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Home > Insurance Division > Life and Health > Life & Health Actuarial > HMO Performance Report
2010 New Jersey HMO Performance Report
Staying Healthy


Does the HMO help members stay healthy and avoid illness?

HMOs should work with doctors to provide important preventive services that help members stay healthy. HMOs reported on the percentage of their relevant membership who received the following services:

  • Testing for breast cancer
  • Testing for cervical cancer
  • Testing for colorectal cancer
  • Immunizations for children

The following tables show how well each HMO did and how well HMOs in New Jersey performed on average.


HMO Testing for
breast
cancer %
Testing for
cervical
cancer %
Testing of colorectal
cancer %
Immunizations
for children %
Aetna - HMO/POS 66 76 58 77
AmeriHealth - HMO/POS 69 72 58 81
CIGNA - HMO/POS 67 77 65 77
Horizon - HMO 65 67 52 72
Oxford - HMO/POS 68 80 56 68
 
Testing for breast cancer
Mammograms are recommended for detection of breast cancer. Percentage of women aged 42–69 who received a mammogram within the past two years:
  Testing for cervical cancer
Pap smears are recommended for detection of cervical cancer. Percentage of women aged 21–64 who received a Pap test within the past three years:
Testing for breast cancer  
Testing for cervical cancer
     
Colorectal Cancer Screening
Colonoscopy is used to look for early signs of colorectal cancer. Percentage of members 50-75 who had appropriate screening for colorectal cancer:
  Immunizations for children
Immunizations prevent childhood diseases such as polio, measles, mumps, rubella and whooping cough. Percentage of children who received recommended immunizations by age two:
Colorectal Cancer Screening
 
Immunizations for children
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New Jersey Department of Banking and Insurance