Coordinated Care

Coordinated Care 2022-23 Edition

Why is coordinated care important?

The best HMOs and PPOs have primary care providers, 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 have systems to communicate with specialists who you see, know your test results and have records about your medications 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 scores 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. The 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 2021.

When comparing plans, small differences between scores are expected. The larger differences are important.		Coordinated Care
		(Worse) 0% (Better) 100%
Health Net of California, Inc. - HMO	85%
Sharp Health Plan - HMO	83%
Blue Shield of California/Blue Shield Life - PPO	82%
Kaiser Permanente - Northern California - HMO	82%
Western Health Advantage - HMO	81%
CIGNA - PPO	80%
CIGNA - HMO	78%
Kaiser Permanente - Southern California - HMO	77%
Blue Shield of California - HMO	76%
Aetna - PPO		Too few patients in sample to report
Aetna Health of California, Inc. - HMO		Too few patients in sample to report
Anthem Blue Cross - HMO		Too few patients in sample to report
Anthem Blue Cross - PPO		Too few patients in sample to report
Health Net Life Insurance Company - PPO		Too few patients in sample to report
UnitedHealthcare Insurance Co., Inc. - PPO		Too few patients in sample to report
UnitedHealthcare of California - HMO		Too few patients in sample to report

Score for top health plans nationwide 90%			Score that ranks a health plan in the top 10% of all commercial health plans in the US.

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).

Users of the data shall not have the right to alter, enhance, or otherwise modify the data. Anyone desiring to use or reproduce the data without modification for a noncommercial purpose may do so without obtaining any approval from NCQA. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. Use by health care providers in connection with their own practices is not commercial use. A "commercial use" refers to any sale, license, or distribution of the data for commercial gain, or incorporation of the data into any product or service that is sold, licensed, or distributed for commercial gain, even if there is no actual charge for inclusion of the data. ©2004-2022 National Committee for Quality Assurance, all rights reserved.

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