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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2016 State of Wisconsin Group Health Insurance Program
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Wisconsin Department Of Employee Trust Funds It's Your Choice 2016


Local Traditional Plan
Insurance for Employees
and Retirees
(PO2)


2015 Health Plan Report Card

Care Coordination Rating

The “Care Coordination Ratings” in the table below looks at how well a plan does managing the various health care services so they work effectively for you. 

The types of measures that make up the rating include:

  • Managing care over time
    For example: Managing medications over time related to antidepressants, asthma and children on attention-deficit/hyperactivity disorder (ADHD) medication.
  • Managing “hand-offs”
    “Hand-offs” mean things like transferring from the hospital to back home.  Coordinating care from one setting to another is important to keep bad things from happening.  An example of one of the measures here is readmissions that happen shortly after leaving the hospital.
  • What people say
    This includes what people say about how well their plan is doing in helping with coordinating  their care.

Care Coordination Rating

Health Plan Star Rating
Anthem Blue (all plans)1 33
Arise Health Plan (all plans)2 55
Dean Health Insurance (all plans)3 44
Group Health Cooperative of Eau Claire 33
GHC of South Central Wisconsin 22
Gundersen Health Plan 33
Health Tradition Health Plan 11
HealthPartners Health Plan 55
Humana (all plans)4 33
Medical Associates Health Plans 11
MercyCare Health Plans 22
Network Health5 33
Physicians Plus  44
Security Health Plan 22
UnitedHealthcare of Wisconsin 33
Unity (all plans)6 44
WEA Trust (all plans)7 33

TABLE KEY

Sort columns by clicking on the header.

5

Highest rating

4

 

3

 

2

 

1

lowest rating

RESOURCES

List of MeasuresList of measures that make up ratings and the health plans’ results in each.

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

List of MeasuresHealth Plan Features and links to plan description pages.

notes:

For the list of the measures that make up the rating above and to see the health plans’ results in each measure, click here.

1.2016 ETF participating Anthem plans include Northeast and Southeast
2.2016 ETF participating Arise plans include Arise Health Plan and Arise Health Plan - Aspirus Arise
3.2016 ETF participating Dean plans include Dean Health Insurance and Dean Prevea360
4.2016 ETF participating Humana plans include Eastern and Western
5.2016 ETF participating Network Health plans include Northeast and Southeast.
6.2016 ETF participating Unity plans include Unity-Community and Unity-UW Health
7.2016 ETF participating WEA Trust plans include East, South Central, Northwest Chippewa Valley and Northwest Mayo Clinic Health System

Note: ETF participating WPS plans include the IYC Access Plans, SMP and IYC Medicare Plus

Disclaimer:
Every effort has been made to ensure that this information is accurate, but may be subject to change. Please note revision dates located at the bottom of each page. In the event of conflicting information, federal law, state statute, state health contracts and/or policies and provisions established by the State of Wisconsin Group Insurance Board shall be followed.

This page was last modified on: 9/28/2015 11:50:07 AM