The National Business Coalition on Health (NBCH) announced Cigna Connecticut and Kaiser Northern California the top performing PPO and HMO health plans, respectively, according to the 2013 eValue8results. Other PPOs named as overall top performers were Cigna Colorado and Cigna Virginia. Kaiser Southern California was the other HMO named.

Plans that achieved the best performance (benchmark) among all insurers responding for specific modules include:

Consumer Engagement - how plans help members become better consumers

• Cigna Colorado HMO and PPO

Prevention and Health Promotion - how plans help members be healthy, e.g. cancer screenings, tobacco cessation and weight management programs

• Cigna Connecticut PPO

• Kaiser Colorado HMO

 

Chronic Disease Management - member identification and interventions and physician support for cardiovascular disease and diabetes

• Blue Cross Blue Shield of Massachusetts PPO

• Kaiser Northern and Southern California HMO

 

Behavioral Health Management - member identification and interventions and physician support for depression and alcohol misuse

• Cigna Connecticut PPO

• Kaiser Northern California HMO

 

Provider Management - payment innovation, quality measurement and transparency

• Cigna California PPO

• Cigna Colorado HMO

Pharmaceutical Management - ensure appropriate use and adherence, address misuse for pharmaceuticals including specialty pharmaceuticals

• Blue Cross Blue Shield of Massachusetts PPO and HMO

Plan Profile - overall business practices such as accreditation, use of resources, addressing cultural makeup of membership

• Cigna California PPO and HealthNet California HMO

EValue8, which was created by business coalitions and employers to measure and evaluate health plan performance, asks health plans questions about how they manage critical processes that control costs, reduce and eliminate waste, ensure patient safety, close gaps in care and improve health and health care. Plans provide detail on how they educate, engage and incent consumers to promote health and manage disease, as well as measure and pay providers. Plans and purchasers receive objective scores enabling comparison of plans against regional and national benchmarks and a roadmap for improvement.

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