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"Thank you!" to Our Satisified Preferred Care Gold Members!
The quality of the services we provide is measured in many ways. We want to share with you the results of two such quality measurement tools:
- The Healthcare Effectiveness Data and Information Set (HEDIS®), which is a tool used by health plans to evaluate their performance in terms of clinical quality and customer service, and
- The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey, which is sent to Preferred Care members every year to ask your opinion about your health care experience with your doctors and Preferred Care.
For some of the key measures from our 2007 HEDIS results (based on the 2006 performance year), our rates continue to rank higher than the national averages for Medicare plans:
| 2007 HEDIS® Results |
|
National Average |
| - Beta blocker treatment after heart attack |
100% |
93.73% |
| - Breast cancer screening |
80.91% |
69.52% |
Cholesterol management for patients with heart conditions screening rate |
95.13% |
88.04% |
Colorectal cancer screening |
73.28% |
53.16% |
Controlling high blood pressure
(overall rate) |
65.94% |
56.81% |
Follow-up after hospital stay for mental illness (7 days) |
76.83% |
36.48% |
Comprehensive diabetes care:
> Eye exams
> HbA1c testing
> LDL-C screening
> Nephropathy monitoring |
85.16%
96.35%
93.92%
86.86% |
61.92%
87.11%
84.92%
85.46% |
Your satisfaction with Preferred Care and the health care professionals we contract with is also important to us. Each year some of you receive the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey. This is conducted by an independent third party and the results are given to Preferred Care and Medicare.
We’re also proud that in 2007 (based on the 2006 performance year), Gold members who answered the CAHPS® survey rated Preferred Care significantly higher than New York State health plans averages in these areas:
| 2007 CAHPS® Survey |
Preferred Care Rating |
National Average |
Rating of health plan
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How well doctors communicate |
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Rating of personal doctor |
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Rating of specialist seen most often |
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Flu shots for older adults |
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Pneumonia vaccination status for
older adults
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Key: 5 stars – among the highest-rated plans nationwide
4 stars – rated higher than the national average
3 stars – rated about the same as the national average
2 stars – rated lower than the national average
1 star – among the lowest-rated plans in the nation |
Ensuring you receive these necessary services and are satisfied with Preferred Care
Gold / Goldnaywhere and our network of providers is part of our quality plan.
You may request more information about Preferred Care’s Quality Improvement initiatives, programs, and a report of the organization’s progress in meeting its goals by calling Member Services. Representatives are available to serve you Monday through Friday, from 7:00 a.m. to 8:00 p.m. Eastern Time at
(585) 327-2480 or (800) 665-7924.
TTY users may call (585) 325-2629 or (800) 252-2452. |
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Last updated: March 26, 2008
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