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Home > Insurance Division > Life and Health > Life & Health Actuarial > HMO Performance Report
2007 New Jersey HMO Performance Report
   
Getting Better/Living with Illness
 

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How well does the HMO care for members who are sick?

A comparison of each HMO’s performance to the New Jersey HMO average shows how effective the HMOs are in working with doctors to care for members who are sick or living with chronic illness.

Higher than average scores mean better performance.

Circles compare each selected HMO's score to the average for New Jersey HMOs. Bar graphs show scores for each HMO on these topics.
Performance Compared to the Average
higher Higher than the New Jersey HMO average
same About the Same as the New Jersey HMO average
lower Lower than the New Jersey HMO average

HMO Cholesterol management of heart patients Beta blocker treatment after a heart attack Blood sugar testing for people with diabetes Eye exam for people with diabetes
Aetna - HMO/POS same lower same same
AmeriHealth - HMO/POS same same same same
CIGNA - HMO/POS same higher same same
Health Net - HMO/POS same same same same
Horizon - HMO same higher same higher
Oxford - HMO/POS lower same same lower

Due to differences in sample size, HMOs with the same or similar scores can have different circle ratings.
Not Applicable—HMO was unable to report the measure due to the small number of eligible members.

   
 

Cholesterol management of heart patients
Reducing cholesterol lowers the chances of having a heart attack. Percent of members with heart conditions who had their cholesterol level controlled:

 

Beta blocker treatment after a heart attack
Beta blockers after a heart attack can help prevent future heart attacks. Percent of members who had a heart attack and received beta blockers:

Cholesterol management of heart patients   Beta blocker treatment after a heart attack
     

Blood sugar testing for people with diabetes
Controlling blood sugar levels can prevent complications from diabetes. Percent of members with diabetes who had a blood sugar (HbA1C) test:

 

Eye exams for people with diabetes
Regular eye exams can reduce the risk of blindness from diabetes. Percent of members with diabetes who received an eye exam:

Blood sugar testing for people with diabetes   Eye exams for people with diabetes
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New Jersey Department of Banking and Insurance