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.