CAHPS Medicaid – Child

Child Medicaid Enrollees Utah Health Plan Patient Experiences Report

This report describes how satisfied health plan members are with their experiences with the care provided to them. 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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Medicaid Health Plans

Medicaid is a source of health insurance coverage for Utah’s vulnerable populations. Medicaid is a state and federal program that pays for medical services for low-income pregnant women, children, individuals who are elderly or have a disability, parents and women with breast or cervical cancer. To qualify, these individuals must meet income and other eligibility requirements. Contact Medicaid for more information about costs and enrollment.

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 four 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 2018 2016
Healthy U Medicaid 89.7% 84.7% 85.62%
Molina Medicaid 83.6% 85.2% 87.31%
SelectHealth Medicaid 88.7% 90.1% 85.93%
Steward Health Choice 81.8% 81.4% 84.14%
Utah Fee for Service 78.0% ** 79.01%
State Average 83.7% 85.5% 85.3%

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 2018 2016
Healthy U Medicaid 92.1% 92.1% 91.87%
Molina Medicaid 88.9% 90.1% 88.52%
SelectHealth Medicaid 91.4% 87.5% 88.49%
Steward Health Choice 87.6% 91.1% 87.00%
Utah Fee for Service 82.3% ** 84.11%
State Average 87.9% 89.5% 88.4%

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 2018 2016
Healthy U Medicaid 92.9% 93.9% 94.34%
Molina Medicaid 93.0% 92.6% 91.02%
SelectHealth Medicaid 95.7% 94.4% 93.87%
Steward Health Choice 91.2% 93.0% 93.26%
Utah Fee for Service 90.1% ** 92.20%
State Average 92.6% 93.2% 92.8%

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 2018 2016
Healthy U Medicaid ** 87.7% 77.05%
Molina Medicaid ** 88.1% 81.18%
SelectHealth Medicaid 78.7% 84.8% 85.71%
Steward Health Choice ** 82.4% 82.09%
Utah Fee for Service 84.0% ** **
State Average 83.8% 86.5% 81.3%

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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 2018 2016
Healthy U Medicaid 90.8% 89.9% 83.1%
Molina Medicaid 90.7% 89.8% 86.4%
SelectHealth Medicaid 93.4% 93.6% 92.4%
Steward Health Choice 90.4% 89.9% 94.5%
Utah Fee for Service 91.8% ** 91.3%
State Average 91.6% 90.41%

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 2018 2016
Healthy U Medicaid 85.1% 79.1% 80.3%
Molina Medicaid 87.5% 82.6% 86.3%
SelectHealth Medicaid 79.7% 89.0% 87.5%
Steward Health Choice 83.0% 81.7% 79.5%
Utah Fee for Service 82.8% ** 73.3%
State Average 83.6% 82.97%

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 2018 2016
Healthy U Medicaid 96.6% 93.6% 95.9%
Molina Medicaid 95.9% 96.1% 95.0%
SelectHealth Medicaid 97.6% 98.4% 97.5%
Steward Health Choice 93.2% 96.2% 95.5%
Utah Fee for Service 97.3% ** 94.8%
State Average 96.4% 96.20%

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 2018 2016
Healthy U Medicaid 87.5% 86.6% 86.7%
Molina Medicaid 85.3% 87.8% 89.2%
SelectHealth Medicaid 90.6% 92.8% 88.8%
Steward Health Choice 87.0% 80.9% 89.2%
Utah Fee for Service 91.1% ** 78.1%
State Average 88.1% 87.62%

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 % Yes % Yes % Yes
Healthy U Medicaid 81.0% 78.6% 82.7%
Molina Medicaid N/A 81.0% 81.7%
SelectHealth Medicaid N/A 81.5% 83.4%
Steward Health Choice N/A 85.4% 79.5%
Utah Fee for Service 86.2% ** 75.6%
State Average N/A 81.52%

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Data Notes: Data represented in these tables represents data collected Jan-June of the survey year, asking respondents about their care in the previous calendar year.

† National averages are not available for Medicaid plans for the child survey. State averages were calculated and are listed here for reference only.

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

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

 

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