Commercial Quality of Care

Health Care for Adults

REMEMBER: Differences between HMOs may be caused by differences in performance OR by differences in data collection.

Higher HMO score is significantly above the average for Utah Commercial HMOs
     Average HMO score is neither higher nor lower than the Utah Commercial HMO average
        Lower HMO score is significantly below the average for Utah Commercial HMOs

Colorectal Cancer Screening The percentage of members 50 to 80 years of age who had appropriate screening for colorectal cancer (CRC). HMO Name Rate Data Collection Method Statistical Rating Altius 54.5% Admin+Chart Review Cigna 53.8% Administrative HealthWise 42.9% Administrative SelectHealth 60.1% Admin+Chart Review United 47.7% Admin+Chart Review National Average: 54.5% State Average: 51.8%
Controlling High Blood Pressure The percentage of members 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled (<140/90) during the measurement year. HMO Name Rate Data Collection Method Statistical Rating Altius 56.3% Administrative Cigna Not Reported HealthWise Not Reported SelectHealth 62.5% Admin+Chart Review United 51.8% Admin+Chart Review National Average: 59.7% State Average: 56.9%
Use of Imaging Studies for Low Back Pain Percentage of members with acute low back pain for whom imaging studies did not occur. HMO Name Rate Data Collection Method Statistical Rating Altius 77.7% Administrative Cigna 78.0% Administrative HealthWise 65.4% Administrative SelectHealth 74.3% Administrative United 74.4% Administrative National Average: 73.9% State Average: 74.0%