General information |
PlanName |
Insurance plan name. |
State |
The state to which the plan belongs. |
PlanCategory |
The category of the plan, eg, private, Medicare, Medicaid. |
PlanType |
The type of the plan, eg, preferred provider organization (PPO), health maintenance organization (HMO). |
Quality indicators – Overall |
Rank |
The overall rank of the plan. |
OverallScore |
The overall score of the plan. |
Quality indicators – Customer service |
OverallConsumerSatisfactionScore |
The score for consumer satisfaction. |
GettingCareScore |
Scores based on appointments, preventive care, test, and easy and quick access to treatments. |
SatisfactionWithPhysiciansScore |
Scores based on providers, care revived and health promotion and education. |
SatisfactionWithHealthPlanServicesScore |
Scores based on handling claims and other plans services. |
Quality indicators – Prevention |
OverallPreventionScore |
The score for preventive care. |
ChildrenAndAdolescentsScore |
Scores based on well-child visits, immunizations, nutrition counseling, physical activity counseling. |
Women’sReproductiveHealthScore |
Scores based on prenatal checkup and postpartum care. |
CancerScreeningScore |
Scores based on various cancer screenings. |
OtherPreventiveServicesScore |
Scores based on flu vaccinations, chlamydia screening, and other preventive care. |
Quality indicators – Treatment |
OverallTreatmentScore |
The score for different treatments. |
AsthmaTreatmentScore |
Scores based on asthma medication and treatment. |
DiabetesTreatmentScore |
Scores based on blood pressure control, glucose testing and control, low-density lipoprotein cholesterol screening and control, monitoring kidney diseases. |
HeartDiseaseTreatmentScore |
Scores based on controlling blood pressure and cholesterol and beta-blockers after heart attack. |
MentalAndBehavioralHealthScore |
Scores based on depression medication, alcohol and drug dependence treatment, etc. |
OtherTreatmentMeasuresScore |
Scores based on monitoring key long-term medications, antibiotic use, testing for chronic obstructive pulmonary disease, etc. |