Health Plan Quality of Care Report for Utah Commercial HMOs, Medicaid & CHIP Health Plans (HEDIS)
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To determine how health plans in Utah are performing compared to other health plans in the nation, State averages are compared with National averages.

  • Commercial PPOs are equal to or exceeding national averages on well care for adults, care for people with diabetes and avoidance of unnecessary treatment/testing. Commercial PPOs are under-performing on prenatal and post-partum care, childhood immunizations, well care for children and diabetes care.
  • Commercial HMOs on avoiding inappropriate treatment, immunizations for children and adolescents, and preventive services for adults. The Commercial HMOs are not doing well on Chlamydia screenings, well-child visits for 3-6 year olds, and some measures of diabetes care.
  • CHIP plans performed well on use of medications, immunizations, and access to primary care providers. They are doing less well on lead screening for children, well-care visits for adolescents and children.
  • Medicaid HMOs performed above national averages on childhood and adolescent immunizations, diabetes care, and avoidance of inappropriate treatments. Medicaid plans are well below national averages on prenatal and post-partum care, chlamydia screenings and well child visits for children.