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 2010 Performance Report for Utah Commercial HMOs, PPOs, Medicaid, and CHIP Health Plans is the 14th such report presented by the Utah Health Data Committee.
This report contains information on three commercial HMOs, eight 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 three 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: quality of care, and patient satisfaction with care.
Data in this report were obtained using the 2010 Consumer Assessment of Health Plans Survey (CAHPS®), for more information please refer to the About The Survey section. This survey year included only responses given by caregivers of children 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 best meets their needs. Health plans can use the information to assist them in improving the care and services they provide to enrollees. About 65% of Utahns who currently have health insurance are covered by one of the health plans in this report.
Many different groups contributed to the data collection, analysis, and writing of this report. These include groups within the Utah Department of Health -- Division of Medicaid and Health Financing, the Utah Health Data Committee -- as well as representatives of the participating Medicaid health plans, HMOs and PPOs.