2006 Wisconsin Medicaid HMO Report Card

PDF (23 KB)

Key:
	Above average
	Average
	Below average
N/A	Not applicable—not enough data to score the HMO on this measure.

Wisconsin Medicaid and BadgerCare 2006 HMO Report Card
	Health Care					Consumer Satisfaction
	Health Checks EPSDT**	Shots	Lead Screens	Pap Tests	MH/DA Evaluation	Customer Service	Getting Needed Care	Health Plan	Health Care
Abri Health Plan	N/A	N/A	N/A
Children's Community Health Plan	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
CompCare
Dean Health Plan
Group Health Cooperative — Eau Claire
Group Health Cooperative — South Central		N/A
Health Tradition Health Plan
MercyCare HMO
Managed Health Services
Network Health Plan
Security Health Plan
UnitedHealthcare
Unity Health Plan		N/A
Range of scores (low - high)	74-95%	28.1-91.4%	47.7-77.3%	15.6-41.9%	1.5-11.3%	58.8-80.9%	80.0-92.0%	7.68-8.75*	8.53-8.92*

There are many things to think about when choosing an HMO. Which HMO performs the best in areas of care and service that are important to you? What do people think about their HMO?

The HMO Report Card can help you make this important choice. It compares one HMO to another in five areas of health care and four areas of enrollee satisfaction. They are:

The health care ratings are based on information about services HMOs provided to Medicaid and BadgerCare enrollees. The satisfaction ratings are based on a survey of Medicaid and BadgerCare HMO enrollees. “HMO customer service,” shows how enrollees rated the way their HMO handled questions or problems. “Getting needed care,” shows how they rated their ability to get an appointment for the care they needed. “The HMO” shows how enrollees rated their HMO overall, and “HMO health care” shows how they felt about the quality of care they received.

Each HMO is rated on a scale of one to three stars. One star means the HMO scored below the average score of the other HMOs. Two stars mean the score was average. Three stars mean the HMO scored above average. A below-average score does not mean that the HMO provides poor care or bad service. It means that the HMO scored below average compared to other HMOs. An HMO is shown as above or below the average only when the difference is large enough to show a true difference in performance.

The range of scores is shown at the bottom of the table. This shows the lowest and highest scores on each item. This shows that in some cases, the differences between the scores for above average, average and below average can be quite small, quite large in others.

For more information about HMOs, call the HMO Enrollment Specialist at 1-800-291-2002.