Commerical Quality of Care

Use of Medication

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 HMOs average
        Lower HMO score is significantly below the average for Utah Commercial HMOs

Antidepressant Medication Management Effective Acute Phase Treatment. The percentage of members 18 years of age and older as of April 30 of the measurement year who were diagnosed with a new episode of depression, were treated with antidepressant medication and remained on an antidepressant drug during the entire 84-day (12-week) Acute Treatment Phase. HMO Name Rate Data Collection Method Statistical Rating Altius 55.7% Administrative HealthWise 67.7% Administrative SelectHealth 63.9% Administrative United 59.6% Administrative National Average: 62.9% State Average: 61.7%
Antidepressant Medication Management Effective Continuation Phase Treatment. The percentage of members 18 years of age and older as of April 30 of the measurement year who were diagnosed with a new episode of depression and treated with anti-depressant medication and who remained on an antidepressant drug for at least 180 days. HMO Name Rate Data Collection Method Statistical Rating Altius 38.6% Administrative HealthWise 50.0% Administrative SelectHealth 47.4% Administrative United 42.2% Administrative National Average: 46.1% State Average: 44.6%
Antidepressant Medication Management Optimal Practitioner Contacts for Medication Management. The percentage of members 18 years of age and older as of April 30 of the measurement year who were diagnosed with a new episode of depression and treated with antidepressant medication, and who had at least three follow-up contacts with a practitioner coded with a mental health diagnosis during the 84-day (12-week) Acute Treatment Phase. HMO Name Rate Data Collection Method Statistical Rating Altius 10.4% Administrative HealthWise 5.9% Administrative SelectHealth 10.6% Administrative United 10.5% Administrative National Average: 18.7% State Average: 9.3%
Use of Appropriate Medications for People With Asthma The percentage of members 10 to 17 years of age during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication during the measurement year. HMO Name Rate Data Collection Method Statistical Rating Altius 94.6% Administrative HealthWise Not Applicable SelectHealth 95.5% Administrative United 97.9% Administrative National Average: 93.8% State Average: 96.0%
Use of Appropriate Medications for People With Asthma The percentage of members 5 to 56 years of age during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication during the measurement year. HMO Name Rate Data Collection Method Statistical Rating Altius 93.3% Administrative HealthWise Not Applicable SelectHealth 94.3% Administrative United 95.2% Administrative National Average: 92.3% State Average: 94.3%