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Foundation Releases Comprehensive Regional Health Care Report Card
Date:10/28/2008

cial HMOs in Vermont are above the regional average on 32 of 38 nationally recognized quality standards.

In terms of inpatient hospital care for Medicare beneficiaries, New York's hospital performance is better than the national average on 18 of 21 individual measures, while hospitals in Connecticut and Vermont are above the national average for 17 of 21 measures of quality. New Jersey and Rhode Island are above the national average on all 21 measures.

Findings for patient experience/satisfaction with hospital care tell a different story: acute care hospitals in New York and New Jersey perform below the national average on all 10 experience/satisfaction measures. On the other hand, Rhode Island hospitals perform above the national average on three of 10 measures and Vermont hospitals are above the national average on nine of 10 measures.

Premiums for standardized HMO plans vary dramatically. Individual premiums in New York counties range from $602 a month to $1,751 a month. Standard family premiums in New Jersey range from $1,949 to $4,718. Medicare payments to the region's hospitals also vary sharply. The amount Medicare reimburses hospitals in the Bronx for gall bladder surgery, for example, ranges from $7,496 to $14,005.

About the New York Regional Health Care Report Card Data

HMO quality data in the New York Regional Health Care Report Card consist of independently validated performance measurements submitted by all commercial HMOs to State governments. National comparison data are from the National Committee for Quality Assurance's (NCQA) Quality Compass(TM) database. Data used in this report represent HMO performance in 2006 -- the most recent year for which validated data are available. HMO premium data are also produced by each State's government.

Hospital performance and patient satisfaction data are from the federal Hospital Compare database, and are from 2007. Developed by a voluntary, public-private partnership o
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SOURCE New York State Health Accountability Foundation
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