Quality Performance Ratings
While cost is a consideration in choosing a health plan, most people believe quality is more important. Our
Quality Counts report tells you what you need to know about the quality of Rocky Mountain Health Plans’ (RMHP) care and service to help you select the best plan for you.
Quality Counts is the RMHP quality report for employer group HMO plans. It includes our Health Plan Effectiveness Data and Information Set (HEDIS®) measures as reported to the National Committee for Quality Assurance (NCQA).
HEDIS® is the nation’s premier measurement tool for managed care quality and service. Its set of standardized performance measures are designed to make sure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans nationwide.
The scope of the NCQA HEDIS® Compliance Audit includes:
• Effectiveness of Care
• Access/Availability of Care
• Satisfaction with the Experience of Care
• Health Plan Stability
• Use of Services
• Cost of Care
• Informed Health Care Choices
• Health Plan Descriptive Information |
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After undergoing a full audit, RMHP has received the HEDIS® NCQA compliance audit seal for 2007 and is currently in the process of its 2008 assessment.
For more information regarding NCQA or HEDIS®, visit www.ncqa.org. To learn more about the flexible health plans we offer please contact us today.
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Quality Counts
"Quality Counts" is a Rocky Mountain Health Plans quality report for commercial HMO and POS benefit plans. It includes our Health Plan Employer Data and Information Set (HEDIS) measures as reported to the National Committee for Quality Assurance (NCQA).
HEDIS is the nation's premier measurement tool for managed care quality and service. It is a set of standardized performance measures designed to make sure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans.
While cost is a consideration in choosing a health plan, most people would say quality is more important. "Quality Counts" tells you what you need to know about the quality of Rocky Mountain Health Plans care and service to help you select the best plan for you. For more information regarding NCQA or HEDIS, visit www.ncqa.org.
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Medicaid
The State of Colorado provides health care services to Medicaid clients through various contractual arrangements. Rocky Mountain Health Plans is one of the Colorado health plans in which Medicaid clients may enroll for access to medical services on the Western Slope. Enrollment in Colorado Medicaid occurs through county social services departments and Colorado Medicaid's enrollment contractor, HealthColorado.
As reported by the State of Colorado, HealthColorado program, the Rocky Mountain Health Plans Medicaid and Child Health Plan Plus Program (CHP+) continually receive the highest approval ratings in all program categories, including Overall Rating of Health Plan. This achievement signifies the commitment Rocky Mountain Health Plans has taken to provide quality health care services to the underserved in Colorado.
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Medicare
The Medicare Advantage Consumer Assessment of Health Plans Study (MA-CAHPS) is an annual survey conducted by the Center for Medicare and Medicaid Services (CMS), the federal agency that oversees the Medicare program. Although Rocky Mountain Health Plans is not a Medicare Advantage plan, this survey compares RMHP to Medicare Advantage plans throughout Colorado. Another important CMS evaluation is the Medicare Health Outcomes Survey. By assessing the experience and satisfaction of Medicare beneficiaries, these two surveys provide valuable insights into the CMS health care system. For additional information regarding these surveys, please contact Rocky Mountain Health Plans.