PPO Ratings - Eye Exam for Diabetes Patients    PPO Ratings Diabetes Care

Eye Exam for Diabetes Patients 2017-18 Edition

Why it important to get eye exams if you have diabetes?

Diabetes can damage the blood vessels in your eyes which can possibly lead to blindness. By getting an eye exam regularly, these problems can be found early when they are easier to treat. Having your eyes examined annually is an important part of good diabetes care.

How should doctors help protect your vision if you have diabetes?

Your doctor should examine your eyes every year if you have had an eye problem in the past. If no problems were noted during your last eye screening, an eye exam should be done every other year. If a problem is found early and treated, it can help save your vision.

Talk with your doctor and health plan to find out about what other services are available. Many health plans offer additional support and resources for patients with diabetes. These additional services may be educational materials (online and in print), classes or support groups, or phone counseling.

What do the scores mean?

The scores show how well each health plan did at making sure patients with diabetes had an eye exam to check for damage that can lead to eye problems, like blindness. The higher score means more patients got the right care at the right time.

The scores are based on information from at least 30 health plan member administrative records in 2016. Some plans also use patient medical records which are often more complete and result in higher scores. Plans that decide not to use medical records are likely to have lower scores.

When comparing plans, small differences between scores are expected. The larger differences are important.

Eye Exam for Diabetes Patients

Health Net Life Insurance Company - PPO 50% Horizontal bar, 50.0 units  
Anthem Blue Cross PPO 46% Horizontal bar, 46.0 units  
Aetna PPO 43% Horizontal bar, 43.0 units  
Cigna PPO 38% Horizontal bar, 38.0 units  
UnitedHealthcare Insurance Co., Inc. - PPO 38% Horizontal bar, 38.0 units  
Blue Shield of California/Blue Shield Life PPO 29% Horizontal bar, 29.0 units  
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  Score for top health plans nationwide 68% 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® 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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