Overview

To enhance your healthcare provider selection process, our provider directory may feature icons indicating clinical quality, cost-efficiency, and provider readiness. These icons offer insights into what each rating and designation signifies, helping you make more informed choices.

 

Clinical quality rating

The clinical quality rating metric is derived from Humana Military’s provider clinical quality rating, which is a quality measure set encompassing preventive and specialty care to help identify providers who offer higher quality care.

 

Evaluated specialties:

  • Advanced practice midwife
  • Allergy and immunology
  • Cardiovascular disease
  • Emergency medicine
  • Endocrinology
  • Family medicine
  • General practice
  • Internal medicine
  • Mental health nurse practitioner
  • Midwife
  • Nurse practitioner
  • Obstetrics and gynecology
  • Ophthalmology
  • Pediatrics
  • Physician assistant
  • Psychiatry and neurology
  • Pulmonary disease

Clinical quality

Not enough information to measure

Description

Highest rating

Lowest rating

There is not enough information to rate this provider


Cost-efficiency rating

The cost-efficiency rating metric is derived from Humana Military’s provider cost-efficiency rating, which identifies providers who efficiently manage costs across specialty-specific episodes of care.

 

Evaluated specialties:

  • Allergy and immunology
  • Anesthesiology
  • Counselor
  • Dermatology
  • Emergency medicine
  • Family practice
  • General practice
  • Internal medicine
  • Marriage and family therapist
  • Neurological surgery
  • Nurse practitioner
  • Obstetrics and gynecology 
  • Occupational therapist
  • Ophthalmology
  • Optometrist
  • Orthopedic surgery
  • Otolaryngology
  • Pain management
  • Pediatrics
  • Physical medicine and rehabilitation
  • Physical therapist
  • Physician assistant
  • Podiatrist 
  • Psychiatry and neurology
  • Psychologist
  • Social worker
  • Speech-language pathologist
  • Surgery
  • Urology
  • Cost-efficiency

Cost-efficiency

Not enough information to measure

Description

Highest rating

Lowest rating

There is not enough information to rate this provider


Please note: These ratings take into account a provider’s specialty and compares them to a peer group of providers with the same specialty who deliver care in the same state.


Some providers do not have clinical quality or cost-efficiency ratings associated to them. Reasons for this may include:

  • Not all specialties are evaluated by Humana Military
  • Minimum requirements, such as data volume, statistical credibility or minimum peer volume, are not met

A provider receives ratings when their specialty is one of the specialties evaluated by Humana Military, and when they meet minimum evaluation requirements. There are instances where a provider appears with a clinical quality rating and no cost-efficiency rating, and vice versa, as the clinical quality and cost-efficiency ratings are independent of each other.

 Provider Readiness Designation

The Provider Readiness Designation in our directory highlights mental health providers who are familiar with military culture and evidence-based treatments. This includes a wide range of professionals such as psychiatrists, psychologists, psychiatric nurse specialists, clinical social workers, marriage and family therapists, mental health counselors, and pastoral counselors under a physician’s supervision. It's important to note that this designation does not extend to the TRICARE Overseas Program (TOP).

To earn this designation, providers must complete four specific courses offered by the Center for Deployment Psychology at the Uniformed Services University of the Health Sciences:

  • Military Culture: Core Competencies for Health Care Professionals
  • Cognitive Processing Therapy for PTSD in Veterans and Military Personnel
  • Prolonged Exposure Therapy for PTSD in Veterans and Military Personnel and
  • Depression in Service Members and Veterans

 

Mental Health care providers who have earned the Department of Defense TRICARE Provider Readiness Designation (TPRD), as indicated by a check mark icon, have specific knowledge of military culture and awareness of evidence informed treatments for mental health concerns common among members of the Armed Forces.