Please note, this communication applies to Anthem HealthKeepers Plus, Medallion and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc.

 

Consumer Assessment of Healthcare Providers and Systems (CAHPS®) is an annual standardized survey conducted between January and May to assess consumer experiences with their provider and health plan, received by a random sample of patients. We use the results to measure our performance against our goals and determine the effectiveness of actions implemented to improve.

2021 NCQA Health Plan Star Rating

Survey Measures

2021 Rate

2021 All Affiliates Adult Medicaid Average

2020 NCQA Quality Compass® National Average (All LOB)

Getting Care

Getting Needed Care Composite (% Always or Usually)

85.88%

84.54%

82.96%

Ease of Getting Needed Care (% Always or Usually)

88.21%

86.26%

85.86%

Ease of Seeing a Specialist (% Always or Usually)

83.54%

82.83%

80.11%

Getting Care Quickly Composite (% Always or Usually)

81.85%

82.88%

82.35%

Ease of Getting Urgent Care (% Always or Usually)

83.02%

83.10%

85.03%

Ease of Getting a Check-Up or Routine Care (% Always or Usually)

80.69%

82.66%

79.82%

Satisfaction with Plan Physicians

Rating of Personal Doctor (% 9 or 10)

68.90%

67.80%

69.24%

Rating of Specialist Seen Most Often (% 9 or 10)

64.97%

67.86%

69.47%

Rating of All Healthcare (% 9 or 10)

57.89%

57.70%

57.67%

Coordination of Care (Always or Usually)

83.11%

83.88%

85.14%

Satisfaction with Plan Services

Rating of Health Plan (% 9 or 10)

60.27%

59.68%

62.23%


Providers directly affect over half of the questions used for scoring. HealthKeepers, Inc. offers an online course for providers and office staff designed to teach how to improve communication skills, build patient trust and commitment, and expand your knowledge of the CAHPS Survey. The Improving the Patient Experience course is available at no cost and is eligible for one continuing medical education (CME) credit by the American Academy of Family Physicians. Providers can access the course at
https://www.mydiversepatients.com/le-ptexp.html.

 

If you have any questions about this communication, call Anthem HealthKeepers Plus, Medallion Provider Services at 800‑901‑0020 or Anthem CCC Plus Provider Services at 855‑323‑4687.

 

CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

 

AVA-NU-0542-21



Featured In:
January 2022 Anthem Provider News - Virginia