Commercial Quality and Access of Care

Performance measures represent two to four questions asked in the survey. These questions are on a scale that includes "never", "sometimes", "usually", and "always". The charts show the percentage of members who gave their plan a score of "usually" or "always" on these performance measures..

REMEMBER: Differences between HMOs may be caused by differences in performance OR by differences in data collection.

Higher HMO score is significantly above the average for Utah Commercial HMOs
     Average HMO score is neither higher nor lower than the Utah Commercial HMO average
        Lower HMO score is significantly below the average for Utah Commercial HMOs

 

Getting Care Quickly

Altius	Cigna	HealthWise	Select Health	United	State Average	National Average
87.4%	80.4%	87.3%	85.1%	82.9%	84.6%	83.1%

 

 

 

 

 

Questions that make up: Getting Care Quickly

• In the last 12 months, when you needed care right away, how often did you get care as soon as you thought you needed?
• In the last 12 months, not counting the times you needed care right away, how often did you get an appointment for your health care at a doctor’s office or clinic as soon as you thought you needed?

 

Claims Processing

Altius	Cigna	HealthWise	Select Health	United	State Average	National Average
90.5%	82.2%	81.0%	90.2%	76.8%	84.1%	86.0%

 

 

 

 

 

Questions that make up: Claims Processing

• In the last 12 months, how often did your health plan handle your claims quickly?
• In the last 12 months, how often did your health plan handle your claims correctly?

 

How Well Doctors Communicate

Altius	Cigna	HealthWise	Select Health	United	State Average	National Average
96.4%	87.8%	93.2%	93.2%	95.2%	93.1%	92.8%

 

 

 

 

 

 

Questions that make up: How Well Doctors Communicate

• In the last 12 months, how often did your personal doctor explain things in a way that was easy to understand?
• In the last 12 months, how often did your personal doctor listen carefully to you?
• In the last 12 months, how often did your personal doctor show respect for what you had to say?
• In the last 12 months, how often did your personal doctor spend enough time with you?

 

Getting Needed Care

Altius	Cigna	HealthWise	Select Health	United	State Average	National Average
83.8%	75.8%	79.3%	82.5%	81.2%	80.5%	84.2%

 

 

 

 

 

Questions that make up: Getting Needed Care

• In the last 12 months, how often was it easy to get appointments with specialists?
• In the last 12 months, how often was it easy to get the care, tests, or treatment you thought you needed through your health plan?