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Friday, August 31, 2007
Best Health Plans NCQA

CIGNA HealthCare of Massachusetts (HMO, POS)
Massachusetts
Commercial Plan Rank: 95
NCQA accreditation: Yes Score: 85.5
Score indicates quality of access to care, member satisfaction, and delivery of preventive services and treatment. Here is how this plan performed in these four major categories, from 1 box (lowest) to 5 boxes (highest):
Access to care Overall member satisfaction Prevention Treatment
Performance in each category sums up ratings in various measures. Key examples are shown below. Ratings are expressed as 1 to 5 boxes or as percentages. Percentages indicate the share of members who gave the plan high marks in consumer surveys or, if in italics, the proportion of appropriate members who received the service. The average for all plans is shown for comparison.
Access to care
Getting Care
Getting needed care (average = 80.2%)
76.5%
Getting care quickly (average = 79.7%)
78.6%
Children and adolescents
Overall member satisfaction
Satisfaction with plan physicians
High rating of personal doctor or nurse (average = 77.2%)
70.3%
High rating of health care received (average = 78.0%)
76.1%
Satisfaction with plan services
High rating of plan services (average = 65.2%)
53.7%
Prevention
Child and adolescent immunizations
Women's reproductive health
Cancer screening
Regular mammograms (average = 72.0%)
76.7%
Colorectal cancer screening (average = 52.3%)
60.0%
Antibiotic overuse in children
Treatment
Diabetes
Glucose testing (average = 87.5%)
92.7%
Eye exams (average = 54.8)
70.8%
Heart disease
Manage high blood pressure (average = 68.8%)
74.5%
Mental and behavioral health
Medicate depression appropriately (average = 61.4%)
65.2%
I = insufficient data; NA = not applicable; NR = not reported


Accreditation status is as of August 31, 2006.


Source: National Committee for Quality Assurance




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