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Medical Group Report Card ratings for Commercial HMO Plan Members 2024-25 Edition

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Quality health care is getting the right care at the right time.


Review the star ratings in the columns below. More stars are better. Both quality and cost of care are important to consider when choosing a medical group.


The Report Card also provides other helpful information on each medical group. Click on each medical group name to find all of its star ratings, consumer assistance number, service area, website and more.


For more detail on how the list of measures approved for public reporting has changed for 2023, please refer to the Medical Group Medicare Methodology Document. For any questions, please contact amp@iha.org.






QUALITY OF MEDICAL CARE




The Center for Data Insights and Innovation compared medical group performance results in 2023 to a set of national standards for quality of care to make sure that medical groups offer quality preventive care and treatment services to members. More stars are better.


Patient Experience is a separate rating. Ratings for Patient Experience are in the column to the right, Patients Rate Overall Experience

PATIENTS RATE OVERALL EXPERIENCE



The Center for Data Insights and Innovation compared how medical group patients rated their experience with their medical group during 2023. More stars are better.

Quality of Care is a separate rating from Patients Rate Overall Experience. Ratings for Quality of Care are in the column to the left, Quality of Medical Care.

TOTAL COST OF CARE




The Center for Data Insights and Innovation compared the average amount of money that health plans and patients pay for all of the care a patient receives each month during 2023. Groups with lower costs receive a higher star rating. More stars are better.

The dollar ranges below include the average amount paid by health plans for things like check-ups and tests, plus the average amount paid by patients for things like co-pays and monthly insurance premiums.
SORT
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Accountable Healthcare IPA (aka Accountable Healthplan Medical)
Not enough data to score reliably
Not enough data to score reliably
Not enough data to score reliably
Affiliated Doctors of Orange County
Good
Fair
Fair
Allied Pacific of California IPA
Fair
Fair
Excellent
AltaMed Health Services
Good
Good
Good
AMVI Medical Group
Good
Fair
Good
Angeles-IPA, A Medical Corporation
Fair
Poor
Excellent
Diamond Bar Medical Group (aka Greater Orange County MG)
Not enough data to score reliably
Not enough data to score reliably
Not enough data to score reliably
Edinger Medical Group
Good
Very Good
Good
Exceptional Care Medical Group
Poor
Not enough data to score reliably
Not enough data to score reliably
Family Choice Health Services, Inc.
Fair
Not enough data to score reliably
Good
Greater Newport Physicians MemorialCare
Very Good
Good
Fair
Healthy New Life Medical Corporation
Not enough data to score reliably
Not enough data to score reliably
Not enough data to score reliably
Hispanic Physicians IPA dba Medico Hispano IPA
Poor
Not enough data to score reliably
Not enough data to score reliably
Hoag Medical Group
Excellent
Good
Good
Hoag Physician Partners
Very Good
Very Good
Good
Kaiser Permanente - Southern California Permanente Medical Group - Orange County
Excellent
Very Good
Fair
MemorialCare Medical Group
Very Good
Very Good
Average
Mission Heritage Medical Group
Good
Very Good
Good
Mission Hospital Affiliated Physicians
Good
Very Good
Average
Noble AMA IPA
Fair
Not enough data to score reliably
Poor
Northwest Orange County Medical Group
Fair
Good
Good
Optum (formerly known as HealthCare Partners Medical Group)
Good
Very Good
Average
Optum (formerly known as HealthCare Partners Medical Group)
Good
Very Good
Not enough data to score reliably
Optum Care Network (formerly known as HealthCare Partners IPA)
Good
Very Good
Average
Optum Care Network - AppleCare Select
Fair
Good
Good
Optum Care Network - Monarch
Good
Fair
Average
Orange County Physicians IPA Medical Group, Inc. dba Noble Community Medical Associates, Inc. of Mid-Orange County
Not enough data to score reliably
Not enough data to score reliably
Not enough data to score reliably
PIH Health Physicians - Downey Division
Very Good
Very Good
Average
Prospect Health Source Medical Group
Fair
Poor
Not enough data to score reliably
Prospect Medical Group
Fair
Fair
Good
Prospect Professional Care IPA Medical Group, Inc.
Fair
Fair
Good
Providence Affiliated Physicians, St. Joseph
Good
Good
Average
Providence Affiliated Physicians, St. Jude
Good
Good
Not enough data to score reliably
Regent Medical Group, Inc.
Not enough data to score reliably
Not enough data to score reliably
Not enough data to score reliably
St. Joseph Heritage Medical Group
Very Good
Very Good
Average
St. Jude Heritage Medical Group
Very Good
Very Good
Average

TOTAL COST OF CARE

Higher-cost care does not necessarily mean higher-quality care. Many factors can drive cost, such as serving higher-risk or sicker patients or providing care in a more expensive area.

However, some approaches for providing higher-quality care can also help lower healthcare costs. Medical groups may be better positioned to keep costs low by practicing these approaches, which include but not are limited to the following:

  • Providing high-quality preventive care like cancer screenings to diagnose problems before patients get sicker.
  • Managing patients' chronic illnesses such as diabetes to help them stay healthier and avoid complications.
  • Providing only tests or treatments that patients need.
  • Preventing medical errors, such as giving the wrong diagnosis or the wrong medicine, which have to be corrected with additional resources.
  • Following up with patients and/or their caregivers after a hospital stay, helping to prevent unwanted return visits to the hospital.

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