Rating of Specialist

Respondents were asked to give their specialist an overall rating, with 0 equaling “worst specialist possible” and 10 equaling “best specialist possible.” The tables below represent the percentage of respondents who rated their specialist 8, 9 or 10.

Specialist Rating of 8, 9 or 10

Measure YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201985.986.483.9§§
201884.284.682.3--
201784.783.682.1--
201684.683.881.0--
201583.983.380.490.793.0
201484.283.780.590.793.1
201384.683.880.490.692.8
201283.982.479.490.993.0
201183.282.177.791.392.7
201082.381.676.990.992.8
200980.980.976.489.891.9
200881.081.076.489.891.7
200780.480.775.889.791.6
200679.981.075.290.692.7
200578.180.376.290.493.1
200477.8-76.089.5-
200377.1-75.189.4-
200276.0-74.189.6-
200176.3-58.789.7-
200076.3----

Specialist Rating of 9 or 10

Measure YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201970.169.369.5§§
201867.066.266.972.275.4
201767.565.667.172.675.2
201667.365.067.172.375.8
201566.464.966.070.773.7
201466.364.765.170.873.6
201368.265.465.171.073.3
201266.463.164.469.973.1
201165.262.762.170.573.6
201064.161.961.371.974.1
200961.860.460.569.370.8
200862.360.560.768.969.9
200761.760.560.869.270.2
200660.762.459.370.773.0
200557.259.160.267.771.7
200456.2-59.267.5-
200355.8-58.367.7-
200254.4-57.867.7-
200154.6-75.368.5-
200053.7----
199951.8----

§ Not available due to CMS suspension of data reporting during COVID-19 pandemic.

This State of Healthcare Quality Report classifies health plans differently than NCQA’s Quality Compass. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. PPO corresponds to PPO and EPO within Quality Compass.

Figures do not account for changes in the underlying measure that could break trending. Contact Information Products via my.ncqa.org for analysis that accounts for trend breaks.

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