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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2018 Local High Deductible Health Plan Insurance Program
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2018 It's Your Choice - Local High Deductible Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2018


Local High Deductible Health Plan
Insurance for Employees
and Retirees
(PO7, PO17)


2017 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
Dean Health Insurance (all plans) 1 33
GHC of Eau Claire 33
GHC of South Central Wisconsin  55
HealthPartners Health Plan 44
Medical Associates Health Plans 11
MercyCare Health Plans 22
Network Health 33
Quartz (all plans) 2 33
Security Health Plan (all plans) 3 22
WEA Trust (all plans) 4 44

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.

List of MeasuresAvailable Health Plans and links to plan description pages.

notes:

1.Participating Dean plans include Dean Health Insurance and Dean Prevea360.
2Participating Quartz plans include Community and UW Health. Result is the average of Gundersen, Physicians Plus and Unity ratings that is weighted based on the number of ETF members enrolled in each plan for 2016.
3Participating Security Health plans include Central and Valley.
4.Participating WEA Trust plans include East, Northwest Chippewa Valley, Northwest Mayo Clinic Health System, IYC Access Health Plan, State Maintenance Plan 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: 9/11/2017 4:58:59 PM