Coordinated Care
2023-24 Edition
Why is coordinated care important?
The best HMOs and PPOs have primary care doctors, specialists, and other health care providers that communicate and work together to provide the best care for you. Doctors from top health plans will quickly share test results, whether results are normal or not. Your regular doctor should communicate with specialists who you see, know your test results, and have records about your medicines or other treatments.
How can health plans make sure that you receive coordinated care?
Highly rated plans work with their doctors and medical groups to set up systems to effectively handle and communicate information properly to ensure that your regular doctor is up to date on the status of your health needs and your health care.
What do the stars mean?
The scores show the percentage of health plan members who reported that their doctor was up to date about the care they got from other doctors. A higher score means more members said their doctors worked together to coordinate their care.
The scores are based on information from a survey of a sample of at least 100 health plan members in 2022.
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The data source for data for the Report Cards is Quality Compass® 2023 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2023 includes Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors. NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass and HEDIS are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
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