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Medical Group Report Card ratings for Commercial HMO Plan Members 2023-24 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 2022, please refer to the Medical Group 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 2022 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 2022. More stars are better.

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 2022. 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.
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Accountable Healthcare IPA (aka Accountable Healthplan Medical)
Too few patients in sample to report
Too few patients in sample to report
Not enough data to score reliably
Affiliated Doctors of Orange County
Good
Fair
Average
Alamitos IPA
Fair
Too few patients in sample to report
Good
Allied Pacific of California IPA
Fair
Fair
Excellent
AltaMed Health Services
Good
Fair
Excellent
AMVI Medical Group
Good
Fair
Average
Angeles-IPA, A Medical Corporation
Fair
Poor
Excellent
AppleCare Medical Group
Fair
Too few patients in sample to report
Good
Diamond Bar Medical Group (aka Greater Orange County MG)
Too few patients in sample to report
Too few patients in sample to report
Not enough data to score reliably
Edinger Medical Group
Very Good
Excellent
Good
Exceptional Care Medical Group
Poor
Too few patients in sample to report
Not enough data to score reliably
Family Choice Medical Group
Fair
Too few patients in sample to report
Good
Greater Newport Physicians
Very Good
Very Good
Fair
Healthy New Life Medical Corporation
Too few patients in sample to report
Too few patients in sample to report
Not enough data to score reliably
Hispanic Physicians IPA dba Medico Hispano IPA
Poor
Too few patients in sample to report
Not enough data to score reliably
Hoag Medical Group
Excellent
Very Good
Good
Hoag Physician Partners
Very Good
Excellent
Good
Kaiser Permanente - Southern California Permanente Medical Group - Orange County
Excellent
Very Good
Fair
Lakewood IPA
Fair
Too few patients in sample to report
Good
MemorialCare Medical Group
Very Good
Very Good
Average
Mission Heritage Medical Group
Very Good
Excellent
Good
Noble AMA IPA
Fair
Too few patients in sample to report
Average
Noble AMA IPA
Fair
Too few patients in sample to report
Not enough data to score reliably
Noble AMA IPA
Fair
Too few patients in sample to report
Average
Noble AMA IPA
Fair
Too few patients in sample to report
Not enough data to score reliably
Optum
Good
Very Good
Average
Optum Care Network
Good
Excellent
Average
Optum Care Network - Monarch
Good
Fair
Average
PIH Health Physicians - Downey Division
Very Good
Excellent
Average
Prospect Gateway Medical Group
Fair
Fair
Average
Prospect Health Source Medical Group
Fair
Poor
Not enough data to score reliably
Prospect Medical Group
Fair
Fair
Good
Prospect Northwest Orange County Medical Group
Good
Good
Good
Prospect Professional Care Medical Group
Fair
Fair
Good
Providence Affiliated Physicians, Mission
Good
Very Good
Average
Providence Affiliated Physicians, St. Joseph
Good
Good
Average
Providence Affiliated Physicians, St. Jude
Good
Good
Average
Regent Medical Group, Inc.
Too few patients in sample to report
Too few patients in sample to report
Not enough data to score reliably
St. Joseph Heritage Medical Group
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

Medical groups may actually help to keep costs lower by providing better care.

A medical group may have lower costs because it:

  • Control 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.

Factors like higher rent and staff salaries, serving higher risk or sicker patients, serving more people without insurance, providing medical education, or providing other services that help the community may drive up costs.

321.000
 

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