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Complex care

If you have a chronic health condition such as diabetes, heart disease, or asthma, complex care is especially important to you. The scores for complex care tell you how well each health insurer works with its providers to help members manage health conditions and stay out of the hospital. It includes if people with diabetes and mental illness are getting certain types of recommended care and if people with asthma are appropriately taking medications. It also includes how often members have to return to the hospital for problems that may have been prevented with better coordination of care.

What's included in the scores for complex care? Learn more

Complex care scores
Company Diabetes Blood Sugar Screening Appropriate Asthma Medications Hospital Readmissions Antidepression Medication Management - Acute Antidepression Medication Management - Continuation
Health Net Better Better Below Below Below
Kaiser Better Better Below Better Better
LifeWise Better Below Below Below Below
Moda Better Better Below Better Better
PacificSource Better Better Better Better Better
Providence Better Below Average Better Better
Regence Better N/A †† Better N/A †† N/A ††
United Below Below Better Below Below

†† Data issues prevent results from being reported.

What do these mean?

Better, Average, Below

We collect data from health insurers that show if they are providing recommended care at a reasonable cost. We also collect results from satisfaction surveys that measure the experience of members with their health insurer.

  • Better: Scored well above the average for insurance carriers in the study.
  • Average: Scored in the middle among insurance carriers in the study.
  • Below: Scored well below the average for insurance carriers in the study.