PPO Ratings Summary

PPO Ratings Summary 2016-17 Edition

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Quality health care is getting the right care at the right time.

This Report Card shows the quality of health care for millions of Californians who get their care through commercial insurance provided by Preferred Provider Organizations (PPOs). The 5 largest PPOs in the state are included in this Report Card.

The PPO Report Card includes health care quality scores for two major areas:

  • Clinical Performance Scores – See the "PPO Uses Treatments Proven to be Effective" column below. To find more information on 11 health conditions/topics go to the dark blue box in the right column.
  • Patient Experience Scores – See the "Patients Rate their Experience" column below. Additional information is found in the light blue box in the right column.

The Report Card also provides other helpful information on each PPO. Click on each health plan name to find its consumer assistance number, service area, website and more.
Learn more about these ratings.

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Click on plan name for plan's star ratings and information: PPO USES TREATMENTS PROVEN TO BE EFFECTIVE The California Office of the Patient Advocate compared PPO members' records in 2015 to a set of national standards for quality of care to make sure that health plans are offering quality preventive care and service to members.   PATIENTS RATE THEIR EXPERIENCE We compared how PPO members rated their care and services with a 9 or 10 on a 0 to 10 scale during 2015.  
Aetna PPO Fair
   Fair
  
Anthem Blue Cross PPO Fair
   Fair
  
Blue Shield of California/Blue Shield Life PPO Fair
   Fair
  
Cigna PPO Fair
   Fair
  
UnitedHealthcare Insurance Co., Inc. Fair
   Fair
  
 
Data Disclaimer The source for data contained in this publication is Quality Compass® 2016 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2016 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. ©2004-2016 National Committee for Quality Assurance, all rights reserved.
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