Federal government gives 1 to 5 stars and compares hospital ratings for heart attack (AMI), heart failure, pneumonia, COPD, stroke, hip & knee, preventing surgery infections, timeliness of Emergency (ER) dept., use of medical imaging in 2017 – 2018. Includes death rate comparisons from heart failure, heart attack, pneumonia, COPD, stroke, CABG; and return to hospital (readmission) rates. Click on Timely & Effective Care, or Complications. Shows patient satisfaction HCAHPS ratings from 2017 – 2018. Some info on colonoscopies and cataracts. Editor’s Pick because the government standardized broad ratings for all hospitals, and most ratings are based on more than just Medicare patients. However, it is still complicated. Small volume hospitals will not show data for some measures. Be sure to click on Show Graphs or View More Details. Today’s stars may reflect older data than shown at the website. Read the fine print
Compare quality ratings for HMOs and PPO health insurance plans. Aetna, Anthem Blue Cross, Cigna, Humana, Kaiser, United Healthcare – they’re all here, as are many non-profit regional plans. Star ratings and number of enrollees shown for accredited commercial, Medicare and Medicaid plans. Two private commercial plans received the highest possible 5-point rating: Group Health Cooperative of South Central Wisconsin, and Kaiser Foundation Mid-Atlantic States. NCQA (National Committee for Quality Assurance) is a private nonprofit organization that sets standards for quality of care and service that health plans provide to their members. NCQA Accreditation is a nationally recognized seal of approval. Updated for 2019
Free 5-star ratings from Nursing Home Compare for nursing homes that are Medicare or Medicaid certified and provide skilled nursing care. Quality ratings, nursing staffing and CNA hours per resident day, and results from survey inspection reports are updated with 2018 data. If you cannot find the nursing home you’re interested in, the facility might not accept Medicare and Medicaid patients. Check your state reports for additional information. Consumers can also ask the nursing facility to share their reports on resident and family satisfaction. Good nursing homes welcome your inquiry
WhyNotTheBest.org is a helpful website to check hospital ratings, although data are a bit old. Shows trends and in many cases which hospital has the best performance in the country. Currently using 2015-2016 data for most measures. Some measure are older. Heart care, pneumonia, surgery, patient satisfaction, survival rates (mortality) and more. Trends are shown for many hospitals, and you might be able to find Top Performers in the country at this website. Operated by IPRO
Hospital Ratings (5-star, 3-star, 1-star) for over 30 diseases & inpatient procedures: Stroke, back surgery, COPD, diabetes, gall bladder surgery, bowel obstruction, GI Bleed, hip fracture repair, hip replacement, total knee replacement, prostate removal, TURP, hysterectomy (listed under gynecologic surgeries), respiratory failure, pneumonia, cardiac bypass, heart attack, heart failure, angioplasty, defibrillator, pacemaker, valve surgery, sepsis, pancreatitis, pulmonary embolism, abdominal aneurysm, stomach surgery, peripheral vascular bypass & more. Probably Medicare-only data for most conditions, although some states provide maternity, appendectomy, and bariatric surgery (gastric bypass) data. More extensive list than the federal government’s site. Publicly-traded company. Most data in 2018 ratings are from Medicare patients, from 2014 to 2016. Click on More to see 3-year patient volume, and actual mortality or complication rates compared to predicted. Patient satisfaction ratings (2016-2017 data) are featured by HealthGrades. One hospital at time, unfortunately
Compare 10 largest California HMO health insurance plans: Aetna Health, Anthem Blue Cross HMO, Blue Shield, Cigna, Health Net, Kaiser Permanente Northern and Southern CA regions, Sharp, United Healthcare and Western Health Advantage. Compare 6 PPOs: Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net Life Insurance Company, United Healthcare. Clear, simple star system (4 stars = excellent; 3 stars = good, 2 stars = fair; 1 star = poor) used for overall rating. Actual performance scores are not given, but may be available through NCQA. Quality measures (based on HEDIS scores) for asthma, cancer screening, child health, chlamydia screening, diabetes, heart care, maternity care, behavioral and mental health, and other expected care. Member satisfaction stars also shown. Complaint rates reported for health plans in a separate report. More than 200 Medical Group ratings also provided by county for the larger groups of doctors. Prepared by the California state Office of the Patient Advocate (OPA), published October 2017
Member Satisfaction and quality ratings for cancer screening, diabetes, prenatal care, well child care, children’s dental care, high blood pressure for HMOs, Medicare HMOs and Medicaid. Aetna, Amerigroup, AvMed, Better Health, Capital, CIGNA, Clear Health Alliance, Community, Coventry, Florida Health Care, Freedom Health, Health First, Humana, Magellan, Molina, Neighborhood, Positive, Prestige, Simply, Staywell, Sunshine, United Healthcare, Children’s Medical Services and others. Data reflect services received in 2016. Search by county. Additional member satisfaction for PPOs including Florida Blue, Golden Rule, Aetna, Cigna, Humana, United. Easy to read.
The official Florida Prescription Drug Price website provides 2018 prices for the 150 most commonly used prescription drugs in FL. Consumer Health Ratings found large price variation among pharmacies in one sample city, ranging from $14 to $1509 (at the so-called Discount pharmacy) for the same drug Olanzapine (10 mg); similarly Coumadin or Warfarin prices ranged from $18 to a $44 per prescription. In other cases, pharmacy prices might be nearly identical to each other. Drugs vary by city, include Abilify, Azor, Byetta, Chantix, Humalog, Januvia, Lunesta, Metoprolol, Nasonex,Nexium, Plavix, Restasis, Tamiflu and more. One of the few pharmacy cost comparison sites left in the US
Web site from US Office of Personnel Management (OPM) helps federal employees and others compare the benefits, member satisfaction, and employee costs of up to 4 health insurance plans at one time. Search by zip code; choose local plans and/or national plans. Convenient and current. The amount that taxpayers and government institutions pay toward the total health care premiums is no longer readily available
Massachusetts provides consolidated access to information about the education, training, board certification status, malpractice, discipline and criminal records (if any) of all licensed physicians. Both MD and DO (osteopathic doctors). Mass.gov site is easy to use
Hands down, this is the best state report card for nursing homes. Easy to use. Compare nursing homes in whatever zip code region you specify, according to your top 3 favorite criteria. Simple 5-star comparison system. Shows Family Satisfaction, Quality of Life, Quality of Care, Staff turnover & hours of direct care, private rooms and more. MN survey inspection reports are linked. Daily room rates shown for each nursing home, although the case mix table is complicated. Click on the nursing home’s name to get the details. MN Dept. of Health site updated 2018
Select NY hospitals to compare in care areas like emergency department waiting time, post-op complications, cardiac, patient satisfaction, readmissions, death rates or infection prevention. Data updated each year, although dates are hard to find (hover over the hospital’s score). Most data are 2015 or 2016. Services include maternity, and volumes for some types of surgery (e.g. endoscopy, colonoscopy, hernia repair). State Department of Health site. Select one hospital at a time. Although you can select hospitals to compare, we couldn’t get the measures to show side by side.
Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Sixteen (16) conditions in the pdf reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, laparoscopic gallbladder removal, COPD, colorectal surgical procedures, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. Older reports may contain additional conditions. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival (we think). No orthopedic (hip or knee) surgery included. Data from Oct. 2015 to Sept. 2016.
Compare individual surgeons’ complication rates (risk-adjusted) for Medicare patients having one of 8 types of inpatient surgery: hip or knee replacement, laparoscopic gallbladder removal, cervical (neck) or lumbar spinal fusion (either posterior or anterior technique), and prostate resection or removal. Analysis by ProPublica looked at billing records from 2009 to 2013. Numbers of cases shown are MEDICARE-ONLY (although the column title omits that point), and require at least 20 cases for a doctor’s rate to be shown. Physician’s rate combines his/her Medicare cases at all hospitals. Website was somewhat controversial in 2015. Tool is easy to use; data have not been updated
Texas consumer ratings of their health insurance plans & care. Compare HMO plans for Central Texas, East Texas, Gulf Coast, North TX, Panhandle/Plains area, South Texas, West Texas regions. Satisfaction ratings, complaints and market share shown for Humana, Aetna Health, Allegian, FIRSTCARE, Scott and White Health Plan, Sendero, Community First, HMO Blue Texas, Molina, Cigna, United Healthcare and Community Health Choice. Shows 2016-2017 complaint rates. Both provider and patient complaints are recorded, with consumers complaining much more frequently than providers. Highest consumer complaints (17 per 10,000 enrollees) were about Aetna Health. Highest provider complaints (2 per 10,000 enrollees) were about UnitedHealthcare of Texas. Report by Texas OPIC (Office of Public Insurance Counsel)
Vermont calls these ratings Act 53 report cards, in honor of legislation passed in 2003, requiring VT hospitals to publish annual community reports about hospital quality, safety, financial health, costs for services and more. This government site links the data, including outpatient prices. See if your hospital is average, above average, or below average. Health conditions include heart care, pneumonia, surgical infection prevention, central line associated bloodstream infections, hysterectomy infections, knee replacement and hip replacement infection rates, volume and death rates for resection of esophagus or of pancreas (usually for cancer), abdominal aneurysm repair (AAA – listed as fix the artery), readmissions & more. This site permits access to Quality Ratings, Survival Rate information, links to patient satisfaction and current medical prices all on the same web page for easy access. Nurse staffing also available. 2015-2016 data for quality; 2015 and 2017 information on prices
Compare outpatient and ambulatory surgery volume and charges for colonoscopy, cataracts, eardrum surgery, shoulder or knee surgery, carpal tunnel surgery, removal of tonsils & adenoids, appendectomy, breast biopsy, endoscopy, gallbladder (cholecystectomy), upper GI, heart catheterization and more. Compare hospitals and surgical centers. Typical (median) price in county and statewide Wisconsin median prices shown, but no dates are provided for reference. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here