Plan
| Met | PartiallyMet | NotMet |
BCBSMA | 8 | 14 | 7 |
CIGNA | 4 | 13 | 12 |
Fallon | 6 | 16 | 7 |
Harvard Pilgrim | 3 | 17 | 9 |
Health NE | 1 | 17 | 11 |
Neighborhood | 2 | 13 | 14 |
Tufts | 5 | 16 | 8 |
Unicare | 2 | 15 | 12 |
Pay for Performance
Plan
| Met | PartiallyMet | NotMet | N/A |
BCBSMA | 13 | 3 | 0 | 0 |
Fallon | 12 | 2 | 2 | 0 |
Harvard Pilgrim | 5 | 2 | 5 | 4 |
Health NE | 4 | 2 | 2 | 8 |
Neighborhood | 3 | 3 | 2 | 8 |
| Tufts | 3 | 11 | 2 | 0 |
Prior Authorization - Radiology
Plan
| Met | PartiallyMet | NotMet | N/A |
| Aetna | 13 | 3 | 9 | 0 |
BCBSMA | 18 | 1 | 6 | 0 |
CIGNA | 14 | 5 | 6 | 0 |
Fallon | 13 | 5 | 7 | 0 |
Harvard Pilgrim | 12 | 4 | 2 | 7 |
Health NE | 14 | 8 | 3 | 0 |
Neighborhood | 9 | 4 | 5 | 7 |
Tufts | 14 | 4 | 7 | 0 |
United Healthcare | 12 | 0 | 6 | 7 |
Prior Authorization - Antifungals
Plan
| Met | PartiallyMet | NotMet | N/A |
| Aetna | 14 | 2 | 8 | 1 |
| BCBSMA | 12 | 3 | 9 | 1 |
| CIGNA | 9 | 6 | 9 | 1 |
| Fallon | 12 | 3 | 9 | 1 |
| Harvard Pilgrim | 12 | 3 | 9 | 1 |
| Health NE* | 10 | 5 | 8 | 2 |
| Neighborhood | 10 | 4 | 10 | 1 |
| Tufts | 13 | 2 | 9 | 1 |
| United Healthcare | 9 | 5 | 9 | 2 |
* N/A for antifungals, for which
Health NE does not require prior authorization. Chart measures
HNE's alignment of prior authorization programs for other
drugs.
