The Centers for Medicare & Medicaid Services (CMS) gauges member satisfaction of Medicare Advantage plans through an annual survey called the CAHPS survey (Consumer Assessment of Healthcare Providers and Systems). The CAHPS survey helps health plans identify opportunities to improve quality and services, and helps CMS monitor the quality and performance of these plans.
UCare scored above the national average on several 2016 CAHPS measures for UCare for Seniors. See how our measures are trending and compare to national averages below:
|CMS CAHPS||CAHPS 2014||CAHPS 2015||CAHPS 2016||National Average|
|Rating of All Health Care*||8.9||8.7||8.9†||↑ 8.5|
|Rating of Personal Doctor||9.3||9.2||9.2†||↑ 9.1|
|Rating of Specialist||9||9||8.9||8.9|
|Rating of Health Plan*||8.9||8.8||8.8†||↑ 8.5|
|Getting Needed Care*||3.64||3.66||3.57||↑ 3.51|
|Getting Care Quickly*||3.46||3.44||3.42†||↑ 3.28|
|How Well Doctors Communicate||3.76||3.8||3.77||↑ 3.73|
|Customer Service*||3.79||3.78||3.71||↑ 3.63|
|Coordination of Care*||3.69||3.65||3.63||↑ 3.59|
|Rating of Drug Plan*||8.5||8.3||8.4||↓ 8.5|
|Getting Needed Prescription Drugs*||3.79||3.75||3.76||↑ 3.73|
|Getting Info From the Plan About Coverage/Cost||N/A||N/A||N/A||3.46|
|Willingness to Recommend Plan for Drug Coverage||3.46||3.42||3.44||↓ 3.46|
† = Significantly above the National average.
‡ = Significantly below the National average.
* CMS Star Measure
** Average response rate for all MA contracts in Minnesota.
UCare scored a 4 Star rating on several 2016 CMS CAHPS measures for Minnesota Senior Health Options. These measures were:
|Minnesota Senior Health Options Star Rating||CAHPS Star Rating Measure|
|4||Annual Flu Vaccine|
|4||Overall Rating of Plan|
CMS evaluates qualified health plans (QHPs) offered through the Marketplaces using QHP Enrollee Survey response data. The table below shows UCare’s 2015 and 2016 QHP Enrollee Survey results. Responses to composite measures are scored on a 1-4 scale (1=never, 2=sometimes, 3=usually and 4=always). The overall ratings measures were single questions where respondents chose from 0-10, with 0 being lowest and 10 highest scores. Currently, there is no national average for the QHP Enrollee Survey due to fluctuation in the marketplace; therefore UCare has set an internal threshold until the national averages are released.
UCare QHP Enrollee Survey
|Choices 2015*||Choices 2016||UCare Benchmark|
|Overall Ratings Measures|
|Rating of all Health Care||8.80||8.57||↑8|
|Rating of Personal Doctor||8.49||8.1||↑8|
|Rating of Specialist||8.91||8.98||↑8|
|Rating of Health Plan||7.06||6.02||↓8|
|Access to Care||3.65||3.31||↑3|
|Coordination of Care||3.64||3.52||↑3|
|Access to Information||2.65||2.4||↓3|
QHP Enrollee Survey results from 2015 were beta and non-conclusive due to the small sample size.