PPO Ratings - Checking if Weight Could Cause Health Problems    PPO Ratings Treating Adults: Getting the Right Care

Checking if Weight Could Cause Health Problems 2017-18 Edition

Why is it important to check weight for health problems?

One out of every three adults is overweight in the United States. Obesity can lead to many physical and social problems including depression, heart disease, diabetes, and some cancers. Being overweight or obese is preventable and treatable.

How should doctors check patients' weight for health problems?

Doctors should determine your "body mass index" or BMI. A BMI is one way to measure your body fat. It is calculated based on your height and weight. Your doctor should use your BMI as a starting point to help you establish a plan to eat more fruits and vegetables and be physically active.

Talk with your doctor and health plan to find out what other services are available to help you eat healthy, keep active and maintain a healthy weight. Many health plans offer programs and education to support more healthy lifestyle changes. These additional services may be educational materials (online and in print), classes or support groups, or phone counseling. Some health plans offer weight management programs. And others offer discounts to health clubs.

What do the scores mean?

The scores show how successful each health plan was at making sure that patients had their body mass index (BMI) checked using their height and weight, when they had a doctor visit during the past two years. 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.

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

Checking if Weight Could Cause Health Problems

 
(Worse)
0%
(Better)
100%
 
Anthem Blue Cross PPO 80% Horizontal bar, 80 units  
Health Net Life Insurance Company - PPO 73% Horizontal bar, 73 units  
UnitedHealthcare Insurance Co., Inc. - PPO 70% Horizontal bar, 70 units  
Blue Shield of California/Blue Shield Life PPO 63% Horizontal bar, 63 units  
Aetna PPO 59% Horizontal bar, 59 units  
Cigna PPO 59% Horizontal bar, 59 units  
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  Score for top health plans nationwide 92% 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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