2012 Plan Performance - Commercial PPO Managed Care in Western New York

  • The 2012 Consumer Guide to Commercial PPO Managed Care in Western New York is also available in Portable Document Format (PDF, 174 KB, 2pg.)
  • More information about Commercial PPO Managed Care

    • 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 Health 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 Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average One star - below average Two stars - average Two stars - average Two stars - average 64%
    Connecticut General Life Insurance Company - NY Three stars - above average Three stars - above 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 One star - below average 70%
    Excellus BlueCross BlueShield Two stars - average Two stars - average Three stars - above average Three stars - above average Two stars - average Three stars - above average Two stars - average Three stars - above average Two stars - average Two stars - average Two stars - average 79%
    GHI (EmblemHealth) One star - below 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 Two stars - average 61%
    HIP (EmblemHealth) Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average 73%
    MVP Preferred PPO One star - below average Two stars - average One star - below average One star - below average Two stars - average One star - below average Two stars - average Three stars - above average Two stars - average Two stars - average One star - below 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 plan performance.

    Indicator Rating
    Three Stars Above Average
    Two Stars Average
    One Star Below Average

    Notes

    • Data for HealthNow PPO and for Univera PPO are 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 plan rates to statewide averages.
    • The quality ratings are from information submitted by health plans.
    • Patient Satisfaction ratings are from member surveys conducted by certified vendors for the health plans.
    • The quality of care measures used in this guide represent some, but not all of the measures from health plans. For additional information about the individual measures included in each category, please see the New York State Department of Health's website.
    • The New York State Health Accountability Foundation also uses these data in the HMO Report Card information. For this information, please visit the NYS HAF website.

      • Availability

    • Find out if a plan is offered in your county