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Getting Needed Care

The Getting Needed Care composit measures members’ perception of how easy it was to get care from their doctor and from specialists in the last 12 months. Members were asked how often they were able to:

  • See a specialist when they needed on.
  • Obtain the care, tests or treatment they believed were necessary.

Responses were “Never,” “Sometimes,” “Usually” and “Always.” The rates displayed represent the average percentage of health plan members nationwide who responded “Usually” or “Always.”

tables
GETTING NEEDED CARE USUALLY OR ALWAYS
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO

2015

86.3

87.9

80.4

86.6

90.9

2014

87.4

88.4

80.8

87.1

91.1

2013

87.9

88.3

80.5

87.9

91.8

2012

87.3

88.5

80.6

89.1

92.3

2011

85.5

86.2

75.5

89.4

92.6

2010

86.2

86.6

76.0

89.9

92.8

2009

85.4

86.3

75.0

89.1

91.3

2008

85.3

86.4

75.7

88.6

90.8

2007

84.2

85.3

75.2

88.8

91.0

2006

84.2

85.3

74.2

89.3

91.7

GETTING NEEDED CARE ALWAYS  
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO

2015

53.0

53.8

53.7

60.7

64.5

2014

55.0

55.2

54.6

61.2

65.3

2013

57.6

58.2

55.1

62.9

66.6

2012

56.4

57.6

55.1

64.6

68.3

2011

54.1

53.8

50.4

64.1

66.6

2010

53.9

53.9

50.1

63.9

66.2

2009

52.9

52.7

48.5

63.6

64.4

2008

52.6

52.6

49.4

62.4

61.9

2007

50.4

49.5

48.7

62.0

63.4

2006

50.1

51.2

46.7

62.6

64.6

2005

80.1

84.7

73.4

95.9

97.0

2004

79.3

--

73.8

95.7

--

2003

78.4

--

72.1

94.9

--

2002

76.9

--

72.3

94.8

--

2001

76.7

--

75.4

94.9

--

2000

75.4

--

--

--

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