Presented by: Carol M. Mangione, MD MSPH Professor of Medicine and Public Health UCLA

National Top 10 Plans PersonalCare Insurance of Illinois, Inc CIGNA HealthCare Mid-Atlantic, Inc Kaiser Foundation Health Plan of Colorado83.92 Kaiser Foundation Health Plan Inc. - Southern California83.70 Kaiser Foundation Health Plan, Inc. - Northern California83.70 PersonalCare Insurance of Illinois, Inc HealthPartners, Inc Kaiser Foundation Health Plan, Inc. - Hawaii79.81 Saint Mary's HealthFirst79.81 Wellmark Health Plan of Iowa, Inc Gundersen Lutheran Health Plan, Inc = National 90 th Percentile for 2010 Performance Year Blood Pressure Control <140/90 *Formerly reported as PacifiCare of California California Kaiser Foundation Health Plan Inc. - Southern California Kaiser Foundation Health Plan, Inc. - Northern California Western Health Advantage CIGNA HealthCare of California, Inc UHC of California (dba) UnitedHealthcare of California Health Net of California, Inc Aetna Health of California, Inc Blue Shield of California Blue Cross of California dba Anthem Blue CrossNR60.04

71.97 = National 90th Percentile for 2010 Performance Year Cardiovascular LDL-C Control <100 National Top 10 HealthAmerica Pennsylvania, Inc./ HealthAssurance Pennsylvania, Inc Martin's Point Health Care, Inc Grand Valley Health Plan, Inc77.39 Kaiser Foundation Health Plan of Colorado76.52 CIGNA HealthCare of St. Louis, Inc CIGNA HealthCare of New Hampshire, Inc CIGNA HealthCare of Pennsylvania, Inc Kaiser Foundation Health Plan, Inc. - Hawaii74.76 Kaiser Foundation Health Plan Inc. - Southern California74.41 Scott and White Health Plan74.25 *Formerly reported as PacifiCare of California California Kaiser Foundation Health Plan Inc. - Southern California Kaiser Foundation Health Plan, Inc. - Northern California Blue Cross of California dba Anthem Blue Cross Health Net of California, Inc Western Health Advantage UHC of California (dba) UnitedHealthcare of California CIGNA HealthCare of California, Inc Aetna Health of California, Inc Blue Shield of California

16.79 = National 90th Percentile for 2010 Performance Year (Lower Number Score Indicates Better Performance) Diabetes Poor HbA1C Control >9 National Top 10 Medical Associates Health Plan, Inc.9.60 Network Health Plan11.04 Gundersen Lutheran Health Plan, Inc Health Options Inc Harvard Pilgrim Health Care of New England (NH)13.14 HealthAmerica Pennsylvania, Inc./ HealthAssurance Pennsylvania, Inc WPS Health Plan, Inc CIGNA HealthCare of New Hampshire, Inc Fallon Community Health Plan14.05 Group Health Cooperative of Eau Claire14.42 *Formerly reported as PacifiCare of California California Blue Cross of California dba Anthem Blue Cross Kaiser Foundation Health Plan, Inc. - Northern California Health Net of California, Inc Kaiser Foundation Health Plan Inc. - Southern California Western Health Advantage CIGNA HealthCare of California, Inc Blue Shield of California UHC of California (dba) UnitedHealthcare of California Aetna Health of California, Inc

57.18 = National 90th Percentile for 2010 Performance Year Diabetes LDL-C Control <100 National Top 10 Kaiser Foundation Health Plan of Colorado73.91 Kaiser Foundation Health Plan Inc. - Southern California66.75 HealthAmerica Pennsylvania, Inc./ HealthAssurance Pennsylvania, Inc Kaiser Foundation Health Plan, Inc. - Northern California66.42 PersonalCare Insurance of Illinois, Inc Martin's Point Health Care, Inc Kaiser Foundation Health Plan, Inc. - Hawaii63.50 Kaiser Foundation Health Plan of the Northwest, Inc WPS Health Plan, Inc Johns Hopkins US Family Health Plan61.32 *Formerly reported as PacifiCare of California California Kaiser Foundation Health Plan Inc. - Southern California Kaiser Foundation Health Plan, Inc. - Northern California Aetna Health of California, Inc Health Net of California, Inc UHC of California (dba) UnitedHealthcare of California Western Health Advantage Blue Shield of California CIGNA HealthCare of California, Inc Blue Cross of California dba Anthem Blue Cross

93.68 = National 90th Percentile for 2010 Performance Year Cardiovascular LDL-C Screening National Top 10 Total Health Care, Inc Empire HealthChoice HMO, Inc. d/b/a Empire BlueCross BlueShield HMO96.24 CIGNA HealthCare of Pennsylvania, Inc CIGNA HealthCare Mid-Atlantic, Inc Kaiser Foundation Health Plan Inc. - Southern California95.85 HealthAmerica Pennsylvania, Inc./ HealthAssurance Pennsylvania, Inc Grand Valley Health Plan, Inc95.65 Kaiser Foundation Health Plan, Inc. - Hawaii95.65 Security Health Plan of Wisconsin, Inc95.38 Aetna Health Inc. (Pennsylvania) - Massachusetts95.31 *Formerly reported as PacifiCare of California California Kaiser Foundation Health Plan Inc. - Southern California Kaiser Foundation Health Plan, Inc. - Northern California Health Net of California, Inc Blue Cross of California dba Anthem Blue Cross UHC of California (dba) UnitedHealthcare of California Aetna Health of California, Inc Western Health Advantage Blue Shield of California CIGNA HealthCare of California, Inc

87.50 = National 90th Percentile for 2010 Performance Year Persistence of Beta Blocker Treatment After a Heart Attack National Top 10 Geisinger Health Plan96.43 Johns Hopkins US Family Health Plan94.00 PersonalCare Insurance of Illinois, Inc Security Health Plan of Wisconsin, Inc93.33 Medical Mutual of Ohio90.77 Keystone Health Plan West, Inc Federal Plan Harvard Pilgrim Health Care, Inc Tufts Health Plan/Tufts Associated Health Maintenance Organization, Inc Optimum Choice, Inc *Formerly reported as PacifiCare of California X California Kaiser Foundation Health Plan, Inc. - Northern California Kaiser Foundation Health Plan Inc. - Southern California Western Health Advantage UHC of California (dba) UnitedHealthcare of California CIGNA HealthCare of California, Inc Blue Shield of California Health Net of California, Inc Blue Cross of California dba Anthem Blue Cross Aetna Health of California, Inc

94.16 = National 90th Percentile for 2010 Performance Year Diabetes HbA1c Testing National Top 10 Medical Health Plans of Florida, Inc Grand Valley Health Plan, Inc98.24 Network Health Plan96.93 HealthAmerica Pennsylvania, Inc./ HealthAssurance Pennsylvania, Inc Geisinger Health Plan96.31 Medical Associates Health Plan, Inc CIGNA HealthCare Mid-Atlantic, Inc Tufts Health Plan/Tufts Associated Health Maintenance Organization, Inc Harvard Pilgrim Health Care, Inc CIGNA HealthCare of New Hampshire, Inc Security Health Plan of Wisconsin, Inc95.62 *Formerly reported as PacifiCare of California California Kaiser Foundation Health Plan, Inc. - Northern California Kaiser Foundation Health Plan Inc. - Southern California CIGNA HealthCare of California, Inc Health Net of California, Inc Aetna Health of California, Inc Blue Shield of California Western Health Advantage UHC of California (dba) UnitedHealthcare of California Blue Cross of California dba Anthem Blue Cross

91.00 = National 90th Percentile for 2010 Performance Year Diabetes LDL-C Screening National Top 10 Grand Valley Health Plan, Inc97.24 HealthAmerica Pennsylvania, Inc./ HealthAssurance Pennsylvania, Inc Kaiser Foundation Health Plan Inc. - Southern California94.33 Kaiser Foundation Health Plan of Georgia, Inc McKinley Life Insurance Company93.33 Network Health Plan93.25 Kaiser Foundation Health Plan of Ohio92.94 Harvard Pilgrim Health Care, Inc CIGNA HealthCare of Pennsylvania, Inc Medical Associates Health Plan, Inc *Formerly reported as PacifiCare of California California Kaiser Foundation Health Plan Inc. - Southern California Kaiser Foundation Health Plan, Inc. - Northern California Aetna Health of California, Inc CIGNA HealthCare of California, Inc Western Health Advantage Health Net of California, Inc Blue Shield of California Blue Cross of California dba Anthem Blue Cross UHC of California (dba) UnitedHealthcare of California

89.57 = National 90th Percentile for 2010 Performance Year Monitoring Diabetic Nephropathy National Top 10 Kaiser Foundation Health Plan Inc. - Southern California95.88 Kaiser Foundation Health Plan of the Mid- Atlantic States, Inc Kaiser Foundation Health Plan of Colorado94.89 Group Health Cooperative93.80 Grand Valley Health Plan, Inc93.47 Harvard Pilgrim Health Care, Inc Kaiser Foundation Health Plan of Ohio92.70 Kaiser Foundation Health Plan of the Northwest, Inc Martin's Point Health Care, Inc Gundersen Lutheran Health Plan, Inc *Formerly reported as PacifiCare of California California Kaiser Foundation Health Plan Inc. - Southern California Kaiser Foundation Health Plan, Inc. - Northern California Aetna Health of California, Inc CIGNA HealthCare of California, Inc Blue Shield of California Western Health Advantage Health Net of California, Inc UHC of California (dba) UnitedHealthcare of California Blue Cross of California dba Anthem Blue Cross

75.27 = National 90th Percentile for 2010 Performance Year Monitoring Diabetes Eye Exams National Top 10 Grand Valley Health Plan, Inc88.94 Martin's Point Health Care, Inc Anthem Health Plans of Maine, Inc. dba Anthem Blue Cross and Blue Shield in Maine82.49 Group Health Cooperative of South Central Wisconsin82.12 Harvard Pilgrim Health Care of New England (NH)80.05 Capital Health Plan, Inc Kaiser Foundation Health Plan Inc. - Southern California79.12 CIGNA HealthCare of Maine, Inc Harvard Pilgrim Health Care, Inc Tufts Health Plan/Tufts Associated Health Maintenance Organization, Inc *Formerly reported as PacifiCare of California California Kaiser Foundation Health Plan Inc. - Southern California Kaiser Foundation Health Plan, Inc. - Northern California Blue Shield of California Health Net of California, Inc CIGNA HealthCare of California, Inc UHC of California (dba) UnitedHealthcare of California Western Health Advantage Blue Cross of California dba Anthem Blue Cross Aetna Health of California, Inc

Summary Congratulations to the high performers! Achieving testing goals is lots easier that controlling intermediate risk factors! Many groups have reached a plateau, suggesting that the patient centered interventions that will be reviewed today are important approaches to consider and implement on a broader scale if they lead to better risk factor control.