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Hospital Compare – at medicare.gov (all states) Hospital star ratings, complications Editor's Pick

Visit Hospital Compare to find hospital star ratings and complications for hospitals in all states. Federal government (at medicare.gov) gives 1 to 5 stars and compares hospital ratings for heart attack (AMI), heart failure, pneumonia, COPD, stroke, hip & knee, preventing infections and surgical complications, timeliness of Emergency (ER) dept., use of medical imaging. Most data are from 2018-2019; some ratings are older. 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 (patient experience opinions) from 2018-2019. 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. Updated 2020.

NCQA Health Insurance Plan Ratings and Report Card 2019-2020 Editor's Pick

NCQA ratings and report card for 2020 on health insurance plans. 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. Five private commercial plans received the highest possible 5-point star rating:  two Capital District Physicians’ plans (CDPHP and CDPHN), Kaiser Foundation Mid-Atlantic States, and two Tufts plans (Tufts Associated HMO and Tufts Benefit Administrators).  Thirty-three (33) plans received ratings of 4.5 stars. 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 2020

Nursing Home Compare (all states) www.medicare.gov 2019 Editor's Pick

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 2019 data. If you cannot find the nursing home you’re interested in, the facility might not accept Medicare and Medicaid patients. New feature (red “hand” icon) shows if the nursing home was cited for abuse. Federal fines are listed, but no details available. 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

California – 2019-2020 HMO, PPO, & Medical Group Ratings Report Card Editor's Pick

Find California HMO, PPO and Medical Group ratings report card for 2019-2020. Kaiser Permanente of Southern California’s HMO Plan and Sharp Health Plan HMO received the highest ratings. The lowest rating went to Aetna PPO. Compare 10 largest California HMO health insurance plans: Aetna, Anthem Blue Cross HMO, Blue Shield, Cigna, Health Net, Kaiser Permanente Northern and Southern CA regions, Sharp Health Plan, United Healthcare and Western Health Advantage. Compare 6 of the largest PPOs: Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net Life Insurance Company, United Healthcare. Clear, simple star system (5 stars = excellent; 4 stars = very good; 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 are reported for health plans in a separate report. Nearly 200 Medical Group ratings also provided by county for the larger groups of doctors. For example, nearly 60 different Kaiser Permanente medical groups are included; Sutter, Scripps, Sharp and many more.  Prepared by the California state Office of the Patient Advocate (OPA), published December 2019.

Florida Health Insurance Plans – Quality Ratings & Satisfaction Editor's Pick

Find Florida health insurance plans member satisfaction and quality ratings. Topics include cancer screening, diabetes, prenatal care, well child care, children’s dental care, high blood pressure for HMOs, Medicare HMOs and Medicaid. Aetna, AvMed, Better Health, Capital, CIGNA, Clear Health Alliance, Community, Coventry, Florida Health Care, Freedom Health, Health First, Health Options, Humana, Molina, Neighborhood, Positive, Prestige, Simply, Staywell, Sunshine, United Healthcare, Children’s Medical Services and others. Data reflect services received in 2017 or 2018 for satisfaction ratings; measurement year for the Quality ratings is not shown. Search by county. Member satisfaction for Aetna, AvMed, Capital Health Plan HMO (highest member satisfaction), Cigna, Coventry, Florida Blue, Florida Health Care Plan, Golden Rule PPO (lowest member satisfaction), Health First, Humana, Molina, Neighborhood, Sunshine Health, United. Easy to read. Choose stars or actual ratings. FL reports from floridahealthfinder.gov.

Florida Prescription Drug Prices 2020

The official Florida Prescription Drug Price website helps consumers easily compare 2020 prices for the 300 most commonly dispensed and approved prescription drugs for Medicaid patients in FL. Consumer Health Ratings found large price variation among pharmacies. Here’s an example: In  Miami-Dade County, May 2020 prices ranged from $42 to $1079 for the same drug Olanzapine (10 mg); similarly Coumadin or Warfarin 2 mg prices ranged from $4 to a $34 per prescription. In other cases, pharmacy prices might be nearly identical to each other. Drugs vary by city, include Abilify, Azor, Byetta, Chantix, Flovent, Humalog, Januvia, Lunesta, Metoprolol, Nasonex, Nexium, Restasis, Tamiflu and more. One of the few pharmacy cost comparison sites left in the US. Unfortunately high priced, heavily advertised brand names that were best-selling drugs in 2018 (Humira, Eliquis, Revlimid, Opdivo, Keytruda, Enbrel, Herceptin, Avastin, Rituxan, Xarelto, Eylea, Remicade, Prevnar 13, Stelara, and Lyrica) are not included. Updated monthly.

Government Employee Health Insurance Cost Comparisons (FEHB)

Health insurance cost comparisons for Federal government employees.  Compare the benefits, member satisfaction, and employee costs for all plans at once.  Consumers can also select 3 health insurance plans at one time to see out of network benefits.  Web site for Federal Employees Health Benefits (FEHB) Program is from US Office of Personnel Management (OPM). Enrollee premium, deductible, copays and maximum out of pocket costs are shown. Search by zip code; choose local plans and/or national plans. Convenient and current for 2020. Helpful to federal employees and others. The amount that taxpayers and government institutions pay toward the total health care premiums is no longer readily available.

Massachusetts Doctor License Lookup and Physician Profiles Editor's Pick

Massachusetts doctor license lookup and physician profiles. Massachusetts provides one-stop 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). MA Board of Registration in Medicine site is easy to use.

Minnesota Nursing Home Report Card Quality and Daily Rates Editor's Pick

Minnesota Nursing Home Report Card, is, hands down, the best state report card for nursing homes. In addition to quality, satisfaction, and room rates, it’s 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 Resident Quality of Life, Family Satisfaction, Quality of Care, Staff turnover & hours of direct care, private rooms and more. MN survey inspection reports are linked. Click on the nursing home name to see details, including daily rates at January 1, 2020. The daily payment rate chart is complicated, however. Also, click on the “Show Numbers” icon to see scores, instead of stars. MN Dept. of Health site updated 2020.

New York State Hospital Quality Ratings – health.ny.gov

Find hospital ratings on quality in New York state. 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, or see the dates on the Printable Page). Most data are from somewhere between 2015 and 2019. Services include maternity, and volumes for some types of surgery (e.g. endoscopy, colonoscopy, hernia repair) and procedure counts for MRI, CT, cancer chemotherapy and psych evaluations. Some measures (e.g. surgery complications and mortality) and volume data go back to 2015. New York State Department of Health (health.ny.gov) site NY Health Profiles. Select one hospital at a time. You can select hospitals to compare, to see performance measures side by side.

Pennsylvania Hospital Performance Report 2018 | PHC4 Editor's Pick

Find hospital performance reports in Pennsylvania for 2018, through PHC4. Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Seventeen (17) conditions in the reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, intestinal obstruction, COPD, colorectal surgical procedures, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. As an example, there were nearly 73,000 sepsis cases in Pennsylvania in 2017-2018, with an average mortality rate of 8.7% (a great improvement from 5 years earlier), and an average charge over $57,000; about 18% were readmitted. There were 22 hospitals that had worse mortality than expected for sepsis; and 17 hospitals that had significantly lower mortality than expected. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival.  Older reports may have laparoscopic gallbladder removal information. No orthopedic (hip or knee) surgery included. Data from Oct. 2017 to Sept. 2018, published by the Pennsylvania Health Care Cost Containment Council (PHC4), November 2019.

Surgeon Scorecard – Knees, Hips, Gallbladder, Spinal Fusion, Prostate Surgery, Medicare 2015

Surgeon Scorecard for knee, hip, gallbladder, spinal fusion and prostate surgery shows complications for each hospital and doctor. It compares 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. Unfortunately, data have not been updated by ProPublica.

Texas – Compare Texas HMOs 2018-2019 – Consumer Ratings (OPIC)

Compare HMO (Health Maintenance Organization) plans for Central Texas, East Texas, Gulf Coast, North TX, Panhandle/Plains area, South Texas, West Texas regions. TX HMO report cards by OPIC for 2018-2019 show Texas consumer ratings of their health insurance plans and the medical care enrolled members received during 2017. Includes plans covering Austin, Dallas, Ft. Worth, Houston, San Antonio, Abilene, Amarillo, Lubbock, Waco, Corpus Christi and Rio Grande. Satisfaction ratings and market share are shown for Humana, Aetna Health, Christus (the highest rated plan and the highest rated health care), FIRSTCARE, Memorial Hermann, Scott and White Health Plan, Community First, HMO Blue Texas, Cigna and United Healthcare. Report by Texas OPIC (Office of Public Insurance Counsel)

Vermont – 2020 Hospital Report Cards (Act 53)

Vermont 2020 hospital ratings are called Act 53 report cards – 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 VT hospital is average, above average, or below average. Health conditions include heart care, pneumonia, surgical infection prevention, central line associated bloodstream infections, c. diff. infections, hysterectomy infections, knee replacement and hip replacement infection rates, volume and death rates, readmissions, psychiatric hospital quality & 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 for 2020. Dates for other reports vary, usually up to 2018 or 2019 data. Information on prices for some procedures, and services such as physician office visits also available. Published at healthvermont.gov April-May 2020.

Wisconsin PricePoint – Outpatient & Ambulatory Surgery Cost

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 on the consumer site. Must use the healthcare professionals site to see the dates and the volumes done at each hospital; 2018-2019 prices are shown. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here

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