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2017 It's Your Choice - Local Traditional Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2017


Local Traditional Plan
Insurance for Employees
and Retirees
(PO2, PO12)


2016 Health Plan Report Card

Quality Measures

The following are the measures that make up the four composite ratings. Grievances is a stand-alone measure that is solely based on the number of grievances received.

You can click on the measure name to see how health plans perform in that measure.

Overall Performance composite

  1. Controlling High Blood Pressure (CBP)
  2. Comprehensive Diabetes Care: Blood Pressure Control (CDC)
  3. Plan All-Cause Readmissions (PCR)
  4. Antidepressant Medication Management (AMM)
  5. Medication Management for People with Asthma (MMA)
  6. Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis (AAB)
  7. Health Plan Rating (survey question #42)
  8. Care Coordination (survey question #22)
  9. Appropriate Testing for Children with Pharyngitis (CWP)

 

Quality composite

  1. Controlling High Blood Pressure (CBP)
  2. Comprehensive Diabetes Care (CDC):
  3. Breast Cancer Screening (BCS)
  4. Colorectal Cancer Screening (COL)
  5. Health Plan Rating (survey question #42)
  6. Primary Care Physician Rating (survey question #23)
  7. Specialty Care Physician Rating (survey question #27)

 

Care Coordination composite

  1. Ambulatory Care: Emergency Department Visits (AMB)
  2. Plan All-Cause Readmissions (PCR)
  3. Follow-Up After Hospitalization for Mental Illness (FUH)
  4. Antidepressant Medication Management (AMM)
  5. Follow-Up Care for Children Prescribed ADHD Medication (ADD)
  6. Medication Management for People with Asthma (MMA)
  7. Care Coordination (survey question #22)

 

Overuse of Services composite

  1. Appropriate Treatment for Children with Upper Respiratory Infection (URI)
  2. Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis (AAB)
  3. Use of Imaging Studies for Low Back Pain (LBP)
  4. Appropriate Testing for Children with Pharyngitis (CWP)

 

- The measures that come from a survey of health plan members say “survey question” after the name along with the question number

- Measures with three letters after the name are based on data from the health plan

- For more information on the measures and how they are used in the rankings, see Methodology.

Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis (AAB)

Measure description: 
This is the rate of health plan members with acute bronchitis who did not receive an antibiotic prescription.  Such prescriptions to treat people with bronchitis should be avoided.

A higher figure means better performance.

Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis (AAB)**

Health Plan Rate
Anthem Blue 21.05%
Arise Health Plan 30.71%
Dean Health Insurance (all plans)1 29.84%
GHC of Eau Claire 19.57%
GHC of South Central Wisconsin 64.16%
Gundersen Health Plan 43.26%
Health Tradition Health Plan 28.44%
HealthPartners Health Plan 41.83%
Humana (all plans)2 45.53%
Medical Associates Health Plans 12.64%
MercyCare Health Plans 22.09%
Network Health (all plans)3 20.64%
Physicians Plus  35.71%
Security Health Plan (all plans)4 28.06%
UnitedHealthcare of Wisconsin 21.50%
Unity Health Insurance (all plans)5 28.43%
WEA Trust (all plans)6 22.49%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Follow-Up Care for Children Prescribed ADHD Medication (ADD)

Measure description: 
The measure is in regard to children prescribed attention-deficit/hyperactivity disorder (ADHD) medication.  For these children, the measure is the rate who stayed on ADHD medications at least seven months and also had follow up visits.

A higher figure means better performance.

Follow-Up Care for Children Prescribed ADHD Medication (ADD)**

Health Plan Rate
Anthem Blue 29.41%
Arise Health Plan NA
Dean Health Insurance (all plans)1 37.50%
GHC of Eau Claire NA
GHC of South Central Wisconsin 71.05%
Gundersen Health Plan NA
Health Tradition Health Plan NA
HealthPartners Health Plan 55.92%
Humana (all plans)2 NA
Medical Associates Health Plans NA
MercyCare Health Plans NA
Network Health (all plans)3 38.57%
Physicians Plus  NA
Security Health Plan (all plans)4 50.00%
UnitedHealthcare of Wisconsin NA
Unity Health Insurance (all plans)5 56.73%
WEA Trust (all plans)6 30.77%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Ambulatory Care: Emergency Department Visits (AMB)

Measure description: 
This is a measure of members using the Emergency Department.  The rates in the table are emergency department visits per 1,000 member years.

A lower figure means better performance.

Ambulatory Care: Emergency Department Visits (AMB)**

Health Plan Rate
Anthem Blue 164.17
Arise Health Plan 145.53
Dean Health Insurance (all plans)1 225.52
GHC of Eau Claire 151.78
GHC of South Central Wisconsin 143.75
Gundersen Health Plan 260.38
Health Tradition Health Plan 178.53
HealthPartners Health Plan 137.70
Humana (all plans)2 163.74
Medical Associates Health Plans 177.03
MercyCare Health Plans 268.55
Network Health (all plans)3 158.53
Physicians Plus  193.17
Security Health Plan (all plans)4 168.85
UnitedHealthcare of Wisconsin 186.21
Unity Health Insurance (all plans)5 209.83
WEA Trust (all plans)6 188.52

TABLE KEY

Sort columns by clicking on the header.

 

A lower figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Antidepressant Medication Management (AMM)

Measure description: 
This is the rate of health plan members with major depression taking antidepressants who stayed on the medication for at least six months.

A higher figure means better performance.

Antidepressant Medication Management (AMM)**

Health Plan Rate
Anthem Blue 53.50%
Arise Health Plan 53.85%
Dean Health Insurance (all plans)1 60.96%
GHC of Eau Claire 43.64%
GHC of South Central Wisconsin 61.27%
Gundersen Health Plan 58.05%
Health Tradition Health Plan 50.00%
HealthPartners Health Plan 59.27%
Humana (all plans)2 52.61%
Medical Associates Health Plans 50.29%
MercyCare Health Plans 65.54%
Network Health (all plans)3 52.69%
Physicians Plus  62.48%
Security Health Plan (all plans)4 58.74%
UnitedHealthcare of Wisconsin 48.57%
Unity Health Insurance (all plans)5 55.45%
WEA Trust (all plans)6 59.68%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Breast Cancer Screening (BCS)

Measure description: 
This is the rate of health plan members who are women age 50 - 74 that had a mammogram to screen for breast cancer.

A higher figure means better performance.

Breast Cancer Screening
(BCS)**

Health Plan Rate
Anthem Blue 74.46%
Arise Health Plan 73.63%
Dean Health Insurance (all plans)1 79.14%
GHC of Eau Claire 81.37%
GHC of South Central Wisconsin 78.10%
Gundersen Health Plan 82.54%
Health Tradition Health Plan 79.40%
HealthPartners Health Plan 81.07%
Humana (all plans)2 78.89%
Medical Associates Health Plans 81.54%
MercyCare Health Plans 76.75%
Network Health (all plans)3 77.73%
Physicians Plus  81.79%
Security Health Plan (all plans)4 84.89%
UnitedHealthcare of Wisconsin 73.99%
Unity Health Insurance (all plans)5 83.69%
WEA Trust (all plans)6 82.20%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Controlling High Blood Pressure (CBP)

Measure description: 
This is the rate of health plan members with hypertension that have their blood pressure in control (<140/90) in the prior year.

A higher figure means better performance.

Controlling High Blood Pressure (CBP)**

Health Plan Rate
Anthem Blue 78.04%
Arise Health Plan 71.19%
Dean Health Insurance (all plans)1 81.41%
GHC of Eau Claire 61.65%
GHC of South Central Wisconsin 72.99%
Gundersen Health Plan 79.08%
Health Tradition Health Plan 81.42%
HealthPartners Health Plan 78.59%
Humana (all plans)2 75.41%
Medical Associates Health Plans 76.16%
MercyCare Health Plans 75.17%
Network Health (all plans)3 70.75%
Physicians Plus  73.89%
Security Health Plan (all plans)4 75.91%
UnitedHealthcare of Wisconsin 69.50%
Unity Health Insurance (all plans)5 74.45%
WEA Trust (all plans)6 70.07%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Comprehensive Diabetes Care: Blood Pressure Control (CDC)

Measure description: 
This is the rate of health plan members with diabetes that have their blood pressure in control (< 140/90) in the prior year.

A higher figure means better performance.

Comprehensive Diabetes Care: Blood Pressure Control (CDC)**

Health Plan Rate
Anthem Blue 82.79%
Arise Health Plan 72.34%
Dean Health Insurance (all plans)1 82.46%
GHC of Eau Claire 81.61%
GHC of South Central Wisconsin 80.66%
Gundersen Health Plan 79.78%
Health Tradition Health Plan 69.33%
HealthPartners Health Plan 82.48%
Humana (all plans)2 78.35%
Medical Associates Health Plans 82.17%
MercyCare Health Plans 77.57%
Network Health (all plans)3 80.40%
Physicians Plus  77.86%
Security Health Plan (all plans)4 82.85%
UnitedHealthcare of Wisconsin 72.53%
Unity Health Insurance (all plans)5 76.00%
WEA Trust (all plans)6 74.45%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Comprehensive Diabetes Care (CDC): Blood Sugar Control

Measure description: 
This is the rate of health plan members with diabetes that have their blood sugar in control (HbA1c < 8%) in the prior year.

A higher figure means better performance.

Comprehensive Diabetes Care (CDC): Blood Sugar Control**

Health Plan Rate
Anthem Blue 65.34%
Arise Health Plan 42.55%
Dean Health Insurance (all plans)1 65.85%
GHC of Eau Claire 63.22%
GHC of South Central Wisconsin 59.67%
Gundersen Health Plan 67.65%
Health Tradition Health Plan 64.18%
HealthPartners Health Plan 67.52%
Humana (all plans)2 60.83%
Medical Associates Health Plans 69.43%
MercyCare Health Plans 65.83%
Network Health (all plans)3 74.04%
Physicians Plus  66.67%
Security Health Plan (all plans)4 65.15%
UnitedHealthcare of Wisconsin 59.76%
Unity Health Insurance (all plans)5 64.33%
WEA Trust (all plans)6 64.23%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Colorectal Cancer Screening (COL)

Measure description: 
This is the rate of health plan members 50 - 75 years old that had one of several types of appropriate screens for colorectal cancer.

A higher figure means better performance.

Colorectal Cancer Screening (COL)**

Health Plan Rate
Anthem Blue 58.54%
Arise Health Plan 68.61%
Dean Health Insurance (all plans)1 65.18%
GHC of Eau Claire 71.05%
GHC of South Central Wisconsin 71.53%
Gundersen Health Plan 72.02%
Health Tradition Health Plan 67.51%
HealthPartners Health Plan 69.16%
Humana (all plans)2 69.17%
Medical Associates Health Plans 66.91%
MercyCare Health Plans 67.70%
Network Health (all plans)3 73.56%
Physicians Plus  71.64%
Security Health Plan (all plans)4 71.78%
UnitedHealthcare of Wisconsin 69.96%
Unity Health Insurance (all plans)5 74.45%
WEA Trust (all plans)6 67.40%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Appropriate Testing for Children with Pharyngitis (CWP)

Measure description:
This is the rate of children with pharyngitis who received a strep test before receiving an antibiotic prescription.  Such prescriptions should only happen if a strep test occurred.

A higher figure means better performance.

Appropriate Testing for Children with Pharyngitis (CWP)**

Health Plan Rate
Anthem Blue 77.21%
Arise Health Plan 57.33%
Dean Health Insurance (all plans)1 84.14%
GHC of Eau Claire 78.18%
GHC of South Central Wisconsin 93.97%
Gundersen Health Plan 84.39%
Health Tradition Health Plan 85.71%
HealthPartners Health Plan 94.32%
Humana (all plans)2 75.98%
Medical Associates Health Plans 80.62%
MercyCare Health Plans 73.12%
Network Health (all plans)3 70.37%
Physicians Plus  90.15%
Security Health Plan (all plans)4 85.92%
UnitedHealthcare of Wisconsin 70.97%
Unity Health Insurance (all plans)5 87.83%
WEA Trust (all plans)6 79.69%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Follow Up After Hospitalization for Mental Illness (FUH)

Measure description: 
This measure is in regard to health plan members over age five hospitalized for treatment of certain types of mental illness.  The rate reported is for those who had a follow up appointment with a mental health professional within a week after being discharged from the hospital.

A higher figure means better performance.

Follow Up After Hospitalization for Mental Illness (FUH)**

Health Plan Rate
Anthem Blue 48.64%
Arise Health Plan NA
Dean Health Insurance (all plans)1 59.62%
GHC of Eau Claire NA
GHC of South Central Wisconsin 85.60%
Gundersen Health Plan 51.22%
Health Tradition Health Plan 58.82%
HealthPartners Health Plan 67.00%
Humana (all plans)2 48.42%
Medical Associates Health Plans NA
MercyCare Health Plans 59.38%
Network Health (all plans)3 63.93%
Physicians Plus  76.99%
Security Health Plan (all plans)4 41.79%
UnitedHealthcare of Wisconsin 60.23%
Unity Health Insurance (all plans)5 74.21%
WEA Trust (all plans)6 59.89%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Use of Imaging Studies for Low Back Pain (LBP)

Measure description:
This is the rate of health plan members who did not have an X-ray, MRI or CT scan within four weeks of a complaint of low back pain. 

A higher figure means better performance.

Use of Imaging Studies for Low Back Pain (LBP)**

Health Plan Rate
Anthem Blue 76.66%
Arise Health Plan 82.70%
Dean Health Insurance (all plans)1 83.42%
GHC of Eau Claire 68.00%
GHC of South Central Wisconsin 88.98%
Gundersen Health Plan 83.81%
Health Tradition Health Plan 78.60%
HealthPartners Health Plan 82.65%
Humana (all plans)2 78.00%
Medical Associates Health Plans 87.99%
MercyCare Health Plans 84.65%
Network Health (all plans)3 80.32%
Physicians Plus  78.65%
Security Health Plan (all plans)4 76.06%
UnitedHealthcare of Wisconsin 79.85%
Unity Health Insurance (all plans)5 79.89%
WEA Trust (all plans)6 82.46%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Medication Management for People with Asthma (MMA)

Measure description: 
This is the rate of health plan members with persistent asthma age 5 to 64 who stayed on their controller medication for at least 75% of the treatment period.

A higher figure means better performance.

Medication Management for People with Asthma (MMA)**

Health Plan Rate
Anthem Blue 43.68%
Arise Health Plan 41.18%
Dean Health Insurance (all plans)1 54.64%
GHC of Eau Claire 46.43%
GHC of South Central Wisconsin 45.72%
Gundersen Health Plan 45.49%
Health Tradition Health Plan 43.14%
HealthPartners Health Plan 51.79%
Humana (all plans)2 41.30%
Medical Associates Health Plans 31.11%
MercyCare Health Plans 61.79%
Network Health (all plans)3 42.07%
Physicians Plus  53.16%
Security Health Plan (all plans)4 50.41%
UnitedHealthcare of Wisconsin 51.52%
Unity Health Insurance (all plans)5 44.70%
WEA Trust (all plans)6 48.73%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Plan All-Cause Readmissions (PCR)

Measure description: 
This is a measure of members being readmitted back to a hospital within 30 days of being discharged from a hospitalization. 

The measure results in the table below are risk adjusted rates.  A lower figure means better performance.

Plan All-Cause Readmissions (PCR)**

Health Plan Rate
Anthem Blue 0.7409
Arise Health Plan 0.8258
Dean Health Insurance (all plans)1 0.7124
GHC of Eau Claire 0.4176
GHC of South Central Wisconsin 1.0437
Gundersen Health Plan 0.6129
Health Tradition Health Plan 0.5573
HealthPartners Health Plan 0.8815
Humana (all plans)2 0.6671
Medical Associates Health Plans 0.6745
MercyCare Health Plans 0.8521
Network Health (all plans)3 0.6998
Physicians Plus  0.9336
Security Health Plan (all plans)4 0.8308
UnitedHealthcare of Wisconsin 0.977
Unity Health Insurance (all plans)5 0.8825
WEA Trust (all plans)6 0.8873

TABLE KEY

Sort columns by clicking on the header.

 

A lower figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Appropriate Treatment for Children with Upper Respiratory Infection (URI)

Measure description:
This is the rate of children with upper respiratory infection who were not given an antibiotic prescription. 

A higher figure means better performance.

Appropriate Treatment for Children with Upper Respiratory Infection (URI)**

Health Plan Rate
Anthem Blue 91.53%
Arise Health Plan 96.03%
Dean Health Insurance (all plans)1 92.70%
GHC of Eau Claire 91.84%
GHC of South Central Wisconsin 97.35%
Gundersen Health Plan 89.39%
Health Tradition Health Plan 93.19%
HealthPartners Health Plan 91.57%
Humana (all plans)2 93.19%
Medical Associates Health Plans 71.01%
MercyCare Health Plans 90.96%
Network Health (all plans)3 95.26%
Physicians Plus  90.79%
Security Health Plan (all plans)4 88.55%
UnitedHealthcare of Wisconsin 93.33%
Unity Health Insurance (all plans)5 91.36%
WEA Trust (all plans)6 90.74%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Care Coordination (survey question #22)

Measure description: 
In a survey, adult health plan members were asked:  “In the last 12 months, how often did your personal doctor seem informed and up-to-date about the care you got from these doctors or other health providers?”

The response options were “never”, “sometimes”, “usually” and “always”.  The result reported is the rate of people that said “always”.

A higher figure means better performance.

Care Coordination
(survey question #22)*

Health Plan Rate
Anthem Blue 60.75%
Arise Health Plan 55.70%
Dean Health Insurance (all plans)1 62.80%
GHC of Eau Claire 53.08%
GHC of South Central Wisconsin 51.02%
Gundersen Health Plan 54.61%
Health Tradition Health Plan 57.79%
HealthPartners Health Plan 54.00%
Humana (all plans)2 54.46%
Medical Associates Health Plans 49.50%
MercyCare Health Plans 55.03%
Network Health (all plans)3 47.06%
Physicians Plus  50.00%
Security Health Plan (all plans)4 57.31%
UnitedHealthcare of Wisconsin 52.44%
Unity Health Insurance (all plans)5 51.58%
WEA Trust (all plans)6 54.77%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Primary Care Physician Rating (survey question #23)

Measure description: 
In a survey, adult health plan members were asked:  “Using any number from 0 to 10, where 0 is the worst personal doctor possible and 10 is the best personal doctor possible, what number would you use to rate your personal doctor?”

The result reported is the rate of people that responded with a “9” or “10”.

A higher figure means better performance.

Primary Care Physician Rating
(survey question #23)*

Health Plan Rate
Anthem Blue 64.84%
Arise Health Plan 66.98%
Dean Health Insurance (all plans)1 72.24%
GHC of Eau Claire 71.08%
GHC of South Central Wisconsin 67.54%
Gundersen Health Plan 73.43%
Health Tradition Health Plan 67.01%
HealthPartners Health Plan 68.65%
Humana (all plans)2 65.75%
Medical Associates Health Plans 76.27%
MercyCare Health Plans 68.69%
Network Health (all plans)3 67.97%
Physicians Plus  66.08%
Security Health Plan (all plans)4 68.05%
UnitedHealthcare of Wisconsin 70.98%
Unity Health Insurance (all plans)5 65.03%
WEA Trust (all plans)6 65.77%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Specialty Care Physician Rating (survey question #27)

Measure description: 
In a survey, adult health plan members were asked:  “We want to know your rating of the specialist you saw most often in the last 12 months. Using any number from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible, what number would you use to rate that specialist?”

The result reported is the rate of people that responded with a “9” or “10”.

A higher figure means better performance.

Specialty Care Physician Rating
(survey question #27)*

Health Plan Rate
Anthem Blue 63.20%
Arise Health Plan 63.74%
Dean Health Insurance (all plans)1 73.30%
GHC of Eau Claire 64.29%
GHC of South Central Wisconsin 61.83%
Gundersen Health Plan 62.34%
Health Tradition Health Plan 58.06%
HealthPartners Health Plan 70.95%
Humana (all plans)2 65.87%
Medical Associates Health Plans 71.47%
MercyCare Health Plans 68.14%
Network Health (all plans)3 63.41%
Physicians Plus  62.26%
Security Health Plan (all plans)4 71.51%
UnitedHealthcare of Wisconsin 63.64%
Unity Health Insurance (all plans)5 66.67%
WEA Trust (all plans)6 62.02%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

Health Plan Rating (survey question #42)

Measure description: 
In a survey, adult health plan members were asked:  “Using any number from 0 to 10, where 0 is the worst health plan possible and 10 is the best health plan possible, what number would you use to rate your health plan?“.

The result reported is the rate of people that responded with a “9” or “10”.

A higher figure means better performance.

Health Plan Rating
(survey question #42)*

Health Plan Rate
Anthem Blue 27.74%
Arise Health Plan 32.91%
Dean Health Insurance (all plans)1 41.08%
GHC of Eau Claire 55.11%
GHC of South Central Wisconsin 50.10%
Gundersen Health Plan 34.09%
Health Tradition Health Plan 28.49%
HealthPartners Health Plan 41.59%
Humana (all plans)2 26.82%
Medical Associates Health Plans 50.24%
MercyCare Health Plans 34.27%
Network Health (all plans)3 36.06%
Physicians Plus  38.19%
Security Health Plan (all plans)4 38.81%
UnitedHealthcare of Wisconsin 32.28%
Unity Health Insurance (all plans)5 44.09%
WEA Trust (all plans)6 48.30%

TABLE KEY

Sort columns by clicking on the header.

 

A higher figure means
better performance.

 

RESOURCES

Meathods UsedReview our methods used for developing these ratings.

Quality resource linksOther Quality Resource links for ratings.

notes:

*The CAHPS Health Plan Survey is a program of the U.S. Agency for Healthcare Research and Quality (AHRQ)
**This is a HEDIS® measure from the National Committee for Quality Assurance (NCQA)
“NA”:  Not Applicable  -  The health plan followed the specifications but the denominator was too small to report a valid rate
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: 10/3/2016 2:40:55 PM