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.”

GETTING NEEDED CARE USUALLY OR ALWAYS
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2017 86.2 87.2 82.4 87.1 91.5
2016 86.3 87.6 82.0 87.1 91.7
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
2017 53.3 53 55.3 59.8 64.1
2016 53.3 53.5 55.8 60.3 64.9
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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