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PHOM Indicator Profile Report of Managed Care (CAHPS) Survey: Patient Ratings of Health Plan Experience

Why Is This Important?

Experience is not the same as satisfaction. Patient experience surveys such as CAHPS sometimes are mistaken for customer satisfaction surveys. Patient experience surveys focus on how patients experienced or perceived key aspects of their care, not how satisfied they were with their care. Patient experience surveys such as CAHPS focus on asking patients whether or how often they experienced critical aspects of health care, including communication with their doctors, understanding their medication instructions, and the coordination of their health care needs. They do not focus on amenities. The Utah Department of Health (UDOH) Office of Health Care Statistics (OHCS) implements and administers several different patient experience surveys. These surveys ask patients (or in some cases their families) about their experiences with, and ratings of, their health care providers and plans, including hospitals, home health care agencies, doctors, and health and drug plans, among others. The surveys focus on matters that patients themselves say are important to them and for which patients are the best and/or only source of information.

Percentage of Enrollees in Medicaid or Commercial Health Plans Who Rated Their Health Plan Experience an 8, 9, or 10, Utah and U.S. Adults, 2003-2015

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Data Source

Consumer Assessment of Health Plans Survey, Office of Health Care Statistics, Utah Department of Health

Data Notes

Odd-year surveys are for adult enrollees of Utah health plans, while the even-year surveys are for child enrollees. Medicaid is a source of health insurance coverage for Utah's vulnerable populations. Medicaid is a state and federal program that pays for medical services for low-income pregnant women, children, individuals who are elderly or have a disability, parents, and women with breast or cervical cancer. To qualify, these individuals must meet income and other eligibility requirements. Commercial health insurance is defined as any type of health benefit not obtained from Medicare or Medicaid plans. The insurance may be employer-sponsored or privately purchased. Commercial health insurance may be provided on a fee-for-service basis or through a managed care plan.   [[br]] [[br]] The percentage of respondents who rated their health plan experience an 8, 9, or 10 was calculated for Medicaid, commercial HMOs, and commercial PPOs to derive the values presented for 2003-2013. For 2015 forward, commercial HMOs and PPOs have been combined into one category, "All Commercial".

What Is Being Done?

The Utah Department of Health Office of Health Care Statistics produces and releases a "Patient Experience Report of Utah Health Plans" every year with updated CAHPS survey results and other HEDIS (Healthcare Effectiveness Data and Information Set) measures. These can be viewed and downloaded at [http://stats.health.utah.gov/about-the-data/health-plan-quality/].

Date Indicator Content Last Updated: 03/16/2017


Other Views

The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 24 April 2018 2:27:18 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 26 May 2017 10:19:46 MDT