2011 Health Plan Quality of Care Report for Utah Commercial HMOs, Medicaid & CHIP Health Plans (HEDIS)
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INTRODUCTION

Since 1994, the mission of the Utah Health Data Committee has been “to support health improvement initiatives through the collection, analysis, and public release of health care information.” Part of that mission includes reporting on various Health Maintenance Organizations (HMOs) and Managed Care Organizations (MCOs).

TThis report contains information about commercial HMOs, Medicaid HMOs, and Children’s Health Insurance Program (CHIP) HMOs. The commercial HMOs included in this report represent only a portion of the commercial health plan options that are available in Utah. Only specifically-defined HMOs are required to submit data for this report. However, the Medicaid health plan and CHIP HMO reported here represent all of the coverage options for these populations in Utah.

The goal of this report is to provide information for consumers, purchasers and insurance plans about the performance of Utah’s commercial and CHIP HMOs, as well as Medicaid health plans. Consumers and those who purchase health care can use the information to help them make decisions about which plan to choose. Health plans can use the information to assist them in improving the care and services they provide to enrollees.  About 35% of Utahns who currently have health insurance are covered by one of the health plans in this report.

Many different groups contributed to the data collection, analysis, and writing of this report. These include groups within the Utah Department of Health -- Division of Medicaid and Health Financing, the Utah Health Data Committee -- as well as representatives of the participating Medicaid health plans, HMOs and PPOs.