
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
4
Alcohol or drug dependence treated for 30 days
4
Other treatment measures
Medication for rheumatoid arthritis
3
Monitoring of key long-term medications
5
Spirometry testing for COPD
3
Managing osteoporosis in women after a fracture
3
Discussing and treating urinary incontinence
3
Avoiding high-risk medications
5

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.

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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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