The insurers are measured across five reporting categories including: Getting Care, Doctor Communication and Service, Keeping Children Healthy, Living with Illness and Women’s Health.
PREVIOUS COVERAGE: CareSource gets latest report card from state
| CareSource's 2019 report card | ||
|---|---|---|
| Ohio Medicaid could give CareSource up to five stars in five performance areas. | ||
| Performance area | 2018 | 2019 |
| Getting care | 3 | 3 |
| Doctor's communication and service | 3 | 4 |
| Keeping kids healthy | 4 | 3 |
| Living with illness | 1 | 3 |
| Women's health | 3 | 5 |
| Source: Ohio Medicaid |
CareSource and Paramount Advantage both received 18 stars across five different categories. Molina Healthcare received 15, Buckeye Health Plan received 14, and UnitedHealthcare Community Plan received 10.
“Ranking high in quality demonstrates how CareSource puts our members first,” said Steve Ringel, CareSource Ohio market president. “As a leader in quality, CareSource is proud to bring value-based care to our members and all Medicaid enrollees.”
The state gave CareSource three out of five stars for keeping children healthy with care like immunizations, dental visits, and well-child visits and whether kids received the behavioral health care they need.
CareSource got four stars for doctor’s communication and service, which is measured by how happy members are with their doctors and how well members are involved by doctors in decisions about their care.
MORE: 6 Montgomery County projects aimed at preventing infant deaths
CareSource also got three stars for how well members get access to care when they need it. It also got three stars for how well the plan provides care for people living with illness like diabetes, asthma, depression or addiction.
CareSource scored the best with the women’s health category, where the insurer received five stars for whether women receive tests that screen for female cancers and infections and if women receive care before and after their babies are born.
Each insurer is responsible for collecting and auditing their own survey outcomes and turning over the results to an outside Ohio Medicaid vendor Health Services Advisory Group, which develops the rating system used in the report card.
About the Author