Posts Tagged ‘Medicare-Medicaid Plan’
Marquette, Mich. – The Integrated Care Resource Center announced this week that Upper Peninsula Health Plan (UPHP) MI Health Link (MHL) has once again been named one of the top scoring Medicare-Medicaid Plans (MMPs) in the nation for overall health plan rating. This marks the fourth year in a row that UPHP MHL has received this top honor out of a group of more than 40 MMPs participating in demonstration regions across the United States.
UPHP MHL is a health care option for adults over the age of 21 who are enrolled in both Medicare and Michigan Medicaid. UPHP was approved by the State of Michigan and the Centers for Medicare and Medicaid Services (CMS) to provide the services for Upper Peninsula residents who are eligible for the program. UPHP MHL members use one plan and one ID card for health care, behavioral health care, home-and community-based services, nursing home care, and medications. Additionally, members are assigned their own UPHP Care Coordinator to help them create a personal care plan, making getting care easier and more effective.
“We’re incredibly proud to be recognized as one of the top plans in nation every year since Michigan began participating in the Medicare-Medicaid Financial Alignment Initiative (FAI) – something no other plan has done nationally. It is our dedicated staff and provider network who deserve the credit for this recognition. Their passion for serving our members is what is reflected in our member satisfaction survey,” said UPHP Chief Executive Officer, Melissa Holmquist. “We’re also proud to see two other Michigan plans amongst the top; it really shows that Michigan is leading the nation when it comes to health care.”
Each year, CMS measures consumers experience and satisfaction with their MMP in multiple ways, including through beneficiary surveys such as the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. UPHP is required to administer the CAPHS survey annually, which is designed to measure important aspects of an individual’s health care experience, including access to care and quality of services.
As part of the CAHPS survey, respondents (who are required to have at least six months of continuous enrollment to participate) were 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. UPHP MHL missed full ownership of the top spot by just a few decimal points.
| MMP | State | Score (Out of 100) |
|---|---|---|
| Healthspring Life & Health Insurance Company | TX | 92 |
| Upper Peninsula Health Plan | MI | 92 |
| Amerigroup Texas | TX | 90 |
| Healthfirst | NY | 90 |
| AmeriHealth Michigan | MI | 89 |
| Neighborhoods Health Plan of RI | RI | 89 |
| UnitedHealthcare Community Plan of Texas | TX | 89 |
| HAP Midwest | MI | 89 |
Health plans, including MMPs, must have a minimum of 600 enrollees as of July 1 of the preceding calendar year in order to report CAHPS. CMS anticipates making additional information regarding 2019 CAHPS results under the Medicare-Medicaid FAI available soon. For more information on the CAHPS survey, visit http://www.ma-pdpcahps.org/. More information on the Medicare-Medicaid FAI can be found on the CMS website.
Upper Peninsula Health Plan currently manages the care of nearly 50,000 Upper Peninsula residents enrolled in Michigan Medicaid, Children’s Special Health Care Services, the Healthy Michigan Plan, MI Health Link, and Medicare Advantage. Its network exceeds 2,000 providers. Learn more at www.uphp.com.
MARQUETTE – The Integrated Care Resource Center announced on Wednesday, December 13th that Upper Peninsula Health Plan (UPHP) 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 advantage of the MI Health Link program is 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 that our members have positively rated our health plan to allow us this esteemed recognition. Managing the care for members who are dually enrolled in a Medicare-Medicaid Plan has its challenges. We do our best to keep our members satisfied with the services we provide, and it is wonderful to have their satisfaction reflected in the CAHPS score,” said UPHP President and CEO, Dennis Smith.
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 2017, surveys were sent to a sample of MMP 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, 45 MMPs participating in nine capitated model demonstrations were able to report CAHPS during the 2017 reporting cycle.
CMS anticipates making additional information regarding 2017 CAHPS results under the Medicare-Medicaid Financial Alignment Initiative available soon.
About UPHP
Upper Peninsula Health Plan currently serves over 47,000 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 1,500 providers. Learn more at www.uphp.com.