Cigna, Kaiser among top performing plansNews added by Benefits Pro on October 23, 2013
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By Kathryn Mayer

Cigna Connecticut PPO and Kaiser Northern California HMO were named the top performing health plans according to an annual study called 2013 eValue8 released by the nonprofit National Business Coalition on Health.

“The information collected each year through eValue8 allows us to easily track health plan’s strategies and actual outcomes, regardless of whether or not they are a current partner of ours,” said Mary Bradley, director of health care planning, Pitney Bowes Inc. “By identifying a best in class supplier, it helps all employers hold their plans accountable for continuous improvement towards that goal.”

Plans given the best performance benchmark among all carriers 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 and 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 and Kaiser Northern and Southern California HMO

• Behavioral Health Management (member identification and interventions and physician support for depression and alcohol misuse) – Cigna Connecticut PPO and Kaiser Northern California HMO

• Provider Management (payment innovation, quality measurement and transparency) – Cigna California PPO and 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

Originally published on BenefitsPro.com
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