Commercial Quality of Care

Care for People with Diabetes

Measures were collected for people in each HMO between the ages of 18 and 75 and who have diabetes. Rates were calculated by dividing the number of people who received the test by the total number of people with diabetes.

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

Eye Exam The percentage of members who had a retinal exam by an eye care professional. HMO Name Rate Data Collection Method Statistical Rating Altius 57.6% Admin+Chart Review Cigna Not Reported HealthWise Not Reported SelectHealth 62.0% Admin+Chart Review United 44.5% Admin+Chart Review National Average: 54.7% State Average: 54.7%
Poor HbA1c Control The percentage of members who had an HbA1c level above 9.0% during their last visit. Lower numbers are better. HMO Name Rate Data Collection Method Statistical Rating Altius 37.0% Admin+Chart Review Cigna Not Reported HealthWise Not Reported SelectHealth 22.9% Admin+Chart Review United 42.3% Admin+Chart Review National Average: 29.6% State Average: 34.1%
Hemoglobin A 1c Testing (Test of Blood Sugar Level) The percentage of members who had one or more HbA1c tests. HMO Name Rate Data Collection Method Statistical Rating Altius 86.2% Admin+Chart Review Cigna 88.5% Administrative HealthWise Not Reported SelectHealth 90.5% Admin+Chart Review United 85.6% Admin+Chart Review National Average: 87.5% State Average: 87.7%
LDL-C Level Controlled (LDL <100 mg/dL) The percentage of members who had an LDL level less than 100 mg/dl at their most recent test in the current measurement year. HMO Name Rate Data Collection Method Statistical Rating Altius 39.5% Admin+Chart Review Cigna Not Reported HealthWise Not Reported SelectHealth 50.6% Admin+Chart Review United 39.7% Admin+Chart Review National Average: 43.0% State Average: 43.2%
LDL-C Screening Performed Members who had an LDL-C screening test performed within the current measurement year. HMO Name Rate Data Collection Method Statistical Rating Altius 76.6% Admin+Chart Review Cigna 85.2% Administrative HealthWise Not Reported SelectHealth 81.0% Admin+Chart Review United 76.6% Admin+Chart Review National Average: 83.4% State Average: 79.9%
Monitoring for Diabetic Nephropathy The percentage of members who had a kidney disease (nephropathy) screening test. HMO Name Rate Data Collection Method Statistical Rating Altius 70.3% Admin+Chart Review Cigna 72.1% Administrative HealthWise Not Reported SelectHealth 82.7% Admin+Chart Review United 75.4% Admin+Chart Review National Average: 79.7% State Average: 75.7%