Friday, December 7, 2007

Miltary Medicine rated tops in nation in managed family care

If this is the case, then why is the federal government against Universal health care, according to these statistics they already run the best managed program in the nation, why not expand it to all Americans? I used military healthcare for 15 years before moving into the VA healthcare system, I have always received excellent healthcare, claims processing is a whole different subject. Kind of lot doctors and Medicare the doctors treat you great, and you fight with Medicare over the bills.

Medical News Today

Assessed independently with the most widely used set of performance measures in the managed care industry, a community-based healthcare plan for military families has achieved 2007 national member satisfaction ratings among the highest of all managed care organizations (MCOs) in America. The US Family Health Plan, a managed care (TRICARE Prime) option within the government's military health benefits system, was evaluated against a protocol known as the Health Plan Employer Data & Information Set (HEDIS®) through a methodology called the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 4.0H Survey.

The CAHPS Survey methodology - the most comprehensive tool for measuring consumer satisfaction with health plans - was developed jointly by the Agency for Healthcare Research (AHRQ) and The National Committee for Quality Assurance (NCQA). Designed to produce standardized results, the CAHPS Survey measures the members' experience with health plan care and service over the preceding 12 months.

A random sample of 4,372 US Family Health Plan members, representing all six hospital and physician networks contracted with the Department of Defense (DoD) to deliver care through the Plan, rated their overall satisfaction with the Plan, its customer service and their utilization of its healthcare services. On a scale of 0 to 10 (with 10 as the best possible rating), 87.9 percent of the US Family Health Plan members rated their overall satisfaction with the Plan as an 8, 9 or 10. The national average for member satisfaction with health plans, based on the 251 plans documented by the NCQA in its Quality Compass 2007 Public Report, is 63.2 percent.

"Compared to the Quality Compass benchmark, the US Family Health Plan's national scores significantly exceed the benchmark in all rating areas for the core population, which includes survey respondents of all ages," said David Bahlinger, director of analytics and research for The Myers Group of Snellville, Ga., an NCQA-certified HEDIS survey vendor that administered the study of the US Family Health Plan members. "Additionally, the US Family Health Plan scores for members ages 18-64 are significantly higher in all four rating areas (including the Plan, its health care, its primary care doctors and specialists) and in members' reported ability to get needed care and get care quickly."

The US Family Health Plan members' satisfaction rating for claims processing also significantly surpasses the Quality Compass benchmark. Further, members continue to report strong satisfaction with the Plan's customer service.

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