Since 1994, the mission of the Utah Health Data Committee has been “to support health improvement initiatives through the collection, analysis, and public release of health care information.” Part of that mission includes reporting on various Health Maintenance Organizations (HMOs) Preferred Provider Organizations (PPOs) and Managed Care Organizations (MCOs). The 2009 Performance Report for Utah Commercial HMOs, PPOs, Medicaid, and CHIP Health Plans is the 13th such report presented by the Utah Health Data Committee
This report contains information on four commercial HMOs, seven PPOs, two Medicaid HMOs, two Medicaid health plans (Select Access Preferred Provider Network and the fee for service plan), and two Children’s Health Insurance Program (CHIP) HMOs. The four commercial HMOs included in this report represent only a portion of the commercial health plan options that are available in Utah. Only specifically-defined HMOs are required to submit data for this report. However, the four Medicaid health plans and two CHIP HMOs reported here represent all of the coverage options for these populations in Utah. This report contains two types of data, one being quality of care, the second being satisfaction with care.
Data in this report come the 2009 Consumer Assessment of Health Plans Survey (CAHPS®). This survey year only included responses given adults enrolled in the health plans. This section compares PPOs along with Medicaid, Commercial, and CHIP HMOs.
The goal of this report is to provide information for consumers, purchasers and insurance plans about the performance of Utah’s PPOs, Commercial HMOs, Medicaid HMOs, CHIP HMOs, and Medicaid health plans. Consumers and those who purchase health care can use the information to help them make decisions about which plan to choose. Health plans can use the information to assist them in improving the care and services they provide to enrollees. About 70% of Utahns who currently have health insurance are covered by one of the health plans in this report.
This report was released in November 2009 by the Utah Health Data Committee and the Division of Health Care Financing, Utah Department of Health.