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Commercial HMO Quality and Access of Care

HMOs are a form of managed health care in which the health plan coordinates the care an individual may require. This care occurs using a network of doctors, hospitals, and clinics. The prices are fixed and help keep the costs of health care lower.

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 graphs represent the percentage of health plan members who gave their health plan a score of “usually” or” always” on this measure.



Getting Care Quickly:

Why is this measure important?

This measure asks Utahns how often they received their care quickly.

How is it measured?

This measure is created by combining different questions about “getting care quickly”; Utahns reply with "never,” "sometimes,” "usually," or "always.”

About the graph:

The graph represents the percentage of health plan members who gave their health plan a score of “usually” or” always” on this measure.


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Getting Needed Care

Why is this measure important?

This measure asks Utahns how often they received the care they needed.

How is it measured?

This measure is created by combining different questions about “getting needed care,” Utahns reply with "never,” "sometimes,” "usually," or "always."

About the graph:

The graph represents the percentage of health plan members who gave their health plan a score of “usually” or” always” on this measure.

 

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Doctor's Communication

Why is this measure important?

This measure asks Utahns how often their doctors listened and communicated well.

How is it measured?

This measure is created by combining different questions about how well “doctors communicate with their patients.” Utahns reply with "never,” "sometimes,” "usually," or "always.”

About the graph:

The graph represents the percentage of health plan members who gave their health plan a score of “usually” or” always” on this measure.

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Customer Service

Why is this measure important?

This measure asks how often customer service representatives are helpful, as well as respectful.

How is it measured?

This measure is created by combining different questions about how often health plans provide “customer service” well. Utahns reply with "never,” "sometimes,” "usually," or "always.”

About the graph:

The graph represents the percentage of health plan members who gave their health plan a score of “usually” or” always” on this measure.

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Claims Processing

Why is this measure important?

This measure asks how often a health plan processes claims effectively.

How is it measured?

This measure is created by combining different questions about how well health plans handle “claims processing.” Utahns reply with "never,” "sometimes,” "usually," or "always.”

About the graph:

The graph represents the percentage of health plan members who gave their health plan a score of “usually” or” always” on this measure.

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