It's Your Choice 2017
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
2016 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 |
22 |
| Arise Health Plan |
33 |
| Dean Health Insurance (all plans)1 |
44 |
| GHC of Eau Claire |
33 |
| GHC of South Central Wisconsin |
55 |
| Gundersen Health Plan |
33 |
| Health Tradition Health Plan |
33 |
| HealthPartners Health Plan |
55 |
| Humana (all plans)2 |
22 |
| Medical Associates Health Plans |
11 |
| MercyCare Health Plans |
44 |
| Network Health (all plans)3 |
33 |
| Physicians Plus |
33 |
| Security Health Plan (all plans)4 |
33 |
| UnitedHealthcare of Wisconsin |
11 |
| Unity Health Insurance (all plans)5 |
33 |
| WEA Trust (all plans)6 |
22 |
TABLE KEY
Sort columns by clicking on the header. |
5 |
Highest rating |
4 |
|
3 |
|
2 |
|
1 |
lowest rating |
notes:
1.Participating Dean plans include Dean Health Insurance and Dean Prevea360
2.Participating Humana plans include Eastern and Western
3.Participating Network Health plans include Northeast and Southeast
4.Participating Security Health plans include Central and Valley
5.Participating Unity Health Insurance plans include Community and UW Health
6.Participating WEA Trust plans include East, Northwest Chippewa Valley and Northwest Mayo Clinic Health System
Note: WPS does not submit results for the measures used to create the ratings above.
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: 9/19/2016 4:36:53 PM
