California PPOs are lagging on clinical best practices and customer satisfaction, according to a second annual report by the state Department of Insurance.
Report card says Calif. PPOs lag on best practices, satisfaction
None of the six PPOs surveyed got the highest four-star rating on clinical best practices that meet the national standards of care. Aetna, Cigna HealthCare of California and UnitedHealthcare each got three stars, or “good,” in this category, which rated plans based on asthma care, cancer checks, diabetes and pediatrics. Anthem Blue Cross, a subsidiary of Wellpoint, Health Net and Blue Shield of California each received two stars.
All PPO insurers except Aetna got only a single-star—or “poor”—rating for plan service, which included helpful customer service and getting information on patient costs and paying claims. Aetna got a “fair” rating of two stars.
California Insurance Commissioner Steve Poizner said the report card shows insurers “will have to do better,” he added, “This should be their wakeup call.”
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