Who benefits from HMO performance reports?
Consumers & Employers – HMO reports help consumers and employers make informed decisions about enrolling and contracting with health plans. Information on quality allows consumers and businesses to select plans based on value and not just cost. HMOs & Providers – HMOs and providers can assess the care being provided to members and identify areas needing improvement. Health plans want to compare their performance with the performance of other plans. Government Officials – Government officials use performance reports to monitor the efforts of HMOs to meet public health objectives in areas such as childhood immunizations, mammography screening, and access to care. Overall – HMO performance reports should increase plan performance by stimulating marketplace competition around quality. The Commissions HMO performance reports are the only source of objective and independently audited information on the quality and performance of all commercial HMOs operating in Maryland.
