Have You Moved?
If so, make sure to call your health care concierge and tell him or her about your change of address so we can update our records.
How We Stack Up N QUALITY AND PERFORMANCE
etwork Health evaluates the quality of care and services provided to members using two nationally recognized tools, the Healthcare Effectiveness and Data Information Set (HEDIS®) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS®). Each tool scores our service in a different way. The following tables highlight our 2012 results and show the excellent ratings of Network Health’s Medicare Advantage PPO plans on both state and national levels.
Network Health Medicare Advantage 2012 HEDIS Results
Category Breast Cancer Screening Glaucoma Screening Hemoglobin A1C Testing in Diabetics Medical Attention for Nephropathy in Diabetics Cholesterol Screening for Diabetics Cholesterol Screening for Members with a Cardiovascular Condition Proper Drug Therapy for Members with Rheumatoid Arthritis Members with a Preventive or Ambulatory Visit in the Year
Network Health Medicare Advantage Results
Wisconsin Average Results
National Average Results
75.30% 70.98% 94.16% 90.51% 88.81% 92.02% 85.19% 96%
73.52% 71.57% 93.19% 90.97% 88.51% 87.94% 83.55% 95.86%
67.93% 66.06% 91.03% 89.32% 87.79% 88.67% 74.06% 94.92%
The source for data reported above is Quality Compass© and is used with the permission of the National Committee for Quality Assurance (NCQA). Any analysis, interpretation or conclusion based on this data is solely that of the authors, and NCQA specifically disclaims any responsibility for any such analysis, interpretation or conclusion. Quality Compass is a trademark of NCQA.
MEMBER SATISFACTION
Network Health Medicare Advantage 2012 CAHPS Results Percentages reflect the number of members who gave positive reviews. A positive review is defined as a member answering 8, 9 or 10.
Category/Measure In the last six months, how often did your health plan’s customer service staff treat you with courtesy and respect? In the last six months, how often did your health plan’s customer service give you the information or help you needed? Using any number from 0 to 10, where 0 is the worst health plan possible and 10 is the best health plan possible, what number would you use to rate your health plan? Using any number from 0 to 10, where 0 is the worst personal doctor possible and 10 is the best personal doctor possible, what number would you use to rate your personal doctor?
Network Health Medicare Advantage Results
Wisconsin Average Results
National Average Results
98%
93%
95%
91%
85%
83%
73%
68%
64%
85%
83%
76%
The source for the data reported above is the 2012 Medicare Advantage CAHPS Results provided by the Centers for Medicare and Medicaid Services. Any analysis, interpretation or conclusion based on the data is solely that of the authors. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
Quality Program Information
A
t Network Health, we have an entire program and department focused on quality. Each year, we update our quality improvement program structure, which includes the program’s goals, its role and a written description of the program. The quality improvement program reports to the board of directors, and a quality-improvement committee oversees the function of the organization. We develop an annual quality work plan and a description of company resources devoted to the program. In addition, both behavioral health and patient safety are specifically
addressed in the program description; the quality improvement committee includes a designated physician and a designated behavioral health practitioner who have substantial involvement in the program. Also addressed in the description is the role, structure and function of the quality improvement committee, along with other connected committees and how often they meet. For more information about our quality improvement program, please call the Network Health Quality Improvement Department at 920-720-1229, or toll-free at 800-826-0940, extension 1229 (TTY 800-947-3529).
Network Health and the PAC have teamed up again to offer new low rates for the following performance. War Horse
Sunday, June 30 at 6:30 p.m. Tickets available for $36
To claim this offer, you must register between February 15 - March 15. Log on to eventusher.com and type Medicare in the password field. Then, purchase your ticket by following the simple instructions that appear.
This offer is only valid for Network Health Medicare Advantage members and their families. Not valid on previously purchased tickets. Valid while supplies last. NetworkHealthMedicare.com
C oncierge • W inter 2013 | 5