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CA Department of Insurance

Insurance Commissioner Dave Jones Releases PPO Report Card

News: 2012 Press Release

For Release: February 22, 2012
Media Calls Only: 916-492-3566
Insurance Commissioner Dave Jones Releases PPO Report Card
Commissioner Encourages Californians to Take Time to Review PPO Report Card

Insurance Commissioner Dave Jones today released the 2012 Preferred Provider Organization (PPO) quality of care report card, which is available on the California Department of Insurance Web site.

"This report card is an important tool, because it provides consumers with more information about the quality of care so they can make choices that best serve their health care needs," said Commissioner Jones. "I want to encourage all Californians to take a look at the findings of the PPO report card before they shop for new health insurance. As we approach 2014 and the full implementation of health care reform, access to information about health insurance products will become more and more critical. Consumers want information about the quality of available care and this report card provides useful data."

Plans were ranked with one to four stars in various categories depending on how well they met national standards and how patients rated them in areas such as scheduling appointments and customer service. Now in its 3rd year, the PPO report card assessed six of California's largest PPOs.

None of the six PPOs on the report card received the highest four-star rating, but Aetna, Cigna and UnitedHealthcare Insurance Co., Inc. (California) each received three stars overall for delivering quality clinical care. Anthem Blue Cross, Blue Shield of California and Health Net of California PPO each received two stars overall in that category. Rating criteria included asthma care, checking for cancer, diabetes care and treatment of children.

The PPO report card is available now at http://www.insurance.ca.gov/0100-consumers/0070-health-issues/0050-ppo/. Consumers with insurance questions should contact the Department of Insurance's help line at 800-927-HELP.

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The California Department of Insurance, established in 1868, is the largest consumer protection agency in California, regulating the $123 billion insurance marketplace. In 2013 the California Department of Insurance received more than 170,000 calls from consumers and helped recover over $63 million in claims and premiums. Please visit the Department of Insurance web site at www.insurance.ca.gov. Non-media inquiries should be directed to the Consumer Hotline at 800.927.HELP or 213.897.8921. Telecommunications Devices for the Deaf (TDD), please dial 800.482.4833.

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