PPO Quality Ratings Summary 2013 Edition

Health Care Quality is getting the right care at the right time.

This PPO Report Card shows the quality of health care for over 7 million Californians who get their care through Preferred Provider Organizations (PPO). The 6 largest PPOs in the state are included in this Report Card.

The PPO Report Card includes health care quality scores for two major areas:

Clinical Performance Scores – See the “PPO Provides Recommended Care” column below. And find more information on 10 health conditions/topics in the blue box in the right column.
Patient Experience Scores – See the 2 columns below under “Patients Rate their Experience.” Also find additional information in the green box in the right column.

This Report Card also provides other helpful information on each PPO such as its education and support services and its consumer assistance number plus other contact information.

	PPO Provides Recommended Care We compared PPO members' records in 2011 to a set of national standards for quality of care.	Patients Rate Their Experience
Click on plan name for plan’s star ratings and information:		Getting Care Easily Members rate ease of getting doctor appointments, tests and treatments during 2011.	PPO Helps Members Get Answers Members who contacted their plan rate customer service helpfulness, getting cost information and claims paid correctly during 2010 and 2011.
Aetna PPO	Two stars	Two stars	One star
Anthem Blue Cross PPO	Two stars	Three stars	Two stars
Blue Shield of California/Blue Shield Life PPO	Two stars	Three stars	One star
CIGNA PPO	Three stars	Two stars	Two stars
Health Net PPO	Two stars	One star	One star
UnitedHealthcare Insurance Co., Inc.	Three stars	Two stars	Two stars