New Jersey HMO Performance Report
Overall Rating:
 GOOD

 

Overview

The New Jersey Department of Banking and Insurance (a government agency) issues an annual HMO Report, based on patient satisfaction surveys. The 2006 report is the tenth annual report. Previous reports were published by the New Jersey Department of Health and Senior Services.

The patient satisfaction survey used to create the report is the well-known National Health Plan and Employer Data & Information Set (HEDIS), developed by the National Committee for Quality Assurance (NCQA) .
What is it? New Jersey health plan satisfaction survey data
Who does it?

New Jersey State government agency
What is it based upon? Patient satisfaction data
Web site: http://www.state.nj.us/dobi/lifehealthactuarial/2006hmoperformancereport.pdf

 

Our Ratings
(Ratings are on a 1 to 5 scale, 5 is the best)
Usefulness
Helpful during open enrollment, but not when facing immediate provider or treatment decisions
Methodology
The report is based on the Health Plan and Employer Data & Information Set (HEDIS) questionnaire.
Timeliness
The 2006 report is available now. However this report contains data based on patient satisfaction during the 2005 calendar year.
Coverage
“This report includes information on New Jersey commercial health plans’ health maintenance organization (HMO) and point-of-service (POS) products. The report includes all such health plans currently marketed in New Jersey that had at least 2,000 members in both 2004 and 2005.”
Accessibility
Reports are available through the New Jersey Department of Banking and Insurance web site free of charge, without requiring user registration.

   

What You Need To Know

In addition to the HEDIS-based data, there is other useful consumer information in the Performance Guide, including the consumer Bill of Rights, appeals and complaint information, and other resources.

Last Updated: 11/15/06

Contact:

NJ Department of Banking and Insurance
Division of Consumer Protection Services
Office of Managed Care
P.O. Box 329, Trenton, NJ 08625-0329
(888) 393-1062