CAHPS CHIP

Utah Health Plan Patient Experiences Report

The Utah Health Data Committee is pleased to present the 2019 Utah Health Plan Patient Experiences Report. This report describes how satisfied health plan members are with their experiences with the care provided to their children. These data come from an annual survey entitled the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. The purpose of the report is to give consumers and purchasers information they can use to make an informed decision when selecting a health plan.

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CHIP Health Plans

The Children’s Health Insurance Program (CHIP) is a state health insurance plan for children. Depending on income and family size, working Utah families who do not have other health insurance may qualify for CHIP. Children who may qualify for CHIP must meet income guidelines and be under age 19; not currently covered by health insurance; and US citizens or legal residents. The responses in this section are from the caregivers of children enrolled in the program. Contact CHIP for more information about costs and eligibility.

There are two different types of measures for the CAHPS Survey: ratings and composite measures.

For the ratings, four questions assess overall consumer satisfaction with health care, personal doctor, specialist seen most often, and health plan. Response options for overall rating questions range from 0 (worst) to 10 (best). In the results below, ratings of 8, 9, or 10 are considered achievements, and the achievement score is presented as the proportion of members whose response was an achievement.

A composite score is calculated for each of five domains of member experience: Getting Needed Care, Getting Care Quickly, How Well Doctors Communicate, and Customer Service. The composite scores provide a summary assessment of how the plan performed across the domain. In the tables below, proportions of positive responses are reported as achievement scores. Responses of “Usually” or “Always” are considered achievements.


Health Plan Rating

In the table below, ratings of 8, 9, or 10 are considered achievements, and the achievement score is presented as the percentage of members whose response was an achievement by year. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018 2017 2016
Molina CHIP 81.6% 77.7% 84.0% 81.3% 81.1%
SelectHealth CHIP 77.8% 77.4% 83.6% 81.4% 78.4%
National Average __ 86.49% 86.32 85.84% 79.7%

Health Care Rating

In the table below, ratings of 8, 9, or 10 are considered achievements, and the achievement score is presented as the percentage of members whose response was an achievement by year. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018 2017 2016
Molina CHIP 85.6% 86.1% 91.6% 87.6% 85.9%
SelectHealth CHIP 88.8% 90.9% 93.2% 91.0% 88.0%
National Average 87.3% 87.53 87.02 86.72% 87.1%

Doctor Rating

In the table below, ratings of 8, 9, or 10 are considered achievements, and the achievement score is presented as the percentage of members whose response was an achievement by year. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018* 2017 2016
Molina CHIP 93.3% 95.3% 95.1% 91.5% 90.2%
SelectHealth CHIP 93.9% 94.5% 95.8% 94.4% 94.1%
National Average 93.6% 90.05 89.47 89.27% 92.3%

Specialist Rating

In the table below, ratings of 8, 9, or 10 are considered achievements, and the achievement score is presented as the percentage of members whose response was an achievement by year. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018* 2017 2016
Molina CHIP ** 90.3% 94.1% N/A 84.6%
SelectHealth CHIP ** 87.9% 90.7% N/A 89.4%
National Average % 87.45 87.03 87.3% 87.0%

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Getting Care Quickly Composite

Questionnaire items which contribute to this composite:

(1) In the last 6 months, when you needed care right away, how often did you get care as soon as you needed?; and (2) In the last 6 months, when you made an appointment for a check-up or routine care at a doctor’s office or clinic, how often did you get an appointment as soon as you needed?

In the tables below, percentages of positive responses are reported as achievement scores. Responses of “Usually” or “Always” are considered achievements. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018 2017 2016
Molina CHIP 81.5% 86.7% 79.4% 81.9% 78.3%
SelectHealth CHIP 84.2% 87.4% 88.4% 89.7% 91.3%

Getting Needed Care Composite

Questionnaire items which contribute to this composite:

(1) In the last 6 months, how often was it easy to get the care, tests, or treatment you needed?; and (2) In the last 6 months, how often did you get an appointment to see a specialist as soon as you needed?

In the tables below, percentages of positive responses are reported as achievement scores. Responses of “Usually” or “Always” are considered achievements. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018 2017 2016
Molina CHIP 81.5% 86.7% 79.4% 81.9% 78.3%
SelectHealth CHIP 84.2% 87.4% 88.4% 89.7% 91.3%

Doctor Communication Composite

Questionnaire items which contribute to this composite:

(1) In the last 6 months, how often did your personal doctor explain things about your health in a way that was easy to understand?; (2) In the last 6 months, how often did your personal doctor listen carefully to you?; (3) In the last 6 months, how often did your personal doctor show respect for what you had to say?; and (4) In the last 6 months, how often did your personal doctor spend enough time with you?

In the tables below, percentages of positive responses are reported as achievement scores. Responses of “Usually” or “Always” are considered achievements. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018 2017 2016
Molina CHIP 96.6% 92.4% 95.5% 94.2% 93.0%
SelectHealth CHIP 97.8% 97.5% 96.7% 98.7% 97.1%

Customer Service Composite

Questionnaire items which contribute to this composite:

(1) In the last 6 months, how often did customer service at your health plan give you the information or help you needed? ; and (2) In the last 6 months, how often did customer service staff at your health plan treat you with courtesy and respect?

In the tables below, percentages of positive responses are reported as achievement scores. Responses of “Usually” or “Always” are considered achievements. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018 2017 2016
Molina CHIP 90.6% 82.8% 87.5% 82.2% 90.7%
SelectHealth CHIP 87.1% 87.7% 89.2% 89.7% 93.9%

Shared Decision Making Composite

Questionnaire items which contribute to this composite:

(1) Did you and a doctor or other health provider talk about the reasons you might want your child to take a medicine?; (2) Did you and a doctor or other health provider talk about the reasons you might not want your child to take a medicine?; and (3) When you talked about your child starting or stopping a prescription medicine, did a doctor or other health provider ask you what you thought was best for your child?

In the table below, percentages of positive responses of “Yes” are reported as achievement scores. Only rates for plans which currently operate in the state of Utah are included.

Plan 2020 2019 2018 2017 2016
Molina CHIP 81.6% 77.6% 75.9% 81.2% 79.9%
SelectHealth CHIP N/A 83.5% 75.8% 80.1% 78.6%

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Data Note: Data represented in these tables represents data collected Jan-June of 2019, asking respondents about their care in the 2018 calendar year.

* Due to small numerators, please interpret results with caution.

** Due to a small sample size, this plan’s data did not meet reporting requirements.

 

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Content updated November 2020