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Network Directory Ratings

Health Net Federal Services, LLC (HNFS) offers information on physicians and other health care providers to assist you in the selection of practitioners. 

RowdMap (gold star designation)

It is estimated about 30 percent of health care spending goes towards unnecessary care. HNFS has partnered with RowdMap, a recognized analytics company, to help us rank providers based on their patterns of clinical practice. 

According to RowdMap criteria, high value providers:

  • Demonstrate thoughtful use of diagnostic tests and procedures.
  • Begin with conservative care, performing surgery or other maximally intense options only when the outcome is likely to be better than alternative treatment options.
  • Perform more procedures that represent good value than his or her peers.
  • If surgeons, perform surgery on appropriate patients in the optimal setting, with fewer complications and readmissions.
  • Manage pain with lower-risk medications.
  • Align with other high value providers in their geographic area.
     
RowdMap_star
HNFS designates high value providers with a RowdMap rating of 1 or 2 (out of 5) in its network provider directory with a gold star. 

Keep in mind, if a physician or other health care provider does not have the star designation, it does not mean the provider does not provide quality care. All network providers must meet TRICARE and HNFS stringent quality and credentials requirements.

Visit RowdMap.com for additional information.

Patient-Centered Medical Home Designation

The Patient-Centered Medical Home iis a model of care that puts patients at the forefront of care. Patient-Centered Medical Homes build better relationships between people and their clinical care teams. Research shows they improve quality, the patient experience and staff satisfaction, while reducing health care costs. NCQA, a private, non-profit organization dedicated to improving health care quality, accredits and certifies a wide range of health care organizations. Its Patient-Centered Medical Home Recognition Program highlights primary care providers who have made a commitment to:

  • Help understand treatment options and are a partner in decisions about your care.
  • Get better access through expanded hours and the web.
  • Have providers work in teams to prevent problems and manage chronic conditions to keep patients healthy. 

 

NCQA
HNFS designates NCQA Patient-Centered Medical Home recognition in its network provider directory with the NCQA emblem.    

Providers listed with this icon have achieved level 2 and 3 NCQA recognition (NCQA uses three levels, with level 3 being the highest).

Visit www.ncqa.org/Programs/Recognition/Practices/PatientCenteredMedicalHomePCMH.aspx to learn more about NCQA’s Patient-Centered Medical Home Program. 

 

Performanced-Based Maternity Ratings

Green_Stork

Value rating indicates a facility that has been assigned a performance rating of "Fully Meets the Standard." This rating is given to network hospitals that meet three out of four core metrics in early elective deliveries, C-sections, episiotomies, and maternity care processes.

 

Gold_Stork

High Value rating indicates a facility that has achieved a satisfactory performance rating on all four core metrics in early elective deliveries, C-sections, episiotomies, and maternity care processes.

 

Pregnant_Woman
High-Risk Delivery indicates a facility that has a minimum of 50 very low birth weight deliveries per year.