Getting Doctors and Care Easily
2022-23 Edition
Why is it important to get specialist care, tests and treatments when needed?
Getting the right care at the right time means seeing a specialist doctor or getting tests when needed. Highly rated HMOs and PPOs make sure you do not face delays or hassles in seeing a specialist doctor or getting tests and treatment.
What should HMOs do to help you get specialty care, tests and treatment easily?
Highly rated plans have systems in place that help you see a specialist or get a test or treatment when you need it. HMOs in California have time requirements for making appointments for their patients whether it is for specialty care, tests or treatment. To learn more about these appointment requirements, click here.
What do the scores mean?
The scores show the percentage of health plan members who highly rated their HMO on getting the specialty care, tests, and treatment they needed, when they needed it. The higher score means more members said they are getting the right care at the right time.
The scores are based on information from a survey of a sample of at least 100 health plan members in 2021.
Data Disclaimer
The source for data contained in this publication is Quality Compass®2022 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2022 includes certain 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, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
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