2011 Consumer Guide - Commercial PPO Managed Care in Northeast New York

Ratings

Health Plan Preventive and Well-Care for Adults and Children Quality of Care Provided to Members with Illnesses Patient Satisfaction with Access and Service Overall Rating
Child and Adolescent Care Women's Preventive Care Maternal Care Adult Preventive Care Care for Respiratory Conditions Diabetes Care Cardiovascular Care Mental Health Satisfaction with Personal Doctor or Nurse Getting Care Needed Overall Satisfaction with Plan
Aetna Life Insurance Company - New York Three stars - above average Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average Two stars - average Two stars - average 70%
CDPHP Universal Benefits, Inc. Three stars - above average Two stars - average Three stars - above average Three stars - above average Two stars - average Three stars - above average Three stars - above average Three stars - above average Two stars - average Three stars - above average Three stars - above average 91%
Connecticut General Life Insurance Company-NY Two stars - average Three stars - above average Three stars - above average Two stars - average Two stars - average One star - below average One star - below average One star - below average Two stars - average Two stars - average Two stars - average 64%
Empire HealthChoice HMO, Inc. One star - below average One star - below average Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average 61%
Excellus BlueCross BlueShield Three stars - above average Two stars - average Three stars - above average Two stars - average Two stars - average Two stars - average One star - below average Three stars - above average Two stars - average Two stars - average Two stars - average 73%
GHI (EmblemHealth) Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average Three stars - above average Two stars - average Two stars - average 67%
HIP (EmblemHealth) Two stars - average One star - below average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average One star - below average 55%
MVP Preferred PPO One star - below average Two stars - average One star - below average Two stars - average Two stars - average One star - below average One star - below average Two stars - average Two stars - average Two stars - average Two stars - average 55%
UnitedHealthcare Insurance Company of New York, Inc. Two stars - average Three stars - above average One star - below average Two stars - average Two stars - average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average Three stars - above average 67%

Key

More stars mean better health plan performance.

Indicator Rating
Three stars Above average
Two stars Average
One star Below average

Notes

  • Data for HealthNow PPO is reported as a combination of PPO and HMO membership. Results are contained in the Commercial HMO consumer guides.
  • Ratings are based on a comparison of PPO rates to statewide averages.
  • The Quality ratings are from information submitted by the PPO companies.
  • Patient Satisfaction ratings are from member surveys conducted by certified vendors for the PPO companies.
  • The quality of care measures used in this guide represent some, but not all of the measures from PPO companies. For additional information about the individual measures included in each category, please see the New York State Department of Health's website.

Availability