What Was Measured?

What percentage of PPO members, with low back pain, got an evaluation for the condition that met recommended standards for use of high cost x-ray services?

These results are based on PPO patient administrative records.

Why Is It Important?

How patients are treated for back pain signals how well PPOs and their doctors see that patients get care that is proven to work. Millions of people suffer from low back pain. Although low back pain can limit your activities, the symptoms usually get better within a month. Unless you have clear signs of a spinal problem, typically you do not need to have costly tests like an MRI or a CT scan, or even x-rays.

Compare California Scores to National Results

Click here to compare these California health plan scores to the top health plans nationwide.

Testing for Cause of Back Pain 2012 Edition

Look for differences of at least 4%. Smaller differences usually are not significant.

Testing for Cause of Back Pain

We compared PPOs’ care for members in 2010 using national standards for quality of care.
  • (Worse)
  • (Better)
Horizontal bar, 81 units
UnitedHealthcare Insurance Co., Inc. 80%
Horizontal bar, 80 units
Blue Shield of California/Blue Shield Life PPO 79%
Horizontal bar, 79 units
Aetna PPO 79%
Horizontal bar, 79 units
Health Net PPO 77%
Horizontal bar, 77 units
Anthem Blue Cross PPO 77%
Horizontal bar, 77 units
Score for top health plans nationwide 81%*