Commercial Quality of Care

Child and Adolescent Health Care

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

Appropriate Testing for Children with Pharyngitis The percentage of members 2 to 18 years of age who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode. A higher rate represents better performance (i.e., appropriate testing). HMO Name Rate Data Collection Method Statistical Rating Altius 83.2% Administrative Cigna 85.0% Administrative HealthWise 94.1% Administrative SelectHealth 84.9% Administrative United 87.1% Administrative National Average: 72.7% State Average: 86.9%

Appropriate Treatment for Children with Upper Respiratory Infection The percentage of members ages 3 months to 18 years of age who were given a diagnosis of upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the Episode Date. HMO Name Rate Data Collection Method Statistical Rating Altius 86.6% Administrative Cigna 93.2% Administrative HealthWise 89.6% Administrative SelectHealth 84.0% Administrative United 86.5% Administrative National Average: 82.8% State Average: 88.0%