Skip to main content


Our ratings methods

Company Overview and Measure Description

About HealthPartners

Founded in 1957, HealthPartners is the largest consumer-governed, non-profit health care organization in the nation. The organization is dedicated to improving health and well-being in partnership with members, patients and the community, and provides a full-range of health care delivery and health plan services including insurance, administration and health and well-being programs. HealthPartners serves more than 1.8 million medical and dental health plan members nationwide.

Detailed Cost and Quality Methods

higher quality, lower cost is better

Tools and resources

Measure description: Cost

HealthPartners cost ratings show how effectively medical groups and hospitals use resources for the patients they serve. These measures allow our members and purchasers to learn about and understand differences in cost and efficiency among medical groups and hospitals.

HealthPartners cost ratings are displayed on a scale of 1 to 4 dollar signs, with one dollar sign indicating lowest total cost of care. Ratings are calculated using data submitted by medical groups and hospitals that show diagnosis and treatment for HealthPartners members. Some providers do not have a sufficient number of HealthPartners patients in the area being measured to accurately assign a cost score and receive an “N/A” rating. Compared to their peers, lower-cost providers are more efficient in diagnosing and treating conditions, charge a lower fee for delivering care, or both.

cost icons

Primary care

For over a decade, HealthPartners has used the Total Cost Index (TCI) to assess cost and efficiency differences among primary care groups. A provider’s TCI is a measure of efficiency, intensity and price of care delivered compared to the average for similar primary care providers. ”Total cost” includes all care, such as lab tests, x-rays and care from specialist physicians and hospitals. In 2012, this HealthPartners-developed measure became one of the first measures of resource use and cost to be endorsed by the National Quality Forum.

Specialties

HealthPartners reports cost results for Cardiology, Ear, Nose and Throat, Obstetrics and Gynecology, and Orthopedics specialties. The Total Cost Index (TCI) compares the total cost of care for patients served by each medical group and is a measure of the efficiency, intensity and price of care delivered compared to the average (e.g., cardiologists compared to cardiologists) for all costs including: hospital, professional, ancillary and pharmacy costs.

Hospitals

The HealthPartners hospital Total Cost Index (TCI) is used to measure a facility’s inpatient and outpatient total costs relative to all other hospitals. The TCI is a measure of price and efficiency for inpatient and outpatient services.

Measure description: Quality

HealthPartners quality assessment ratings are based on clinical quality as well as patient experience surveys, in which members rate quality of care and service. HealthPartners collects clinical quality measures across our regional network and also draws upon reputable third-party sources, such as Minnesota Community Measurement, that collect, analyze, and publicly report measures of clinical quality. These measures are based on standards established by organizations such as the National Quality Forum and the Institute for Clinical Systems Improvement.

HealthPartners quality ratings are displayed on a scale of 1 to 4 stars, with four stars indicating highest performance across the quality measures. Some providers do not have a sufficient number of HealthPartners patients in the area being measured to accurately assign a cost score and receive an “N/A” rating. These ratings help consumers compare providers and evaluate medical groups and hospitals on the basis of measures important to them.

quality icons

Primary care

In total, 88 discrete quality measures are used in our primary care ratings, grouped into the following quality domains:

Specialties

HealthPartners reports quality ratings for Cardiology, Ear, Nose and Throat, Obstetrics and Gynecology and Orthopedics, grouped into the following quality domains:

Hospitals

In total, 45 discrete quality measures are used in our hospital ratings grouped into the following quality domains:

Back to top