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Annual quality report card shows need for improvement in CA HMOs

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The State of California (CA.gov) recently released its annual Health Care Quality Report Card. As reported in Modern Healthcare Online, none of California’s nine largest HMOs got top marks in this year’s quality report card compiled by the state. The health plans, representing 19 million Californians, failed to make the grade in categories such as cancer detection, maternity care and pediatrics. The highest overall performers were Health Net and Kaiser Permanente with three stars out of a possible four.

Among the findings: 60% of obese HMO enrollees did not receive counseling about diet and exercise, and 30% of diabetics don’t have control over their blood sugar. One in three enrollees rated their plans unfavorably. The report also rated clinical outcomes of about 200 medical groups in the state. Only the Palo Alto Medical Foundation and Kaiser Permanente (in four counties) rated excellent, with four stars.

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