2016 HMO and PPO Performance Report

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	Getting Better/Living with Illness - 1
	Getting Better/Living with Illness - 2
	Getting Better/Living with Illness - 3
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Performance Report (PDF)

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2016 樱花视频 HMO and PPO Performance Report

Getting Better/Living with Illness - 3

How well does the HMO or PPO care for members who are living with illness?

HMOs and PPOs should work with doctors to care for members who are sick or living with chronic illness. HMOs and PPOs reported on the percentage of their relevant membership who received the following:

Persistence of beta blocker treatment after a heart attack
Check-ups for new mothers
Anti-Rheumatic drug therapy in rheumatoid arthritis
Use of imaging studies for low back pain

The following table shows how well each HMO and PPO performed. The bar graphs following show the HMOs and PPOs compared to the 樱花视频 average.

Persistence of beta blocker treatment after a heart attack Beta blockers after a heart attack can help prevent future heart attacks. The bar graphs show the percentage of members who received persistent beta-blocker treatment for six months after discharge. A higher percentage is better for this measure. It means that more adults with a history of having a heart attack received at least six months of beta-blocker treatment.
HMO		PPO


Check-ups for new mothers During a visit, providers can check a new mother's recovery from childbirth and answer questions. The bar graphs show the percentage of new mothers who received a check-up within eight weeks after delivery. A higher percentage is better for this performance measure. This means that more women with live birth deliveries received postpartum care in a timely manner.
HMO		PPO


Anti-Rheumatic drug therapy in rheumatoid arthritis Disease-modifying anti-rheumatic drugs (DMARDs) are proven effective in slowing or preventing joint damage as opposed to just relieving pain and inflammation. The bar graphs show the percentage of members 18 years and older who were diagnosed with rheumatoid arthritis (RA) and who were given a prescription for at least one DMARD in the measurement year. A higher percentage is better for this measure. This means that more adults 18 years of age and older received DMARD treatment for their RA.
HMO		PPO


Imaging studies for low back pain Imaging studies (plain x-ray, MRI, CT scan) are not needed for a primary diagnosis of lower back pain. The bar graphs show the percentage of members with a primary diagnosis of low back pain who did not have a plain x-ray, MRI and/or CT scan within 28 days of the diagnosis. A higher percentage rate indicates appropriate treatment of low back pain.
HMO		PPO



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