Our member satisfaction level is determined by members like you. We participate in the nationally standardized member satisfaction survey – known as CAHPS – every year.
The Agency for Healthcare Research and Quality and the National Committee for Quality Assurance (NCQA) have developed a health plan member survey called the Consumer Assessment of Healthcare Providers and Systems (CAHPS). CAHPS is a tool for measuring health plan member satisfaction.
Across the country, health plans work to achieve a rating of five on a scale of 1 to 5. The survey asks members about:
- claims processing
- customer service
- health care services
It gathers information from members so health plans around the country can compare performance.
Prevea360 Health Plan scored a 4 or a 5 out of 5 on the following Commercial consumer experience survey questions in NCQA’s Health Plan Ratings for 2023:
Member Satisfaction Survey | NCQA rating out of 5 |
---|
Rating of specialists | 5 |
Rating of all health care | 4 |
Coordination of care | 4 |
Annual flu vaccine | 4 |
Quality of care
HEDIS ratings
For 2023 Dean Health Plan was rated a 4 or 5 out of 5 on the following Commercial quality measures in NCQA’s Private Health Insurance Plan Ratings 2023:
Prevention & screening | NCQA rating out of 5 |
---|
Childhood immunizations
| 5
|
Adolescent immunizations
| 4
|
Prenatal immunizations
| 5
|
Prenatal care
| 5
|
Postpartum care | 4
|
Breast cancer screening
| 4 |
Cervical cancer screening
| 5 |
Colorectal cancer screening | 4 |
Weight assessment and counseling for children/adolescents: BMI percentile assessment | 5 |
Diabetes care
|
|
---|
Patients with diabetes – blood pressure control | 5 |
Patients with diabetes – eye exams | 5 |
Patients with diabetes – glucose control
| 4 |
Patients with diabetes – receive statins
| 4 |
Patients with diabetes - staying on statins
| 5 |
Heart disease |
|
---|
Patients with cardiovascular disease - staying on statins | 5 |
Controlling high blood pressure | 5 |
Treatment & screening |
|
---|
Appropriate testing and care for a sore throat | 5 |
Appropriate treatment for upper respiratory infection | 5 |
Appropriate antibiotic use for acute bronchitis | 4 |
Steroid after hospitalization for acute COPD | 4 |
Behavioral health & AOD services |
|
---|
Follow-up after emergency department visit for mental illness – within 7 days
| 4 |
Follow-up after emergency department visit for substance abuse disorder – within 7 days
| 4 |
Follow-up after emergency department visit for mental illness - within 7 days
| 5 |
Patients with new episode of depression – medication adherence for 6 months
| 4 |
Adherence to antipsychotic medications for individuals with schizophrenia
| 5 |
Patients with opioid use disorder – medication adherence for 6 months | 4 |
First-line psychosocial care for youth on antipsychotic medications | 4 |
Other |
|
---|
Appropriate use of imaging studies for low back pain | 4 |