This measure provides information on the experiences of commercial and Medicaid members with the organization and gives a general indication of how well the organization meets members’ expectations. Results summarize member experiences through ratings, composites and question summary rates.
Four global rating questions reflect overall satisfaction:
- Rating of All Health Care.
- Rating of Health Plan.
- Rating of Personal Doctor.
- Rating of Specialist Seen Most Often.
Five composite scores summarize responses in key areas:
- Claims Processing (commercial only).
- Customer Service.
- Getting Care Quickly.
- Getting Needed Care.
- How Well Doctors Communicate.
NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS) is the premier tool for monitoring the quality of health plan care. HEDIS Volume 3: Specifications for Survey Measures includes surveys and protocols for the CAHPS 5.1H Survey. Order HEDIS Volume 3: Specifications for Survey Measures today. To learn more about CAHPS, visit the Agency for Healthcare Research and Quality (AHRQ) visit the  website at: https://www.ahrq.gov/cahps
Historical Results – National Averages
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