Health Insurance 

Guide to Texas HMO Quality

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The Guide toTexas HMO Quality is an annual report on HMO quality of care measures. As a consumer you can use this report as one tool to guide your comparison of HMOs. You should also consider factors such as service area, benefits, cost, available providers, and consumer satisfaction.


OPIC uses the Healthcare Effectiveness Data and Information Set (HEDIS) measures to create this report. Texas law requires HMOs to report HEDIS measures each year to the Department of State Health Services. The measures reflect many significant public health issues such as cancer, heart disease, smoking, diabetes, and the care of pregnant women and children.


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Download the Guide to Texas HMO Quality 2017 (English)