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2012 New Jersey HMO Performance Report
Quality Matters

Why is the quality of health care important?

Not all HMOs are the same. HMOs differ in how well they keep members healthy and care for them when they become sick. That’s why learning about health care quality is important. 

  • If you are a consumer, the quality of care provided by your HMO may influence your health and your family’s health.
  • If you are an employer, the quality of care provided by your HMO may influence absenteeism, employee productivity and your company’s health care cost.

This report provides information about how well HMOs:

  • Provided preventive care, such as immunizations and mammograms, to help members stay healthy, and
  • Cared for members who are ill, such as managing the cholesterol level of people with heart conditions.

You can use this report, along with cost and benefit information available from your employer or the HMO, to choose the right plan for your health care needs.

When choosing an HMO, you should consider:

  • Whether your doctor or health care provider is available in the HMO’s network,
  • Whether the HMO offer the benefits you want,
  • How much the HMO will cost you (look at both monthly premiums and out-of-pocket expenses, such as co-payments, coinsurances and deductibles), and
  • How well the HMO performs in the key areas most important to you.
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New Jersey Department of Banking and Insurance