Medical Group Report Card ratings for Commercial HMO Plan Members 2016-17 Edition

MEDICAL GROUP USES TREATMENTS PROVEN TO BE EFFECTIVE

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• Asthma Care
• Checking for Cancer
• Chlamydia Screening
• Diabetes Care
• Treating Children: Getting the Right Care
• Treating Bronchitis: Getting the Right Care
• Giving Lab Tests for Patients Taking Medications for a Long Time
• Testing for Cause of Back Pain
• Preventing Hospital Readmission After Discharge
• Controlling High Blood Pressure

Patient Experience Ratings

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• Patients Rate Their Medical Group
• Communicating with Patients
• Coordinating Patient Care
• Health Promotion
• Helpful Office Staff
• Timely Care and Service

AVERAGE ANNUAL PAYMENT FOR CARE

Higher cost care does not necessarily reflect higher quality care. Other factors – like higher rent and staff salaries, or medical errors that require additional time and resources to correct – may result in higher costs. Additional factors that may result in higher costs include serving higher risk or sicker patients, serving more people without insurance, providing medical education or providing other services that help the community. However, many medical groups provide and coordinate high quality care for less money than other medical groups. A medical group may have lower costs because it:

• Controls costs associated with rent, staff salaries, equipment or the cost of other providers outside of the medical group.
• Provides only tests or treatments that patients need.
• Prevents medical errors―such as giving the wrong diagnosis or the wrong medicine―when providing care to patients, which have to be corrected with additional resources.
• Follows up with patients and/or their caregivers after a hospital stay, helping to prevent unwanted return visits to the hospital.