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 Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 84 | 84.3 | 81.4 | - | - |
| 2021 | 85 | 84.9 | 83.5 | - | - |
| 2020 | 86.7 | 86.2 | 83.6 | - | - |
| 2019 | 85.9 | 86.4 | 83.9 | § | § |
| 2018 | 84.2 | 84.6 | 82.3 | - | - |
| 2017 | 84.7 | 83.6 | 82.1 | - | - |
| 2016 | 84.6 | 83.8 | 81.0 | - | - |
| 2015 | 83.9 | 83.3 | 80.4 | 90.7 | 93.0 |
| 2014 | 84.2 | 83.7 | 80.5 | 90.7 | 93.1 |
| 2013 | 84.6 | 83.8 | 80.4 | 90.6 | 92.8 |
| 2012 | 83.9 | 82.4 | 79.4 | 90.9 | 93.0 |
| 2011 | 83.2 | 82.1 | 77.7 | 91.3 | 92.7 |
| 2010 | 82.3 | 81.6 | 76.9 | 90.9 | 92.8 |
| 2009 | 80.9 | 80.9 | 76.4 | 89.8 | 91.9 |
| 2008 | 81.0 | 81.0 | 76.4 | 89.8 | 91.7 |
| 2007 | 80.4 | 80.7 | 75.8 | 89.7 | 91.6 |
| 2006 | 79.9 | 81.0 | 75.2 | 90.6 | 92.7 |
| 2005 | 78.1 | 80.3 | 76.2 | 90.4 | 93.1 |
| 2004 | 77.8 | - | 76.0 | 89.5 | - |
| 2003 | 77.1 | - | 75.1 | 89.4 | - |
| 2002 | 76.0 | - | 74.1 | 89.6 | - |
| 2001 | 76.3 | - | 58.7 | 89.7 | - |
| 2000 | 76.3 | - | - | - | - |
Specialist Rating of 9 or 10
| Measure Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 66.7 | 66.4 | 66.2 | - | - |
| 2021 | 68.1 | 67.3 | 68.3 | - | - |
| 2020 | 70.5 | 69.1 | 69.0 | - | - |
| 2019 | 70.1 | 69.3 | 69.5 | § | § |
| 2018 | 67.0 | 66.2 | 66.9 | 72.2 | 75.4 |
| 2017 | 67.5 | 65.6 | 67.1 | 72.6 | 75.2 |
| 2016 | 67.3 | 65.0 | 67.1 | 72.3 | 75.8 |
| 2015 | 66.4 | 64.9 | 66.0 | 70.7 | 73.7 |
| 2014 | 66.3 | 64.7 | 65.1 | 70.8 | 73.6 |
| 2013 | 68.2 | 65.4 | 65.1 | 71.0 | 73.3 |
| 2012 | 66.4 | 63.1 | 64.4 | 69.9 | 73.1 |
| 2011 | 65.2 | 62.7 | 62.1 | 70.5 | 73.6 |
| 2010 | 64.1 | 61.9 | 61.3 | 71.9 | 74.1 |
| 2009 | 61.8 | 60.4 | 60.5 | 69.3 | 70.8 |
| 2008 | 62.3 | 60.5 | 60.7 | 68.9 | 69.9 |
| 2007 | 61.7 | 60.5 | 60.8 | 69.2 | 70.2 |
| 2006 | 60.7 | 62.4 | 59.3 | 70.7 | 73.0 |
| 2005 | 57.2 | 59.1 | 60.2 | 67.7 | 71.7 |
| 2004 | 56.2 | - | 59.2 | 67.5 | - |
| 2003 | 55.8 | - | 58.3 | 67.7 | - |
| 2002 | 54.4 | - | 57.8 | 67.7 | - |
| 2001 | 54.6 | - | 75.3 | 68.5 | - |
| 2000 | 53.7 | - | - | - | - |
| 1999 | 51.8 | - | - | - | - |
§ 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.