Kaiser Permanente Northern and Southern California are the only health plans to receive the highest score for patient care from the Office of the Patient Advocate
For the eighth consecutive year, Kaiser Permanente is the only health plan in California to earn a four-star rating — the highest possible — for overall quality of care in the annual Healthcare Quality Report Card from California’s Office of the Patient Advocate (OPA).
The 2015-2016 report card provides California consumers with side-by-side comparisons of the largest health plans in the state. It ranks the health plans on national standard-of-care measures that involve treatment and prevention of a range of conditions that have significant implications for personal health. Ten of the state’s largest HMOs are compared in the report card, and Kaiser Permanente was the only one with the top rating possible for overall clinical-care measures.
Kaiser Permanente in both Northern and Southern California received three stars in the “Patients Rate their HMO” category, which measures members’ satisfaction with their care and service, and Kaiser Permanente Northern California scored three stars — higher than any other HMO in the state — in the “Getting Care Easily” category.
“By offering new settings for care and mobile tools that help our members manage their health when and where it’s convenient for them, we help prevent illnesses and diseases from occurring in the first place,” said Gregory A. Adams, group president and regional president of Kaiser Foundation Hospitals and Kaiser Foundation Health Plan, Inc., in Northern California. “This is fundamental to our commitment to high-quality care and affordability, and we know it’s an approach our members value.”
This year, Kaiser Permanente in Northern California earned top scores in nine report-card categories for clinical care, including asthma and lung care, cancer screening, diabetes care, heart care, maternity care, behavioral and mental health, and “getting the right care” for both adults and children. The four-star ratings overall and in individual measures mean that Kaiser Permanente performs at or above the 90th percentile on clinical standards of care among health-care providers nationally.
“Kaiser Permanente is the national leader in providing patients with superior quality, personalized service, and convenient health care,” said Robert Pearl, MD, executive director and CEO of The Permanente Medical Group. “Our more than 8,000 outstanding physicians in Northern California provide millions of patients technologically advanced medical care that is coordinated across all specialties and saves lives.”
Since 2012, the National Committee for Quality Assurance (NCQA), the premier organization measuring the performance of health care providers in the United States, has been a partner with the OPA in developing the annual report card in California.
The 2015-2016 OPA ratings follow several other recent honors received by Kaiser Permanente:
- Kaiser Permanente’s Medicare plans in California received a 5-star rating for 2016, the only health plan in the state to get the top rating from the Center for Medicare and Medicaid Services. This was the fifth straight year Kaiser Permanente in California has received 5 stars.
- Kaiser Permanente Northern California Medicare and commercial health plans were rated 5 out of 5, according to the NCQA Health Plan Ratings for 2015-16.
- Ten Kaiser Permanente hospitals in Northern California were rated high performing by the U.S. News & World Report Best Hospitals for Common Care ratings in 2015. The ratings evaluated more than 4,500 hospitals nationwide on common inpatient procedures and conditions.
- Kaiser Permanente members rated the organization’s health plan highest in member satisfaction in California for the eighth consecutive year in the 2015 U.S. Member Health Plan study by J.D. Power and Associates.