Health Plan Quality of Care Report for Utah Commercial HMOs, Medicaid & CHIP Health Plans (HEDIS)
MyHealthCare in Utah MyHealthCare in Utah
 
Commercial HMO Measures: 2014

Adults' access to preventive/ambulatory services
Percentage of members (20 - 44 years of age) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Altius 93.21% Administrative
SelectHealth 93.22% Administrative
NATIONAL AVERAGE: 93.40% STATE AVERAGE: 93.21%
 
Adults' access to preventive/ambulatory services
Percentage of members (45 - 64 years of age) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Altius 96.74% Administrative
SelectHealth 95.72% Administrative
NATIONAL AVERAGE: 95.84% STATE AVERAGE: 96.23%
 
Adults' access to preventive/ambulatory services
Percentage of members (65 years of age and older) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Altius 98.10% Administrative
SelectHealth 97.67% Administrative
NATIONAL AVERAGE: 97.27% STATE AVERAGE: 97.88%
 
Children's Access To Primary Care Providers
Percentage of children (12 - 19 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Altius 85.56% Administrative
SelectHealth 82.59% Administrative
NATIONAL AVERAGE: 90.01% STATE AVERAGE: 84.08%
 
Children's Access To Primary Care Providers
Percentage of children (12 - 24 months of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Altius 97.95% Administrative
SelectHealth 98.42% Administrative
NATIONAL AVERAGE: 97.94% STATE AVERAGE: 98.18%
 
Children's Access To Primary Care Providers
Percentage of children (25 months - 6 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Altius 84.61% Administrative
SelectHealth 86.00% Administrative
NATIONAL AVERAGE: 92.31% STATE AVERAGE: 85.30%
 
Children's Access To Primary Care Providers
Percentage of children (7 - 11 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Altius 81.12% Administrative
SelectHealth 79.95% Administrative
NATIONAL AVERAGE: 92.93% STATE AVERAGE: 80.53%
 

Immunizations for Adolescents
Percentage of adolescents who received one meningococcal vaccine on or between the member's 11th and 13th birthday.
Health PlanRateData Collection Method
Altius 65.49% Administrative
SelectHealth 73.56% Admin+Chart Review
NATIONAL AVERAGE: 64.88% STATE AVERAGE: 69.52%
 
Immunizations for Adolescents
Percentage of adolescents who received one TDAP vaccine between the member's 10th and 13th birthday.
Health PlanRateData Collection Method
Altius 89.71% Administrative
SelectHealth 91.89% Admin+Chart Review
NATIONAL AVERAGE: 78.17% STATE AVERAGE: 90.80%
 
Immunizations for Adolescents
Percentage of adolescents who received one meningococcal vaccine, and one TDAP between the members 10th and 13th birthdays.
Health PlanRateData Collection Method
Altius 64.95% Administrative
SelectHealth 72.89% Admin+Chart Review
NATIONAL AVERAGE: 62.27% STATE AVERAGE: 68.92%
 
Human Papillomavirus Vaccine for Female Adolescents
Percentage of female adolescents (13 years of age) who had three doses of the HPV vaccine by their 13th birthday
Health PlanRateData Collection Method
Altius 11.85% Administrative
SelectHealth 15.82% Admin+Chart Review
NATIONAL AVERAGE: 13.29% STATE AVERAGE: 13.83%
 

Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had an eye exam.
Health PlanRateData Collection Method
Altius 59.69% Admin+Chart Review
SelectHealth 66.23% Admin+Chart Review
NATIONAL AVERAGE: 55.70% STATE AVERAGE: 62.96%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their Hemoglobin A1c tested.
Health PlanRateData Collection Method
Altius 92.65% Admin+Chart Review
SelectHealth 92.70% Admin+Chart Review
NATIONAL AVERAGE: 89.76% STATE AVERAGE: 92.67%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their LDL-C level under control.
Health PlanRateData Collection Method
Altius 51.67% Admin+Chart Review
SelectHealth 55.66% Admin+Chart Review
NATIONAL AVERAGE: 47.70% STATE AVERAGE: 53.66%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their LDL-C screened.
Health PlanRateData Collection Method
Altius 81.51% Admin+Chart Review
SelectHealth 81.75% Admin+Chart Review
NATIONAL AVERAGE: 85.22% STATE AVERAGE: 81.63%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who have poor HbA1c control. (Lower Rate is Better)
Health PlanRateData Collection Method
Altius 27.62% Admin+Chart Review
SelectHealth 22.45% Admin+Chart Review
NATIONAL AVERAGE: 28.85% STATE AVERAGE: 25.03%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had a blood pressure less than 140/90 Hg
Health PlanRateData Collection Method
Altius 73.05% Admin+Chart Review
SelectHealth 76.28% Admin+Chart Review
NATIONAL AVERAGE: 64.92% STATE AVERAGE: 74.66%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had a test for diabetic nephropathy.
Health PlanRateData Collection Method
Altius 84.86% Admin+Chart Review
SelectHealth 87.22% Admin+Chart Review
NATIONAL AVERAGE: 83.70% STATE AVERAGE: 86.04%
 

Appropriate Testing for Children with Pharyngitis
Percentage of children (2 -18 years of age) who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode.
Health PlanRateData Collection Method
Altius 83.30% Administrative
SelectHealth 89.27% Administrative
NATIONAL AVERAGE: 81.22% STATE AVERAGE: 86.29%
 
Appropriate Treatment for Children with Upper Respiratory Infection
Percentage of children (3 months - 18 years of age) who were given a diagnosis of upper respiratory infection and were not dispensed an antibiotic prescription.
Health PlanRateData Collection Method
Altius 87.30% Administrative
SelectHealth 89.41% Administrative
NATIONAL AVERAGE: 84.23% STATE AVERAGE: 88.35%
 
BMI Percentile for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had their BMI documented
Health PlanRateData Collection Method
Altius 39.65% Admin+Chart Review
SelectHealth 78.34% Admin+Chart Review
NATIONAL AVERAGE: 54.09% STATE AVERAGE: 59.00%
 
Nutrition Counseling for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had evidence of counseling for nutrition
Health PlanRateData Collection Method
Altius 35.29% Admin+Chart Review
SelectHealth 56.69% Admin+Chart Review
NATIONAL AVERAGE: 56.48% STATE AVERAGE: 45.98%
 
Physical Activity Counseling for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had evidence of counseling for physical activity
Health PlanRateData Collection Method
Altius 29.19% Admin+Chart Review
SelectHealth 54.50% Admin+Chart Review
NATIONAL AVERAGE: 53.16% STATE AVERAGE: 41.84%
 

Adolescent Well-Care Visit
Percentage of members (12 - 21 years of age) who had at least one comprehensive well-care visit.
Health PlanRateData Collection Method
Altius 29.26% Administrative
SelectHealth 34.02% Administrative
NATIONAL AVERAGE: 44.76% STATE AVERAGE: 31.64%
 
Well-child visits in the 3rd/4th/5th/& 6th yr of life
Percentage of children (3 - 6 years of age) who received one or more well-child visits.
Health PlanRateData Collection Method
Altius 56.77% Administrative
SelectHealth 65.94% Administrative
NATIONAL AVERAGE: 74.36% STATE AVERAGE: 61.36%
 
Well-Child Visits In The First 15 Months of Life
Percentage of children (less than 15 months old) that received at least six or more well-child visits.
Health PlanRateData Collection Method
Altius 71.72% Administrative
SelectHealth 79.56% Administrative
NATIONAL AVERAGE: 78.67% STATE AVERAGE: 75.64%
 

Childhood Immunization Status
Percentage of children that received four DTaP; three IPV; one MMR; two HiB; three hepatitis B; and one VZV vaccination on or before their second birthday.
Health PlanRateData Collection Method
Altius 70.96% Admin+Chart Review
SelectHealth 81.56% Admin+Chart Review
NATIONAL AVERAGE: 79.83% STATE AVERAGE: 76.26%
 
Childhood Immunization Status
Percentage of children that received four DTaP; three IPV; one MMR; two HiB; three hepatitis B; one VZV; and four pneumococcal conjugate vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Altius 67.03% Admin+Chart Review
SelectHealth 80.58% Admin+Chart Review
NATIONAL AVERAGE: 77.05% STATE AVERAGE: 73.81%
 
Childhood Immunization Status
Percentage of children that received four DTaP vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Altius 75.76% Admin+Chart Review
SelectHealth 86.00% Admin+Chart Review
NATIONAL AVERAGE: 87.75% STATE AVERAGE: 80.87%
 
Childhood Immunization Status
Percentage of children that received at least three hepatitis B vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Altius 85.37% Admin+Chart Review
SelectHealth 92.63% Admin+Chart Review
NATIONAL AVERAGE: 89.50% STATE AVERAGE: 89.00%
 
Childhood Immunization Status
Percentage of children that received at least two HiB vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Altius 86.90% Admin+Chart Review
SelectHealth 92.86% Admin+Chart Review
NATIONAL AVERAGE: 94.70% STATE AVERAGE: 89.88%
 
Childhood Immunization Status
Percentage of children that received at least one MMR vaccination on or before their second birthday.
Health PlanRateData Collection Method
Altius 88.21% Admin+Chart Review
SelectHealth 91.65% Admin+Chart Review
NATIONAL AVERAGE: 91.78% STATE AVERAGE: 89.93%
 
Childhood Immunization Status
Percentage of children that received at least four pneumococcal conjugate vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Altius 75.98% Admin+Chart Review
SelectHealth 89.19% Admin+Chart Review
NATIONAL AVERAGE: 87.42% STATE AVERAGE: 82.58%
 
Childhood Immunization Status
Percentage of children that received at least one VZV vaccination on or before their second birthday.
Health PlanRateData Collection Method
Altius 87.77% Admin+Chart Review
SelectHealth 91.15% Admin+Chart Review
NATIONAL AVERAGE: 91.70% STATE AVERAGE: 89.46%
 
Childhood Immunization Status
Percentage of children that received at least three IPV vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Altius 86.90% Admin+Chart Review
SelectHealth 92.63% Admin+Chart Review
NATIONAL AVERAGE: 93.14% STATE AVERAGE: 89.76%
 

Colorectal Cancer Screening
Percentage of members (51 - 80 years of age) who had appropriate screening for colorectal cancer.
Health PlanRateData Collection Method
Altius 73.04% Admin+Chart Review
SelectHealth 70.98% Admin+Chart Review
NATIONAL AVERAGE: 62.63% STATE AVERAGE: 72.00%
 
Use of Imaging Studies for Low Back Pain
Percentage of members with a primary diagnosis of low back pain who did not have an imaging study (X-ray, MRI, CT scan) within 28 days of the diagnosis.
Health PlanRateData Collection Method
Altius 78.28% Administrative
SelectHealth 75.59% Administrative
NATIONAL AVERAGE: 74.28% STATE AVERAGE: 76.94%
 
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.
Health PlanRateData Collection Method
Altius 67.34% Admin+Chart Review
SelectHealth 71.94% Admin+Chart Review
NATIONAL AVERAGE: 61.63% STATE AVERAGE: 69.64%
 
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
The percentage of adults (12 - 64 years of age) with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription
Health PlanRateData Collection Method
Altius 72.90% Administrative
SelectHealth 32.60% Administrative
NATIONAL AVERAGE: 22.26% STATE AVERAGE: 52.75%
 
Cholesterol Management for Patients With Cardiovascular Conditions
The percentage of members 18 to 75 with a cardiovascular condition and has manageable cholesterol.
Health PlanRateData Collection Method
Altius 58.75% Admin+Chart Review
SelectHealth 68.19% Admin+Chart Review
NATIONAL AVERAGE: 59.27% STATE AVERAGE: 63.47%
 
Cholesterol Management for Patients With Cardiovascular Conditions
Percentage of members with cardiovascular conditions (18 - 75 years of age) who had their LDL-C level under control.
Health PlanRateData Collection Method
Altius 80.57% Admin+Chart Review
SelectHealth 86.51% Admin+Chart Review
NATIONAL AVERAGE: 88.13% STATE AVERAGE: 83.55%
 
Adult BMI Assessment
The percentage of members (18 - 74 years of age) who had an outpatient visit and whose body mass index (BMI) was documented
Health PlanRateData Collection Method
Altius 82.66% Admin+Chart Review
SelectHealth 90.00% Admin+Chart Review
NATIONAL AVERAGE: 64.27% STATE AVERAGE: 86.32%
 

Follow-Up After Hospitalization for Mental Illness
The percentage of members (6 years of age and older) who were hospitalized for treatment of selected mental health disorders and who had an follow-up visit within 30 days
Health PlanRateData Collection Method
Altius 64.53% Administrative
SelectHealth 71.55% Administrative
NATIONAL AVERAGE: 75.42% STATE AVERAGE: 68.04%
 
Follow-Up After Hospitalization for Mental Illness
The percentage of members (6 years of age and older) who were hospitalized for treatment of selected mental health disorders and who had an follow-up visit within 7 days
Health PlanRateData Collection Method
Altius 45.60% Administrative
SelectHealth 48.75% Administrative
NATIONAL AVERAGE: 57.57% STATE AVERAGE: 47.17%
 

Use of Appropriate Medications for People With Asthma
Percentage of members (5 - 11 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Altius 97.06% Administrative
SelectHealth 98.26% Administrative
NATIONAL AVERAGE: 95.25% STATE AVERAGE: 97.66%
 
Use of Appropriate Medications for People With Asthma
Percentage of members (5 - 50 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Altius 93.82% Administrative
SelectHealth 94.33% Administrative
NATIONAL AVERAGE: 91.08% STATE AVERAGE: 94.07%
 
Use of Appropriate Medications for People With Asthma
Percentage of members (12 - 18 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Altius 92.91% Administrative
SelectHealth 94.79% Administrative
NATIONAL AVERAGE: 92.11% STATE AVERAGE: 93.85%
 
Persistence of Beta-Blocker Treatment After a Heart Attack
The percentage of members (18 years of age and older) who were hospitalized with a diagnosis of AMI and who received persistent beta-blocker treatment for 6 months after discharge
Health PlanRateData Collection Method
Altius 68.97% Administrative
SelectHealth 80.00% Administrative
NATIONAL AVERAGE: 83.03% STATE AVERAGE: 74.48%
 
Asthma Medication Ratio
Percentage of members 5 to 64 year of age with persistent asthma and had a ratio of controller medications to total asthma medications of 50% of greater
Health PlanRateData Collection Method
Altius 82.58% Administrative
SelectHealth 84.03% Administrative
NATIONAL AVERAGE: 79.85% STATE AVERAGE: 83.30%
 

Breast Cancer Screening
Percentage of women (40 - 69 years of age) who had a mammogram to screen for breast cancer.
Health PlanRateData Collection Method
Altius 68.71% Administrative
SelectHealth 70.00% Administrative
NATIONAL AVERAGE: 69.86% STATE AVERAGE: 69.36%
 
Cervical Cancer Screening
Percentage of women (21 - 64 years of age) who received one or more Pap tests to screen for cervical cancer.
Health PlanRateData Collection Method
Altius 69.32% Administrative
SelectHealth 76.83% Administrative
NATIONAL AVERAGE: 75.51% STATE AVERAGE: 73.06%
 
Chlamydia Screening in Women
Percentage of women (16 -24 years of age) who were identified as sexually active and who had at least one test for chlamydia during the measurement year.
Health PlanRateData Collection Method
Altius 28.73% Administrative
SelectHealth 28.86% Administrative
NATIONAL AVERAGE: 45.16% STATE AVERAGE: 28.79%
 
Prenatal and Postpartum care
Percentage of deliveries that had a postpartum visit on or between 21 and 56 days after delivery.
Health PlanRateData Collection Method
Altius 76.73% Admin+Chart Review
SelectHealth 87.50% Admin+Chart Review
NATIONAL AVERAGE: 80.22% STATE AVERAGE: 82.11%
 
Prenatal and Postpartum care
Percentage of deliveries that received a prenatal care visit in the first trimester or within 42 days of enrollment in the organization.
Health PlanRateData Collection Method
Altius 89.44% Admin+Chart Review
SelectHealth 96.25% Admin+Chart Review
NATIONAL AVERAGE: 89.70% STATE AVERAGE: 92.85%
 
 
Medicaid Measures: 2014

Adults' access to preventive/ambulatory services
Percentage of members (20 - 44 years of age) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Healthy U 81.38% Administrative
Molina 83.14% Administrative
SelectHealth 84.40% Administrative
NATIONAL AVERAGE: 80.70% STATE AVERAGE: 82.98%
 
Adults' access to preventive/ambulatory services
Percentage of members (45 - 64 years of age) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Healthy U 88.21% Administrative
Molina 89.78% Administrative
SelectHealth 89.73% Administrative
NATIONAL AVERAGE: 87.31% STATE AVERAGE: 89.23%
 
Adults' access to preventive/ambulatory services
Percentage of members (65 years of age and older) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Healthy U 87.87% Administrative
Molina 90.16% Administrative
SelectHealth 89.82% Administrative
NATIONAL AVERAGE: 85.51% STATE AVERAGE: 89.28%
 
Children's Access To Primary Care Providers
Percentage of children (12 - 19 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Healthy U 85.24% Administrative
Molina 88.24% Administrative
SelectHealth 89.88% Administrative
NATIONAL AVERAGE: 88.52% STATE AVERAGE: 87.79%
 
Children's Access To Primary Care Providers
Percentage of children (12 - 24 months of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Healthy U 97.11% Administrative
Molina 96.39% Administrative
SelectHealth 97.20% Administrative
NATIONAL AVERAGE: 96.14% STATE AVERAGE: 96.90%
 
Children's Access To Primary Care Providers
Percentage of children (25 months - 6 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Healthy U 84.13% Administrative
Molina 85.50% Administrative
SelectHealth 86.01% Administrative
NATIONAL AVERAGE: 88.25% STATE AVERAGE: 85.21%
 
Children's Access To Primary Care Providers
Percentage of children (7 - 11 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Healthy U 87.16% Administrative
Molina 88.07% Administrative
SelectHealth 88.28% Administrative
NATIONAL AVERAGE: 90.02% STATE AVERAGE: 87.83%
 

Immunizations for Adolescents
Percentage of adolescents who received one meningococcal vaccine on or between the member's 11th and 13th birthday.
Health PlanRateData Collection Method
Healthy U 67.94% Administrative
Molina 66.41% Admin+Chart Review
SelectHealth 76.11% Admin+Chart Review
NATIONAL AVERAGE: 71.94% STATE AVERAGE: 70.15%
 
Immunizations for Adolescents
Percentage of adolescents who received one TDAP vaccine between the member's 10th and 13th birthday.
Health PlanRateData Collection Method
Healthy U 71.66% Administrative
Molina 84.09% Admin+Chart Review
SelectHealth 92.04% Admin+Chart Review
NATIONAL AVERAGE: 83.58% STATE AVERAGE: 82.59%
 
Immunizations for Adolescents
Percentage of adolescents who received one meningococcal vaccine, and one TDAP between the members 10th and 13th birthdays.
Health PlanRateData Collection Method
Healthy U 63.65% Administrative
Molina 65.13% Admin+Chart Review
SelectHealth 75.48% Admin+Chart Review
NATIONAL AVERAGE: 70.17% STATE AVERAGE: 68.08%
 
Human Papillomavirus Vaccine for Female Adolescents
Percentage of female adolescents (13 years of age) who had three doses of the HPV vaccine by their 13th birthday
Health PlanRateData Collection Method
Healthy U 13.38% Administrative
Molina 21.30% Admin+Chart Review
SelectHealth 15.97% Administrative
NATIONAL AVERAGE: 19.79% STATE AVERAGE: 16.88%
 

Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had an eye exam.
Health PlanRateData Collection Method
Healthy U 44.23% Admin+Chart Review
Molina 57.11% Admin+Chart Review
SelectHealth 56.57% Admin+Chart Review
NATIONAL AVERAGE: 53.53% STATE AVERAGE: 52.63%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their Hemoglobin A1c tested.
Health PlanRateData Collection Method
Healthy U 82.38% Admin+Chart Review
Molina 82.75% Admin+Chart Review
SelectHealth 93.97% Admin+Chart Review
NATIONAL AVERAGE: 83.81% STATE AVERAGE: 86.37%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their LDL-C level under control.
Health PlanRateData Collection Method
Healthy U 2.94% Administrative
Molina 41.26% Admin+Chart Review
SelectHealth 48.54% Admin+Chart Review
NATIONAL AVERAGE: 33.91% STATE AVERAGE: 30.91%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their LDL-C screened.
Health PlanRateData Collection Method
Healthy U 54.99% Administrative
Molina 71.09% Admin+Chart Review
SelectHealth 74.45% Admin+Chart Review
NATIONAL AVERAGE: 75.97% STATE AVERAGE: 66.84%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who have poor HbA1c control. (Lower Rate is Better)
Health PlanRateData Collection Method
Healthy U 46.58% Admin+Chart Review
Molina 33.33% Admin+Chart Review
SelectHealth 25.55% Admin+Chart Review
NATIONAL AVERAGE: 45.57% STATE AVERAGE: 35.15%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had a blood pressure less than 140/90 Hg
Health PlanRateData Collection Method
Healthy U 0.00% Not Reportable
Molina 67.60% Admin+Chart Review
SelectHealth 74.63% Admin+Chart Review
NATIONAL AVERAGE: 60.49% STATE AVERAGE: 47.41%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had a test for diabetic nephropathy.
Health PlanRateData Collection Method
Healthy U 64.19% Administrative
Molina 77.39% Admin+Chart Review
SelectHealth 91.97% Admin+Chart Review
NATIONAL AVERAGE: 79.02% STATE AVERAGE: 77.84%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had a blood glucose level less than 8%
Health PlanRateData Collection Method
Healthy U 45.60% Admin+Chart Review
Molina 55.24% Admin+Chart Review
SelectHealth 66.79% Admin+Chart Review
NATIONAL AVERAGE: 45.52% STATE AVERAGE: 55.87%
 

Appropriate Testing for Children with Pharyngitis
Percentage of children (2 -18 years of age) who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode.
Health PlanRateData Collection Method
Healthy U 67.89% Administrative
Molina 72.59% Administrative
SelectHealth 89.27% Administrative
NATIONAL AVERAGE: 66.52% STATE AVERAGE: 76.58%
 
Appropriate Treatment for Children with Upper Respiratory Infection
Percentage of children (3 months - 18 years of age) who were given a diagnosis of upper respiratory infection and were not dispensed an antibiotic prescription.
Health PlanRateData Collection Method
Healthy U 94.42% Administrative
Molina 92.07% Administrative
SelectHealth 94.03% Administrative
NATIONAL AVERAGE: 85.15% STATE AVERAGE: 93.50%
 
Lead Screening in Children
Percentage of children (2 years of age) who had one or more test for lead poisoning by their 2nd birthday
Health PlanRateData Collection Method
Healthy U 30.40% Administrative
Molina 24.54% Admin+Chart Review
SelectHealth 19.53% Admin+Chart Review
NATIONAL AVERAGE: 66.46% STATE AVERAGE: 24.82%
 
BMI Percentile for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had their BMI documented
Health PlanRateData Collection Method
Healthy U 1.70% Administrative
Molina 54.76% Admin+Chart Review
SelectHealth 81.27% Admin+Chart Review
NATIONAL AVERAGE: 56.92% STATE AVERAGE: 45.91%
 
Nutrition Counseling for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had evidence of counseling for nutrition
Health PlanRateData Collection Method
Healthy U 1.22% Administrative
Molina 43.85% Admin+Chart Review
SelectHealth 60.10% Admin+Chart Review
NATIONAL AVERAGE: 58.70% STATE AVERAGE: 35.06%
 
Physical Activity Counseling for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had evidence of counseling for physical activity
Health PlanRateData Collection Method
Healthy U 0.00% Administrative
Molina 29.93% Admin+Chart Review
SelectHealth 53.04% Admin+Chart Review
NATIONAL AVERAGE: 50.50% STATE AVERAGE: 27.65%
 

Adolescent Well-Care Visit
Percentage of members (12 - 21 years of age) who had at least one comprehensive well-care visit.
Health PlanRateData Collection Method
Healthy U 41.36% Administrative
Molina 41.90% Admin+Chart Review
SelectHealth 41.85% Admin+Chart Review
NATIONAL AVERAGE: 50.03% STATE AVERAGE: 41.70%
 
Well-child visits in the 3rd/4th/5th/& 6th yr of life
Percentage of children (3 - 6 years of age) who received one or more well-child visits.
Health PlanRateData Collection Method
Healthy U 62.03% Admin+Chart Review
Molina 60.89% Admin+Chart Review
SelectHealth 63.74% Admin+Chart Review
NATIONAL AVERAGE: 71.49% STATE AVERAGE: 62.22%
 
Well-Child Visits In The First 15 Months of Life
Percentage of children (less than 15 months old) that received at least six or more well-child visits.
Health PlanRateData Collection Method
Healthy U 58.64% Admin+Chart Review
Molina 54.70% Admin+Chart Review
SelectHealth 73.91% Admin+Chart Review
NATIONAL AVERAGE: 61.55% STATE AVERAGE: 62.41%
 

Childhood Immunization Status
Percentage of children that received four DTaP; three IPV; one MMR; two HiB; three hepatitis B; and one VZV vaccination on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 80.28% Admin+Chart Review
Molina 78.23% Admin+Chart Review
SelectHealth 79.16% Admin+Chart Review
NATIONAL AVERAGE: 74.02% STATE AVERAGE: 79.23%
 
Childhood Immunization Status
Percentage of children that received four DTaP; three IPV; one MMR; two HiB; three hepatitis B; one VZV; and four pneumococcal conjugate vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 76.16% Admin+Chart Review
Molina 75.22% Admin+Chart Review
SelectHealth 76.55% Admin+Chart Review
NATIONAL AVERAGE: 70.85% STATE AVERAGE: 75.98%
 
Childhood Immunization Status
Percentage of children that received four DTaP vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 83.45% Admin+Chart Review
Molina 81.25% Admin+Chart Review
SelectHealth 82.55% Admin+Chart Review
NATIONAL AVERAGE: 79.03% STATE AVERAGE: 82.41%
 
Childhood Immunization Status
Percentage of children that received at least three hepatitis B vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 91.97% Admin+Chart Review
Molina 91.20% Admin+Chart Review
SelectHealth 89.84% Admin+Chart Review
NATIONAL AVERAGE: 88.57% STATE AVERAGE: 91.00%
 
Childhood Immunization Status
Percentage of children that received at least two HiB vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 92.70% Admin+Chart Review
Molina 91.44% Admin+Chart Review
SelectHealth 89.05% Admin+Chart Review
NATIONAL AVERAGE: 90.66% STATE AVERAGE: 91.06%
 
Childhood Immunization Status
Percentage of children that received at least one MMR vaccination on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 92.94% Admin+Chart Review
Molina 90.51% Admin+Chart Review
SelectHealth 88.02% Admin+Chart Review
NATIONAL AVERAGE: 90.54% STATE AVERAGE: 90.49%
 
Childhood Immunization Status
Percentage of children that received at least four pneumococcal conjugate vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 83.45% Admin+Chart Review
Molina 82.18% Admin+Chart Review
SelectHealth 82.55% Admin+Chart Review
NATIONAL AVERAGE: 79.22% STATE AVERAGE: 82.72%
 
Childhood Immunization Status
Percentage of children that received at least one VZV vaccination on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 92.94% Admin+Chart Review
Molina 89.12% Admin+Chart Review
SelectHealth 86.71% Admin+Chart Review
NATIONAL AVERAGE: 90.19% STATE AVERAGE: 89.59%
 
Childhood Immunization Status
Percentage of children that received at least three IPV vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Healthy U 93.43% Admin+Chart Review
Molina 91.90% Admin+Chart Review
SelectHealth 89.05% Admin+Chart Review
NATIONAL AVERAGE: 90.04% STATE AVERAGE: 91.46%
 

Use of Imaging Studies for Low Back Pain
Percentage of members with a primary diagnosis of low back pain who did not have an imaging study (X-ray, MRI, CT scan) within 28 days of the diagnosis.
Health PlanRateData Collection Method
Healthy U 71.72% Administrative
Molina 76.85% Administrative
SelectHealth 80.46% Administrative
NATIONAL AVERAGE: 75.44% STATE AVERAGE: 76.34%
 
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.
Health PlanRateData Collection Method
Healthy U 58.39% Admin+Chart Review
Molina 58.53% Admin+Chart Review
SelectHealth 65.45% Admin+Chart Review
NATIONAL AVERAGE: 56.51% STATE AVERAGE: 60.79%
 
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
The percentage of adults (12 - 64 years of age) with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription
Health PlanRateData Collection Method
Healthy U 41.89% Administrative
Molina 30.63% Administrative
SelectHealth 53.95% Administrative
NATIONAL AVERAGE: 26.55% STATE AVERAGE: 42.15%
 
Cholesterol Management for Patients With Cardiovascular Conditions
The percentage of members 18 to 75 with a cardiovascular condition and has manageable cholesterol.
Health PlanRateData Collection Method
Healthy U 0.54% Administrative
Molina 51.92% Admin+Chart Review
SelectHealth 0.00% Not Reportable
NATIONAL AVERAGE: 40.56% STATE AVERAGE: 26.59%
 
Cholesterol Management for Patients With Cardiovascular Conditions
Percentage of members with cardiovascular conditions (18 - 75 years of age) who had their LDL-C level under control.
Health PlanRateData Collection Method
Healthy U 53.76% Administrative
Molina 80.76% Admin+Chart Review
SelectHealth 0.00% Not Reportable
NATIONAL AVERAGE: 81.11% STATE AVERAGE: 67.26%
 
Adult BMI Assessment
Percentage of members 18-74 years of age who had an outpatient visit and who had their body mass index documerted during the measurement year or the prior year.
Health PlanRateData Collection Method
Healthy U 15.85% Administrative
Molina 86.96% Admin+Chart Review
SelectHealth 94.65% Admin+Chart Review
NATIONAL AVERAGE: 75.96% STATE AVERAGE: 65.81%
 

Use of Appropriate Medications for People With Asthma
Percentage of members (5 - 11 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Healthy U 88.68% Administrative
Molina 91.90% Administrative
SelectHealth 0.00% Not Reportable
NATIONAL AVERAGE: 90.18% STATE AVERAGE: 90.29%
 
Use of Appropriate Medications for People With Asthma
Percentage of members (5 - 50 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
SelectHealth 94.12% Administrative
NATIONAL AVERAGE: 84.07% STATE AVERAGE: 86.65%
 
Use of Appropriate Medications for People With Asthma
Percentage of members (12 - 18 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Healthy U 81.94% Administrative
Molina 89.83% Administrative
SelectHealth 0.00% Not Reportable
NATIONAL AVERAGE: 86.93% STATE AVERAGE: 85.88%
 
Use of Appropriate Medications for People With Asthma
Percentage of members (5 - 64 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Healthy U 79.71% Administrative
Molina 86.14% Administrative
NATIONAL AVERAGE: 84.07% STATE AVERAGE: 86.65%
 
Asthma Medication Ratio
Percentage of members 5 to 64 year of age with persistent asthma and had a ratio of controller medications to total asthma medications of 50% of greater
Health PlanRateData Collection Method
Healthy U 61.90% Administrative
Molina 67.86% Administrative
SelectHealth 82.35% Administrative
NATIONAL AVERAGE: 65.48% STATE AVERAGE: 70.70%
 
Antidepressant Medication Management
Newly diagnosed and treated members who remained on an antidepressant medication for at least 12 weeks
Health PlanRateData Collection Method
Healthy U 39.36% Administrative
Molina 44.08% Administrative
SelectHealth 48.75% Administrative
NATIONAL AVERAGE: 50.44% STATE AVERAGE: 44.06%
 
Antidepressant Medication Management
Newly diagnosed and treated members who remained on an antidepressant medication for at least 6 months
Health PlanRateData Collection Method
Healthy U 23.88% Administrative
Molina 59.20% Administrative
SelectHealth 26.25% Administrative
NATIONAL AVERAGE: 35.11% STATE AVERAGE: 36.44%
 
Medication Management for People with Asthma
Percentage of members 5-64 years of age who were identified as having persistent asthma and were dispensed appropriate medications that they remained on during the measurement year.
Health PlanRateData Collection Method
Healthy U 33.64% Administrative
Molina 32.18% Administrative
SelectHealth 53.13% Administrative
NATIONAL AVERAGE: 31.11% STATE AVERAGE: 39.65%
 

Breast Cancer Screening
Percentage of women (40 - 69 years of age) who had a mammogram to screen for breast cancer.
Health PlanRateData Collection Method
Healthy U 45.49% Administrative
Molina 46.05% Administrative
SelectHealth 0.00% Not Reportable
NATIONAL AVERAGE: 57.88% STATE AVERAGE: 45.77%
 
Chlamydia Screening in Women
Percentage of women (16 -24 years of age) who were identified as sexually active and who had at least one test for chlamydia during the measurement year.
Health PlanRateData Collection Method
Healthy U 24.81% Administrative
Molina 37.41% Administrative
SelectHealth 41.83% Administrative
NATIONAL AVERAGE: 54.89% STATE AVERAGE: 34.68%
 
Prenatal and Postpartum care
Percentage of deliveries that had a postpartum visit on or between 21 and 56 days after delivery.
Health PlanRateData Collection Method
Healthy U 60.09% Admin+Chart Review
Molina 69.62% Admin+Chart Review
SelectHealth 75.42% Admin+Chart Review
NATIONAL AVERAGE: 61.29% STATE AVERAGE: 68.38%
 
Prenatal and Postpartum care
Percentage of deliveries that received a prenatal care visit in the first trimester or within 42 days of enrollment in the organization.
Health PlanRateData Collection Method
Healthy U 72.26% Admin+Chart Review
Molina 82.37% Admin+Chart Review
SelectHealth 88.81% Admin+Chart Review
NATIONAL AVERAGE: 81.93% STATE AVERAGE: 81.14%
 
Frequency of Ongoing Prenatal Care
Percentage of Medciaid deliveries that received 80% of the number of expected prenatal visits
Health PlanRateData Collection Method
Healthy U 56.93% Admin+Chart Review
Molina 56.38% Admin+Chart Review
SelectHealth 70.80% Admin+Chart Review
NATIONAL AVERAGE: 55.64% STATE AVERAGE: 61.37%
 
 
CHIP Measures: 2014

Children's Access To Primary Care Providers
Percentage of children (12 - 19 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Molina 87.32% Administrative
SelectHealth 88.04% Administrative
NATIONAL AVERAGE: 88.52% STATE AVERAGE: 87.68%
 
Children's Access To Primary Care Providers
Percentage of children (12 - 24 months of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Molina 98.89% Administrative
SelectHealth 98.85% Administrative
NATIONAL AVERAGE: 96.14% STATE AVERAGE: 98.87%
 
Children's Access To Primary Care Providers
Percentage of children (25 months - 6 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Molina 87.56% Administrative
SelectHealth 86.14% Administrative
NATIONAL AVERAGE: 88.25% STATE AVERAGE: 86.85%
 
Children's Access To Primary Care Providers
Percentage of children (7 - 11 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Molina 88.06% Administrative
SelectHealth 83.17% Administrative
NATIONAL AVERAGE: 90.02% STATE AVERAGE: 85.61%
 

Immunizations for Adolescents
Percentage of adolescents who received one meningococcal vaccine on or between the member's 11th and 13th birthday.
Health PlanRateData Collection Method
Molina 68.72% Admin+Chart Review
SelectHealth 71.11% Admin+Chart Review
NATIONAL AVERAGE: 71.94% STATE AVERAGE: 69.91%
 
Immunizations for Adolescents
Percentage of adolescents who received one TDAP vaccine between the member's 10th and 13th birthday.
Health PlanRateData Collection Method
Molina 87.94% Admin+Chart Review
SelectHealth 91.94% Admin+Chart Review
NATIONAL AVERAGE: 83.58% STATE AVERAGE: 89.94%
 
Immunizations for Adolescents
Percentage of adolescents who received one meningococcal vaccine, and one TDAP between the members 10th and 13th birthdays.
Health PlanRateData Collection Method
Molina 67.95% Admin+Chart Review
SelectHealth 70.00% Admin+Chart Review
NATIONAL AVERAGE: 70.17% STATE AVERAGE: 68.97%
 
Human Papillomavirus Vaccine for Female Adolescents
Percentage of female adolescents 13 years of age who had three does of the human papillomavirus (HPV) vaccine by their 13th birthday
Health PlanRateData Collection Method
Molina 20.80% Admin+Chart Review
SelectHealth 19.71% Admin+Chart Review
NATIONAL AVERAGE: 19.79% STATE AVERAGE: 20.25%
 

Appropriate Testing for Children with Pharyngitis
Percentage of children (2 -18 years of age) who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode.
Health PlanRateData Collection Method
Molina 71.15% Administrative
SelectHealth 83.68% Administrative
NATIONAL AVERAGE: 66.52% STATE AVERAGE: 77.41%
 
Appropriate Treatment for Children with Upper Respiratory Infection
Percentage of children (3 months - 18 years of age) who were given a diagnosis of upper respiratory infection and were not dispensed an antibiotic prescription.
Health PlanRateData Collection Method
Molina 89.27% Administrative
SelectHealth 87.52% Administrative
NATIONAL AVERAGE: 85.15% STATE AVERAGE: 88.40%
 
Lead Screening in Children
Percentage of members (2 years of age) who had one or more blood tests for lead poisoning by their second birthday.
Health PlanRateData Collection Method
Molina 19.53% Admin+Chart Review
SelectHealth 16.48% Administrative
NATIONAL AVERAGE: 66.46% STATE AVERAGE: 18.00%
 
BMI Percentile for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had their BMI documented
Health PlanRateData Collection Method
Molina 48.84% Admin+Chart Review
SelectHealth 78.53% Admin+Chart Review
NATIONAL AVERAGE: 56.92% STATE AVERAGE: 63.69%
 
Nutrition Counseling for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had evidence of counseling for nutrition
Health PlanRateData Collection Method
Molina 34.19% Admin+Chart Review
SelectHealth 56.10% Admin+Chart Review
NATIONAL AVERAGE: 58.70% STATE AVERAGE: 45.14%
 
Physical Activity Counseling for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had evidence of counseling for physical activity
Health PlanRateData Collection Method
Molina 28.37% Admin+Chart Review
SelectHealth 55.85% Admin+Chart Review
NATIONAL AVERAGE: 50.50% STATE AVERAGE: 42.11%
 

Adolescent Well-Care Visit
Percentage of members (12 - 21 years of age) who had at least one comprehensive well-care visit.
Health PlanRateData Collection Method
Molina 41.44% Admin+Chart Review
SelectHealth 43.30% Admin+Chart Review
NATIONAL AVERAGE: 50.03% STATE AVERAGE: 42.37%
 
Well-child visits in the 3rd/4th/5th/& 6th yr of life
Percentage of children (3 - 6 years of age) who received one or more well-child visits.
Health PlanRateData Collection Method
Molina 59.28% Admin+Chart Review
SelectHealth 63.78% Admin+Chart Review
NATIONAL AVERAGE: 71.49% STATE AVERAGE: 61.52%
 
Well-Child Visits In The First 15 Months of Life
Percentage of children (less than 15 months old) that received at least six or more well-child visits.
Health PlanRateData Collection Method
Molina 68.56% Admin+Chart Review
SelectHealth 75.44% Admin+Chart Review
NATIONAL AVERAGE: 61.55% STATE AVERAGE: 72.00%
 

Childhood Immunization Status
Percentage of children that received four DTaP; three IPV; one MMR; two HiB; three hepatitis B; and one VZV vaccination on or before their second birthday.
Health PlanRateData Collection Method
Molina 86.98% Admin+Chart Review
SelectHealth 84.67% Admin+Chart Review
NATIONAL AVERAGE: 74.02% STATE AVERAGE: 85.82%
 
Childhood Immunization Status
Percentage of children that received four DTaP; three IPV; one MMR; two HiB; three hepatitis B; one VZV; and four pneumococcal conjugate vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Molina 84.19% Admin+Chart Review
SelectHealth 83.58% Admin+Chart Review
NATIONAL AVERAGE: 70.85% STATE AVERAGE: 83.88%
 
Childhood Immunization Status
Percentage of children that received four DTaP vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Molina 91.16% Admin+Chart Review
SelectHealth 89.04% Admin+Chart Review
NATIONAL AVERAGE: 79.03% STATE AVERAGE: 90.10%
 
Childhood Immunization Status
Percentage of children that received at least three hepatitis B vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Molina 95.35% Admin+Chart Review
SelectHealth 92.70% Admin+Chart Review
NATIONAL AVERAGE: 88.57% STATE AVERAGE: 94.02%
 
Childhood Immunization Status
Percentage of children that received at least two HiB vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Molina 94.88% Admin+Chart Review
SelectHealth 93.43% Admin+Chart Review
NATIONAL AVERAGE: 90.66% STATE AVERAGE: 94.15%
 
Childhood Immunization Status
Percentage of children that received at least one MMR vaccination on or before their second birthday.
Health PlanRateData Collection Method
Molina 96.74% Admin+Chart Review
SelectHealth 91.61% Admin+Chart Review
NATIONAL AVERAGE: 90.54% STATE AVERAGE: 94.17%
 
Childhood Immunization Status
Percentage of children that received at least four pneumococcal conjugate vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Molina 90.70% Admin+Chart Review
SelectHealth 90.51% Admin+Chart Review
NATIONAL AVERAGE: 79.22% STATE AVERAGE: 90.60%
 
Childhood Immunization Status
Percentage of children that received at least one VZV vaccination on or before their second birthday.
Health PlanRateData Collection Method
Molina 96.74% Admin+Chart Review
SelectHealth 91.24% Admin+Chart Review
NATIONAL AVERAGE: 90.19% STATE AVERAGE: 93.99%
 
Childhood Immunization Status
Percentage of children that received at least three IPV vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Molina 96.74% Admin+Chart Review
SelectHealth 94.16% Admin+Chart Review
NATIONAL AVERAGE: 90.04% STATE AVERAGE: 95.45%
 

Use of Appropriate Medications for People With Asthma
Percentage of members (5 - 11 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Molina 95.56% Administrative
SelectHealth 95.56% Administrative
NATIONAL AVERAGE: 90.18% STATE AVERAGE: 95.56%
 
Use of Appropriate Medications for People With Asthma
Percentage of members (12 - 18 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Molina 89.74% Administrative
SelectHealth 89.71% Administrative
NATIONAL AVERAGE: 86.93% STATE AVERAGE: 89.72%
 
Asthma Medication Ratio
Percentage of members 5-64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.
Health PlanRateData Collection Method
Molina 67.86% Administrative
SelectHealth 80.53% Administrative
NATIONAL AVERAGE: 65.48% STATE AVERAGE: 74.19%
 
Medication Management for People with Asthma
Percentage of members 12-18 years of age who were identified as having persistent asthma and were dispensed appropriate medications that they remained on during the measurement year.
Health PlanRateData Collection Method
Molina 20.00% Administrative
SelectHealth 34.43% Administrative
NATIONAL AVERAGE: 25.64% STATE AVERAGE: 27.21%
 
Medication Management for People with Asthma
Percentage of members 5-11 years of age who were identified as having persistent asthma and were dispensed appropriate medications that they remained on during the measurement year.
Health PlanRateData Collection Method
Molina 34.88% Administrative
SelectHealth 32.56% Administrative
NATIONAL AVERAGE: 27.59% STATE AVERAGE: 33.72%
 
 
Commercial PPO Measures: 2014

Adults' access to preventive/ambulatory services
Percentage of members (20 - 44 years of age) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Regence 91.09% Administrative
UnitedHealthCare 92.96% Administrative
EMI Health 93.14% Administrative
Aetna 93.97% Administrative
CIGNA 0.00% Not Reported
Humana 82.08% Administrative
NATIONAL AVERAGE: 92.49% STATE AVERAGE: 90.65%
 
Adults' access to preventive/ambulatory services
Percentage of members (45 - 64 years of age) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Regence 94.85% Administrative
UnitedHealthCare 95.73% Administrative
EMI Health 95.81% Administrative
Aetna 96.00% Administrative
CIGNA 0.00% Not Reported
Humana 86.30% Administrative
NATIONAL AVERAGE: 95.27% STATE AVERAGE: 93.73%
 
Adults' access to preventive/ambulatory services
Percentage of members (65 years of age and older) that had an ambulatory or preventative care visit.
Health PlanRateData Collection Method
Regence 97.36% Administrative
UnitedHealthCare 95.94% Administrative
EMI Health 97.83% Administrative
Aetna 79.72% Administrative
CIGNA 0.00% Not Reported
Humana 0.00% Not Reported
NATIONAL AVERAGE: 96.38% STATE AVERAGE: 92.71%
 
Children's Access To Primary Care Providers
Percentage of children (12 - 19 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Regence 80.16% Administrative
UnitedHealthCare 80.57% Administrative
EMI Health 82.83% Administrative
Aetna 83.48% Administrative
CIGNA 0.00% Not Reported
Humana 74.56% Administrative
NATIONAL AVERAGE: 87.58% STATE AVERAGE: 80.31%
 
Children's Access To Primary Care Providers
Percentage of children (12 - 24 months of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Regence 96.29% Administrative
UnitedHealthCare 96.67% Administrative
EMI Health 96.12% Administrative
Aetna 98.08% Administrative
CIGNA 0.00% Not Reported
Humana 95.23% Administrative
NATIONAL AVERAGE: 97.33% STATE AVERAGE: 96.47%
 
Children's Access To Primary Care Providers
Percentage of children (25 months - 6 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Regence 83.18% Administrative
UnitedHealthCare 82.38% Administrative
EMI Health 82.18% Administrative
Aetna 85.28% Administrative
CIGNA 0.00% Not Reported
Humana 75.88% Administrative
NATIONAL AVERAGE: 90.15% STATE AVERAGE: 81.78%
 
Children's Access To Primary Care Providers
Percentage of children (7 - 11 years of age) who had a visit with a primary care practitioner.
Health PlanRateData Collection Method
Regence 78.43% Administrative
UnitedHealthCare 78.86% Administrative
EMI Health 76.80% Administrative
Aetna 80.93% Administrative
CIGNA 0.00% Not Reported
Humana 68.95% Administrative
NATIONAL AVERAGE: 90.34% STATE AVERAGE: 76.79%
 

Immunizations for Adolescents
Percentage of adolescents who received one meningococcal vaccine on or between the member's 11th and 13th birthday.
Health PlanRateData Collection Method
Regence 63.66% Admin+Chart Review
UnitedHealthCare 61.30% Administrative
EMI Health 49.13% Administrative
Aetna 62.20% Administrative
CIGNA 53.58% Administrative
Humana 46.41% Administrative
NATIONAL AVERAGE: 60.61% STATE AVERAGE: 56.04%
 
Immunizations for Adolescents
Percentage of adolescents who received one TDAP vaccine between the member's 10th and 13th birthday.
Health PlanRateData Collection Method
Regence 83.40% Admin+Chart Review
UnitedHealthCare 78.61% Administrative
EMI Health 80.56% Administrative
Aetna 77.40% Administrative
CIGNA 71.53% Administrative
Humana 65.12% Administrative
NATIONAL AVERAGE: 72.87% STATE AVERAGE: 76.09%
 
Immunizations for Adolescents
Percentage of adolescents who received one meningococcal vaccine, and one TDAP between the members 10th and 13th birthdays.
Health PlanRateData Collection Method
Regence 62.68% Admin+Chart Review
UnitedHealthCare 59.75% Administrative
EMI Health 47.74% Administrative
Aetna 60.24% Administrative
CIGNA 52.03% Administrative
Humana 44.50% Administrative
NATIONAL AVERAGE: 58.18% STATE AVERAGE: 54.49%
 
Human Papillomavirus Vaccine for Female Adolescents
Percentage of female adolescents 13 years of age who had three does of the human papillomavirus (HPV) vaccine by their 13th birthday
Health PlanRateData Collection Method
Regence 12.20% Administrative
UnitedHealthCare 8.72% Administrative
EMI Health 8.36% Administrative
Aetna 10.48% Administrative
CIGNA 8.18% Administrative
Humana 5.45% Administrative
NATIONAL AVERAGE: 10.94% STATE AVERAGE: 8.89%
 

Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had an eye exam.
Health PlanRateData Collection Method
Regence 45.50% Admin+Chart Review
UnitedHealthCare 45.18% Admin+Chart Review
EMI Health 45.71% Administrative
Aetna 32.28% Not Reported
CIGNA 30.59% Administrative
Humana 33.08% Admin+Chart Review
NATIONAL AVERAGE: 46.88% STATE AVERAGE: 38.72%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their Hemoglobin A1c tested.
Health PlanRateData Collection Method
Regence 84.90% Admin+Chart Review
UnitedHealthCare 89.88% Admin+Chart Review
EMI Health 85.72% Administrative
Aetna 85.02% Administrative
CIGNA 88.14% Administrative
Humana 83.27% Admin+Chart Review
NATIONAL AVERAGE: 87.30% STATE AVERAGE: 86.16%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their LDL-C level under control.
Health PlanRateData Collection Method
Regence 15.57% Admin+Chart Review
UnitedHealthCare 40.94% Admin+Chart Review
EMI Health 0.00% Not Reported
Aetna 0.00% Not Reported
CIGNA 0.00% Not Reported
Humana 34.59% Admin+Chart Review
NATIONAL AVERAGE: 50.24% STATE AVERAGE: 30.37%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had their LDL-C screened.
Health PlanRateData Collection Method
Regence 74.93% Admin+Chart Review
UnitedHealthCare 76.70% Admin+Chart Review
EMI Health 68.75% Administrative
Aetna 72.62% Administrative
CIGNA 73.67% Administrative
Humana 74.90% Admin+Chart Review
NATIONAL AVERAGE: 81.31% STATE AVERAGE: 73.59%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had a blood pressure less than 140/90 Hg
Health PlanRateData Collection Method
Regence 46.96% Admin+Chart Review
UnitedHealthCare 59.53% Admin+Chart Review
EMI Health 0.00% Not Reported
Aetna 0.00% Not Reported
CIGNA 0.00% Not Reported
Humana 33.08% Admin+Chart Review
NATIONAL AVERAGE: 58.48% STATE AVERAGE: 46.52%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who had a test for diabetic nephropathy.
Health PlanRateData Collection Method
Regence 75.67% Admin+Chart Review
UnitedHealthCare 78.34% Admin+Chart Review
EMI Health 79.10% Administrative
Aetna 71.05% Administrative
CIGNA 72.62% Administrative
Humana 73.00% Admin+Chart Review
NATIONAL AVERAGE: 78.83% STATE AVERAGE: 74.95%
 
Comprehensive Diabetes Care
Percentage of members with diabetes (18 - 75 years of age) who have poor HbA1c control (>9%). (Lower Rate is Better)
Health PlanRateData Collection Method
Regence 55.96% Admin+Chart Review
UnitedHealthCare 43.05% Admin+Chart Review
EMI Health 0.00% Not Reported
Aetna 0.00% Not Reported
CIGNA 0.00% Not Reported
Humana 46.77% Admin+Chart Review
NATIONAL AVERAGE: 37.60% STATE AVERAGE: 48.59%
 

Appropriate Testing for Children with Pharyngitis
Percentage of children (2 -18 years of age) who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode.
Health PlanRateData Collection Method
Regence 84.90% Administrative
UnitedHealthCare 88.73% Administrative
EMI Health 81.92% Administrative
Aetna 90.81% Administrative
CIGNA 87.07% Administrative
Humana 87.05% Administrative
NATIONAL AVERAGE: 78.45% STATE AVERAGE: 86.75%
 
Appropriate Treatment for Children with Upper Respiratory Infection
Percentage of children (3 months - 18 years of age) who were given a diagnosis of upper respiratory infection and were not dispensed an antibiotic prescription.
Health PlanRateData Collection Method
Regence 85.47% Administrative
UnitedHealthCare 88.61% Administrative
EMI Health 85.18% Administrative
Aetna 88.82% Administrative
CIGNA 87.26% Administrative
Humana 89.15% Administrative
NATIONAL AVERAGE: 83.22% STATE AVERAGE: 87.41%
 
BMI Percentile for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had their BMI documented
Health PlanRateData Collection Method
Regence 37.47% Admin+Chart Review
UnitedHealthCare 0.38% Administrative
EMI Health 0.35% Administrative
Aetna 0.00% Not Reported
CIGNA 0.00% Not Reported
Humana 12.65% Admin+Chart Review
NATIONAL AVERAGE: 33.23% STATE AVERAGE: 12.71%
 
Nutrition Counseling for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had evidence of counseling for nutrition
Health PlanRateData Collection Method
Regence 37.47% Admin+Chart Review
UnitedHealthCare 0.17% Administrative
EMI Health 0.06% Administrative
Aetna 0.00% Not Reported
CIGNA 0.00% Not Reported
Humana 31.63% Admin+Chart Review
NATIONAL AVERAGE: 36.14% STATE AVERAGE: 17.32%
 
Physical Activity Counseling for Children
The percentage of members (3 - 17 years of age) who had an outpatient visit and who had evidence of counseling for physical activity
Health PlanRateData Collection Method
Regence 34.31% Admin+Chart Review
UnitedHealthCare 0.06% Administrative
EMI Health 0.00% Administrative
Aetna 0.00% Not Reported
CIGNA 0.00% Not Reported
Humana 18.25% Admin+Chart Review
NATIONAL AVERAGE: 33.80% STATE AVERAGE: 13.15%
 

Adolescent Well-Care Visit
Percentage of members (12 - 21 years of age) who had at least one comprehensive well-care visit.
Health PlanRateData Collection Method
Regence 29.52% Administrative
UnitedHealthCare 31.60% Administrative
EMI Health 30.89% Administrative
Aetna 32.44% Administrative
CIGNA 0.00% Not Reported
Humana 32.59% Administrative
NATIONAL AVERAGE: 40.64% STATE AVERAGE: 31.40%
 
Well-child visits in the 3rd/4th/5th/& 6th yr of life
Percentage of children (3 - 6 years of age) who received one or more well-child visits.
Health PlanRateData Collection Method
Regence 58.66% Administrative
UnitedHealthCare 58.50% Administrative
EMI Health 59.44% Administrative
Aetna 62.84% Administrative
CIGNA 62.84% Administrative
Humana 55.23% Administrative
NATIONAL AVERAGE: 70.34% STATE AVERAGE: 59.58%
 
Well-Child Visits In The First 15 Months of Life
Percentage of children (less than 15 months old) that received at least six or more well-child visits.
Health PlanRateData Collection Method
Regence 71.61% Administrative
UnitedHealthCare 60.91% Administrative
EMI Health 77.69% Administrative
Aetna 74.67% Administrative
CIGNA 0.00% Not Reported
Humana 55.37% Administrative
NATIONAL AVERAGE: 76.95% STATE AVERAGE: 68.05%
 

Childhood Immunization Status
Percentage of children that received four DTaP; three IPV; one MMR; two HiB; three hepatitis B; and one VZV vaccination on or before their second birthday.
Health PlanRateData Collection Method
Regence 72.26% Admin+Chart Review
UnitedHealthCare 67.75% Admin+Chart Review
EMI Health 18.14% Administrative
Aetna 22.59% Administrative
CIGNA 14.55% Administrative
Humana 65.94% Admin+Chart Review
NATIONAL AVERAGE: 67.49% STATE AVERAGE: 43.54%
 
Childhood Immunization Status
Percentage of children that received four DTaP; three IPV; one MMR; two HiB; three hepatitis B; one VZV; and four pneumococcal conjugate vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Regence 70.06% Admin+Chart Review
UnitedHealthCare 0.00% Not Reported
EMI Health 16.05% Administrative
Aetna 0.00% Not Reported
CIGNA 13.73% Administrative
Humana 63.02% Admin+Chart Review
NATIONAL AVERAGE: 66.39% STATE AVERAGE: 40.71%
 
Childhood Immunization Status
Percentage of children that received four DTaP vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Regence 81.02% Admin+Chart Review
UnitedHealthCare 75.47% Admin+Chart Review
EMI Health 63.26% Administrative
Aetna 59.72% Administrative
CIGNA 47.51% Administrative
Humana 71.78% Admin+Chart Review
NATIONAL AVERAGE: 80.26% STATE AVERAGE: 60.79%
 
Childhood Immunization Status
Percentage of children that received at least three hepatitis B vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Regence 81.27% Admin+Chart Review
UnitedHealthCare 80.14% Admin+Chart Review
EMI Health 23.02% Administrative
Aetna 26.83% Administrative
CIGNA 17.89% Administrative
Humana 82.24% Admin+Chart Review
NATIONAL AVERAGE: 76.77% STATE AVERAGE: 51.90%
 
Childhood Immunization Status
Percentage of children that received at least two HiB vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Regence 88.32% Administrative
UnitedHealthCare 87.38% Admin+Chart Review
EMI Health 76.28% Administrative
Aetna 71.43% Administrative
CIGNA 61.14% Administrative
Humana 82.97% Admin+Chart Review
NATIONAL AVERAGE: 88.10% STATE AVERAGE: 77.92%
 
Childhood Immunization Status
Percentage of children that received at least one MMR vaccination on or before their second birthday.
Health PlanRateData Collection Method
Regence 90.02% Admin+Chart Review
UnitedHealthCare 88.08% Admin+Chart Review
EMI Health 85.80% Administrative
Aetna 85.70% Administrative
CIGNA 84.44% Administrative
Humana 85.40% Admin+Chart Review
NATIONAL AVERAGE: 88.66% STATE AVERAGE: 86.57%
 
Childhood Immunization Status
Percentage of children that received at least four pneumococcal conjugate vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Regence 82.97% Admin+Chart Review
UnitedHealthCare 0.00% Not Reported
EMI Health 53.26% Administrative
Aetna 60.55% Administrative
CIGNA 48.52% Administrative
Humana 72.98% Admin+Chart Review
NATIONAL AVERAGE: 78.31% STATE AVERAGE: 63.65%
 
Childhood Immunization Status
Percentage of children that received at least one VZV vaccination on or before their second birthday.
Health PlanRateData Collection Method
Regence 89.04% Admin+Chart Review
UnitedHealthCare 86.45% Admin+Chart Review
EMI Health 84.65% Administrative
Aetna 85.21% Administrative
CIGNA 84.54% Administrative
Humana 85.16% Admin+Chart Review
NATIONAL AVERAGE: 88.27% STATE AVERAGE: 85.84%
 
Childhood Immunization Status
Percentage of children that received at least three IPV vaccinations on or before their second birthday.
Health PlanRateData Collection Method
Regence 88.56% Admin+Chart Review
UnitedHealthCare 86.68% Admin+Chart Review
EMI Health 73.95% Administrative
Aetna 67.28% Administrative
CIGNA 55.04% Administrative
Humana 81.02% Admin+Chart Review
NATIONAL AVERAGE: 86.19% STATE AVERAGE: 75.42%
 

Colorectal Cancer Screening
Percentage of members (51 - 80 years of age) who had appropriate screening for colorectal cancer.
Health PlanRateData Collection Method
Regence 61.30% Admin+Chart Review
UnitedHealthCare 65.53% Admin+Chart Review
EMI Health 37.36% Administrative
Aetna 56.62% Administrative
CIGNA 46.23% Administrative
Humana 43.07% Admin+Chart Review
NATIONAL AVERAGE: 56.53% STATE AVERAGE: 51.69%
 
Use of Imaging Studies for Low Back Pain
Percentage of members with a primary diagnosis of low back pain who did not have an imaging study (X-ray, MRI, CT scan) within 28 days of the diagnosis.
Health PlanRateData Collection Method
Regence 74.59% Administrative
UnitedHealthCare 79.73% Administrative
EMI Health 80.31% Administrative
Aetna 81.62% Administrative
CIGNA 78.08% Administrative
Humana 75.72% Administrative
NATIONAL AVERAGE: 74.45% STATE AVERAGE: 78.34%
 
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.
Health PlanRateData Collection Method
Regence 35.77% Admin+Chart Review
UnitedHealthCare 56.03% Admin+Chart Review
EMI Health 0.00% Not Reported
Aetna 0.00% Not Reported
CIGNA 0.00% Not Reported
Humana 53.77% Admin+Chart Review
NATIONAL AVERAGE: 57.60% STATE AVERAGE: 48.52%
 
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
Percentage of adults (18-64 years of age) with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription
Health PlanRateData Collection Method
Regence 23.68% Administrative
UnitedHealthCare 27.92% Administrative
EMI Health 24.45% Administrative
Aetna 30.35% Administrative
CIGNA 26.02% Administrative
Humana 28.88% Administrative
NATIONAL AVERAGE: 23.81% STATE AVERAGE: 26.88%
 
Cholesterol Management for Patients With Cardiovascular Conditions
The percentage of members 18 to 75 with a cardiovascular condition and has manageable cholesterol.
Health PlanRateData Collection Method
Regence 39.90% Admin+Chart Review
UnitedHealthCare 53.65% Admin+Chart Review
EMI Health 0.00% Not Reported
Aetna 0.00% Not Reported
CIGNA 0.00% Not Reported
Humana 28.26% Admin+Chart Review
NATIONAL AVERAGE: 50.24% STATE AVERAGE: 40.60%
 
Cholesterol Management for Patients With Cardiovascular Conditions
Percentage of members with cardiovascular conditions (18 - 75 years of age) who had their LDL-C level under control.
Health PlanRateData Collection Method
Regence 76.63% Admin+Chart Review
UnitedHealthCare 80.46% Admin+Chart Review
EMI Health 76.09% Administrative
Aetna 75.00% Administrative
CIGNA 72.65% Administrative
Humana 67.39% Admin+Chart Review
NATIONAL AVERAGE: 82.59% STATE AVERAGE: 74.70%
 
Adult BMI Assessment
Percentage of members 18-74 years of age who had an outpatient visit and who had their body mass index documerted during the measurement year or the prior year.
Health PlanRateData Collection Method
Regence 64.72% Admin+Chart Review
UnitedHealthCare 2.12% Administrative
EMI Health 1.38% Administrative
Aetna 7.44% Administrative
CIGNA 0.00% Not Reported
Humana 52.07% Admin+Chart Review
NATIONAL AVERAGE: 41.39% STATE AVERAGE: 25.54%
 

Follow-Up After Hospitalization for Mental Illness
The percentage of members (6 years of age and older) who were hospitalized for treatment of selected mental health disorders and who had an follow-up visit within 30 days
Health PlanRateData Collection Method
Regence 60.33% Administrative
UnitedHealthCare 66.03% Administrative
EMI Health 58.97% Administrative
Aetna 62.11% Administrative
CIGNA 65.03% Administrative
Humana 34.15% Administrative
NATIONAL AVERAGE: 68.95% STATE AVERAGE: 57.77%
 
Follow-Up After Hospitalization for Mental Illness
The percentage of members (6 years of age and older) who were hospitalized for treatment of selected mental health disorders and who had an follow-up visit within 7 days
Health PlanRateData Collection Method
Regence 41.60% Administrative
UnitedHealthCare 46.60% Administrative
EMI Health 34.61% Administrative
Aetna 48.95% Administrative
CIGNA 46.01% Administrative
Humana 29.27% Administrative
NATIONAL AVERAGE: 49.77% STATE AVERAGE: 41.17%
 

Use of Appropriate Medications for People With Asthma
Percentage of members (5 - 50 years of age) during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication.
Health PlanRateData Collection Method
Regence 90.38% Administrative
UnitedHealthCare 90.03% Administrative
EMI Health 93.43% Administrative
Aetna 93.79% Administrative
CIGNA 91.03% Administrative
Humana 92.81% Administrative
NATIONAL AVERAGE: 90.52% STATE AVERAGE: 91.91%
 
Asthma Medication Ratio
Percentage of members 5-64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.
Health PlanRateData Collection Method
Regence 79.14% Administrative
UnitedHealthCare 76.84% Administrative
EMI Health 81.22% Administrative
Aetna 76.24% Administrative
CIGNA 80.60% Administrative
Humana 77.53% Administrative
NATIONAL AVERAGE: 78.36% STATE AVERAGE: 78.59%
 
Antidepressant Medication Management
Newly diagnosed and treated members who remained on an antidepressant medication for at least 12 weeks
Health PlanRateData Collection Method
Regence 62.32% Administrative
UnitedHealthCare 57.76% Administrative
EMI Health 66.93% Administrative
Aetna 71.58% Administrative
CIGNA 46.84% Administrative
Humana 63.72% Administrative
NATIONAL AVERAGE: 64.26% STATE AVERAGE: 61.52%
 
Antidepressant Medication Management
Newly diagnosed and treated members who remained on an antidepressant medication for at least 6 months
Health PlanRateData Collection Method
Regence 45.73% Administrative
UnitedHealthCare 40.98% Administrative
EMI Health 51.30% Administrative
Aetna 62.98% Administrative
CIGNA 26.58% Administrative
Humana 43.60% Administrative
NATIONAL AVERAGE: 48.70% STATE AVERAGE: 45.19%
 
Medication Management for People with Asthma
Percentage of members 5-64 years of age who were identified as having persistent asthma and were dispensed appropriate medications that they remained on during the measurement year.
Health PlanRateData Collection Method
Regence 39.35% Administrative
UnitedHealthCare 37.57% Administrative
EMI Health 55.67% Administrative
Aetna 65.89% Administrative
CIGNA 45.07% Administrative
Humana 35.65% Administrative
NATIONAL AVERAGE: 49.64% STATE AVERAGE: 46.53%
 

Breast Cancer Screening
Percentage of women (40 - 69 years of age) who had a mammogram to screen for breast cancer.
Health PlanRateData Collection Method
Regence 62.32% Administrative
UnitedHealthCare 63.12% Administrative
EMI Health 64.81% Administrative
Aetna 61.79% Administrative
CIGNA 65.01% Administrative
Humana 61.36% Administrative
NATIONAL AVERAGE: 69.48% STATE AVERAGE: 63.06%
 
Chlamydia Screening in Women
Percentage of women (16 -24 years of age) who were identified as sexually active and who had at least one test for chlamydia during the measurement year.
Health PlanRateData Collection Method
Regence 26.93% Administrative
UnitedHealthCare 31.70% Administrative
EMI Health 23.10% Administrative
Aetna 30.13% Administrative
CIGNA 28.78% Administrative
Humana 23.82% Administrative
NATIONAL AVERAGE: 42.21% STATE AVERAGE: 27.40%
 
Prenatal and Postpartum care
Percentage of deliveries that had a postpartum visit on or between 21 and 56 days after delivery.
Health PlanRateData Collection Method
Regence 71.78% Admin+Chart Review
UnitedHealthCare 73.93% Admin+Chart Review
EMI Health 41.73% Administrative
Aetna 43.71% Administrative
CIGNA 50.07% Administrative
Humana 65.69% Admin+Chart Review
NATIONAL AVERAGE: 70.88% STATE AVERAGE: 57.82%
 
Prenatal and Postpartum care
Percentage of deliveries that received a prenatal care visit in the first trimester or within 42 days of enrollment in the organization.
Health PlanRateData Collection Method
Regence 73.71% Admin+Chart Review
UnitedHealthCare 84.98% Admin+Chart Review
EMI Health 21.00% Administrative
Aetna 26.22% Administrative
CIGNA 55.50% Administrative
Humana 72.56% Admin+Chart Review
NATIONAL AVERAGE: 82.23% STATE AVERAGE: 55.66%