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2014 Health Plan Report Card

The information in this guide comes from the opinions of consumers and from managed care plan records.  For some measures, consumers’ opinions and experience were collected in the spring of 2014 using a confidential member satisfaction survey known as the Consumer Assessment of Healthcare Providers and Systems (CAHPS®), which is a program of the U.S. Agency for Healthcare Research and Quality (AHRQ).

For other measures, managed care plans reported information from their records about the services they provided during 2013, using a standard set of measures called the Healthcare Effectiveness Data and Information Set, or HEDIS®.  HEDIS® is a widely used set of clinical quality measures that requires plans to collect information in a way that allows for fair comparisons.  HEDIS® is developed and maintained by The National Committee for Quality Assurance (NCQA), a non-profit organization dedicated to improving health care quality.
 

The following abbreviations are used to identify Vermont managed health care plans in this report.

Insurer Plan Name Shown As
Blue Cross Blue Shield of Vermont Vermont Health Partnership BCBS POS
Vermont Freedom Plan BCBS PPO
The Vermont Health Plan (TVHP) – BlueCare BCBS HMO
Cigna Health and Life Insurance Company Network/Point-of-Service CIGNA POS
CIGNA PPO CIGNA PPO
MVP Health  Care MVP HMO MVP HMO
MVP PPO MVP PPO

MORE INFORMATION

  • Can I trust this information?

    The information in this report card comes from the opinions of consumers and from health plan records. For some measures, consumers’ opinions and experiences were collected in the spring of 2012 using a confidential member satisfaction survey known as the Consumer Assessment of Healthcare Providers and Systems (CAHPS®), which is a program of the U.S. Agency for Healthcare Research and Quality (AHRQ).

    For other measures, health plans reported information from their records about the services they provided during 2011, using a standard set of measures called the Healthcare Effectiveness Data and Information Set, or HEDIS®. HEDIS® is a widely used set of clinical quality measures that requires plans to collect information in a way that allows for fair comparisons. HEDIS® is developed and maintained by The National Committee for Quality Assurance (NCQA), a non-profit organization dedicated to improving health care quality.

    Can I trust this information?Yes. The health plans did not administer the CAHPS® survey to their members. Instead, an independent organization, certified by NCQA, administered the survey and provided the results to each health plan. In much the same way that financial information can be audited to make sure it is accurate, independent organizations used nationally-recognized audit standards to check the HEDIS® results reported by the health plans. HEDIS® requires health plans to collect information in the same way so that the plans can be compared fairly.

     

  • Health Plan Data Filing Evaluation Reports
  • Hospital Report Card

Credits:
Quality Compass® is a registered trademark of the National Committee for Quality Assurance.
CAHPS® is a registered trademark of the Agency of Healthcare Research and Quality.
HEDIS® is a registered trademark of the National Committee for Quality Assurance.

Sources and Disclaimer:
National Committee for Quality Assurance (NCQA), Washington, D.C.: HEDIS® 2014 Technical Specifications, Volume Two.  The source for national data contained in this publication is Quality Compass® 2014 and is used with the permission of National Committee for Quality Assurance (NCQA).  Quality Compass 2014 includes certain CAHPS data.  Any data display, analysis, interpretations or conclusions based on these data is solely that of the authors and NCQA specifically disclaims responsibility for any such analysis interpretation or conclusion.  Quality Compass is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
 

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