UPHP Repeats as Top Scoring Medicare-Medicaid Plan on CAHPS Overall Rating

Posted on December 12, 2018

MARQUETTE – The Integrated Care Resource Center announced on Wednesday, December 12th that for the second year in a row Upper Peninsula Health Plan (UPHP) has tied for first place in the nation for overall rating of a Medicare-Medicaid Plan (MMP). UPHP was approved by the State of Michigan and the Centers for Medicare & Medicare Services (CMS) to provide the services of a dual eligible program called MI Health Link. The advantages of the MI Health Link program are to make member’s Medicare and Michigan Medicaid benefits work better together. MI Health Link members use one plan and one card for health care, behavioral health care, home and community based services, nursing home care, and medications.

Under the Medicare-Medicaid Financial Alignment Initiative, CMS measures consumer experience in multiple ways, including through beneficiary surveys such as the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Under the capitated financial alignment model, Medicare-Medicaid Plans (MMPs) are required to annually conduct the Medicare Advantage Prescription Drug (MA-PD) CAHPS survey. The MA-PD CAHPS survey is designed to measure important aspects of an individual’s health care experience including the accessibility to and quality of services.

As part of the MA-PD CAHPS survey, respondents are asked to rate their health plan on a scale from 0 to 10, where 0 is the worst health plan possible and 10 is the best health plan possible. The scores below are the percentage of the best possible score each contract earned:

“We are thrilled to be recognized for a second year in a row as one of the top Medicare-Medicaid Health Plans in the nation. The credit for this recognition goes to our hard working staff and network of providers who dedicate themselves to serving our members. It is their effort that is reflected in our member satisfaction via this CAHPS survey,” said UPHP CEO, Melissa Holmquist.

In order to report MA-PD CAHPS in a given year, health plans, including MMPs, must have a minimum of 600 enrollees as of July 1st of the preceding calendar year. In early 2018, surveys were sent to a sample of Medicare-Medicaid Plan enrollees with at least six months of continuous enrollment. Enrollees were asked to evaluate their health care experience over the previous six months. As a result, 41 MMPs participating in nine capitated model demonstrations were able to report CAHPS during the 2018 reporting cycle.

CMS anticipates making additional information regarding 2018 CAHPS results under the Medicare-Medicaid Financial Alignment Initiative available soon. For more information on the MA-PD CAHPS survey see http://www.ma-pdpcahps.org/.

About UPHP

Upper Peninsula Health Plan currently serves nearly 50,000 members across five product lines (Michigan Medicaid, Children with Special Health Care Services, Healthy Michigan Plan, MI Health Link, and Medicare Advantage) and its network exceeds 2,000 providers. Learn more at www.uphp.com.