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Healthcare Ensuring Quality Healthcare

Results for coverage in 30044

Healthcare Quality Results

To help you select a health plan that meets your needs and your family’s healthcare needs, we developed a quality evaluation system using Healthcare Effectiveness Data and Information Set (HEDIS®) metrics that allows you to gauge health plan performance for significant health issues, including:

  • Preventive Care
  • Chronic Disease Management
  • Medication Use
  • Behavioral Health
  • Utilization Management

HEDIS metrics are a set of standardized performance measures that allow you to compare Federal Employees Health Benefits (FEHB) health plan performance to industry benchmark percentiles of plan performance using the key below. Plans are displayed based on their average performance on the first three quality measures.

Healthcare Effectiveness Data and Information Set
Plan Name Controlling High Blood Pressure People with high blood pressure receive effective treatment.
People with high blood pressure receive effective treatment.
 Hemoglobin A1c Control for Patients with Diabetes Do people with diabetes have their condition under control?
Do people with diabetes have their condition under control?
 Timeliness of Prenatal Care Pregnant women receive care in the first trimester.
Pregnant women receive care in the first trimester.
 Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis Ages 18 to 64 Appropriate use of antibiotics for acute bronchitis.
Appropriate use of antibiotics for acute bronchitis.
 Asthma Medication Ratio Appropriate ratio of controller medications to total asthma medications.
Appropriate ratio of controller medications to total asthma medications.
 Breast Cancer Screening Do women who need screening mammograms get them?
Do women who need screening mammograms get them?
 Follow Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence 30 day Follow up appointment within 30 days of discharge.
Follow up appointment within 30 days of discharge.
 Follow Up After Emergency Department Visit for Mental Illness 30 day Follow up appointment within 30 days of discharge.
Follow up appointment within 30 days of discharge.
 Childhood Immunization Status—Combination 10 Recommended well child visits completed.
Recommended well child visits completed.
 Use of Imaging Studies for Low Back Pain Appropriate treatment of lower back pain.
Appropriate treatment of lower back pain.
Key: Outstanding Excellent Good Fair Poor NA

Note: NA is displayed if a plan did not report or is unable to report a result in this coverage area.
APWU Health Plan, High (47) Fair Poor Fair Poor Good Poor Excellent Poor Poor Fair
APWU Health Plan, CDHP (47) Fair Fair Fair Good Poor Poor Poor Fair Fair Good
MHBP Consumer Option, HDHP (48) Good Excellent Excellent Fair Good Poor Good Poor Fair Good
Aetna HealthFund HDHP and Aetna Direct Plan, HDHP (22) Fair Poor Fair Poor Good Fair Outstanding Good Fair Excellent
NALC, High (32) Good Good Fair Fair Good Poor Fair Fair Fair Good
NALC, CDHP (32) Poor Poor Poor Good Poor Poor Poor Poor Poor Good
Compass Rose Health Plan, High (42) Good Fair Fair Good Outstanding Good Data Not Available Good Poor Fair
Panama Canal Area Benefit Plan, High (43) Poor Outstanding Data Not Available Data Not Available Data Not Available Poor Data Not Available Data Not Available Data Not Available Outstanding
SAMBA, High (44) Fair Fair Fair Fair Outstanding Fair Excellent Data Not Available Fair Fair
GEHA Benefit Plan, HDHP (34) Good Fair Good Poor Excellent Fair Good Fair Fair Good
MHBP - Standard and Value, Standard (45) Good Excellent Excellent Fair Good Poor Good Poor Fair Good
UnitedHealthcare Insurance Company, Inc. Choice Primary , High (Y8) Good Good Good Good Poor Good Fair Fair Good Excellent
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary, High (AS) Fair Good Good Poor Fair Poor Fair Poor Fair Poor
Aetna Advantage Plan, Advantage (Z2) Poor Fair Fair Good Fair Fair Good Fair Excellent Fair
GEHA Indemnity Benefit Plan, Elevate Plus (25) Fair Poor Fair Excellent Good Poor Excellent Fair Fair Excellent
GEHA Indemnity Benefit Plan, Elevate (25) Fair Poor Fair Excellent Good Poor Excellent Fair Fair Excellent
Foreign Service Benefit Plan, High (40) Good Outstanding Fair Outstanding Outstanding Fair Excellent Good Fair Excellent
MHBP - Standard and Value, Value (41) Good Excellent Excellent Fair Good Poor Good Poor Fair Good
SAMBA, Standard (44) Fair Fair Fair Fair Outstanding Fair Excellent Data Not Available Fair Fair
GEHA Benefit Plan, Standard (31) Good Fair Good Poor Excellent Fair Good Fair Fair Good
Aetna Open Access, High (2U) Poor Poor Good Poor Fair Poor Data Not Available Data Not Available Fair Poor
GEHA Benefit Plan, High (31) Good Fair Good Poor Excellent Fair Good Fair Fair Good
Blue Cross and Blue Shield Service Benefit Plan, Standard (10) Good Fair Good Poor Good Good Good Good Good Fair
Blue Cross and Blue Shield Service Benefit Plan, Basic (11) Good Fair Good Poor Good Good Good Good Good Fair
Blue Cross and Blue Shield Service Benefit Plan, FEP Blue Focus (13) Good Fair Good Poor Good Good Good Good Good Fair
Aetna HealthFund HDHP and Aetna Direct Plan, CDHP (N6) Fair Poor Poor Poor Fair Poor Data Not Available Data Not Available Poor Poor
Aetna HealthFund CDHP and Aetna Value Plan, CDHP (F5) Fair Poor Fair Poor Fair Poor Fair Poor Poor Poor
Aetna HealthFund CDHP and Aetna Value Plan, Value (F5) Fair Poor Fair Poor Fair Poor Fair Poor Poor Poor
Kaiser Permanente - Georgia, High (F8) Excellent Good Outstanding Outstanding Outstanding Outstanding Good Poor Good Excellent
Kaiser Permanente - Georgia, Standard (F8) Excellent Good Outstanding Outstanding Outstanding Outstanding Good Poor Good Excellent
Kaiser Permanente - Georgia, Prosper (LA) Excellent Good Outstanding Outstanding Outstanding Outstanding Good Poor Good Excellent

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Consumer Satisfaction Survey Results

Each year Federal Employees Health Benefits (FEHB) plans send the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey to a sample of plan members to evaluate their health plan experiences in key areas, including:

  • Communication
  • Access
  • Claims
  • Member Experience/Engagement

CAHPS® metrics are a set of standardized performance measures that allow you to compare Federal Employees Health Benefits (FEHB) health plan performance to industry benchmark percentiles of plan performance using the key below. Plans are displayed based on their average performance on the first three quality measures.

Consumer Assessment of Healthcare Providers and Systems
Plan Name Getting Needed Care Members report getting the care they need.
Members report getting the care they need.
 Claims Processing How quickly do customers say the plan handles claims?
How quickly do customers say the plan handles claims?
 Overall Plan Satisfaction How pleased are customers with the plan overall?
How pleased are customers with the plan overall?
 Coordination of Care Members say that their doctors know about care from other providers.
Members say that their doctors know about care from other providers.
Key: Outstanding Excellent Good Fair Poor NA

Note: NA is displayed if a plan did not report or is unable to report a result in this coverage area.
Blue Cross and Blue Shield Service Benefit Plan, Standard (10) Outstanding Excellent Excellent Excellent
Blue Cross and Blue Shield Service Benefit Plan, Basic (11) Good Excellent Outstanding Good
Blue Cross and Blue Shield Service Benefit Plan, FEP Blue Focus (13) Good Fair Good Fair
Aetna HealthFund HDHP and Aetna Direct Plan, HDHP (22) Poor Data Not Available Excellent Data Not Available
GEHA Indemnity Benefit Plan, Elevate Plus (25) Poor Data Not Available Fair Data Not Available
GEHA Indemnity Benefit Plan, Elevate (25) Fair Data Not Available Fair Data Not Available
Aetna Open Access, High (2U) Data Not Available Data Not Available Fair Data Not Available
GEHA Benefit Plan, High (31) Excellent Good Outstanding Poor
GEHA Benefit Plan, Standard (31) Excellent Data Not Available Outstanding Data Not Available
NALC, High (32) Good Fair Outstanding Good
NALC, CDHP (32) Outstanding Data Not Available Fair Data Not Available
GEHA Benefit Plan, HDHP (34) Fair Poor Poor Fair
Foreign Service Benefit Plan, High (40) Poor Poor Good Poor
MHBP - Standard and Value, Value (41) Outstanding Data Not Available Excellent Data Not Available
Compass Rose Health Plan, High (42) Good Fair Outstanding Poor
Panama Canal Area Benefit Plan, High (43) Outstanding Poor Outstanding Excellent
SAMBA, High (44) Outstanding Fair Outstanding Fair
SAMBA, Standard (44) Good Good Outstanding Poor
MHBP - Standard and Value, Standard (45) Excellent Outstanding Outstanding Good
APWU Health Plan, High (47) Good Data Not Available Excellent Data Not Available
APWU Health Plan, CDHP (47) Good Poor Excellent Fair
MHBP Consumer Option, HDHP (48) Fair Data Not Available Excellent Data Not Available
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary, High (AS) Data Not Available Data Not Available Good Data Not Available
Aetna HealthFund CDHP and Aetna Value Plan, CDHP (F5) Poor Data Not Available Excellent Data Not Available
Aetna HealthFund CDHP and Aetna Value Plan, Value (F5) Poor Data Not Available Excellent Data Not Available
Kaiser Permanente - Georgia, High (F8) Poor Data Not Available Excellent Good
Kaiser Permanente - Georgia, Standard (F8) Poor Data Not Available Excellent Good
Kaiser Permanente - Georgia, Prosper (LA) Poor Data Not Available Excellent Good
Aetna HealthFund HDHP and Aetna Direct Plan, CDHP (N6) Poor Data Not Available Excellent Data Not Available
UnitedHealthcare Insurance Company, Inc. Choice Primary , High (Y8) Data Not Available Data Not Available Good Data Not Available
Aetna Advantage Plan, Advantage (Z2) Poor Data Not Available Excellent Data Not Available

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  • Healthcare Effectiveness Data and Information Set (HEDIS®), source of the data presented on this web page, is a registered trademark of the National Committee for Quality Assurance (NCQA). View more information on the collection and assessment of HEDIS.
  • The HEDIS® measures and specifications were developed by and are owned by the National Committee for Quality Assurance ("NCQA"). The HEDIS measures and specifications are not clinical guidelines and do not establish standards of medical care. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures or any data or rates calculated using the HEDIS measures and specifications and NCQA has no liability to anyone who relies on such measures or specifications. © 2012-2015 National Committee for Quality Assurance, all rights reserved.
  • The data contained herein is protected by copyright and other intellectual property laws or treatises. Reproduction or use of the data requires permission of NCQA and is subject to a license at the discretion of NCQA. Unauthorized copying or use if prohibited.
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