Sources: Ohio Department of Medicaid and Health Policy Institute of Ohio
The second annual managed care report card for Ohio Medicaid managed care plans was released on August 17 continuing the state’s effort to inform consumers and provide incentive for the health plans to improve their services. Nearly 80% of the 3 million Ohioans enrolled on Medicaid are insured through one of the five private managed care plans.
The Ohio Department of Medicaid uses data provided by the plans and patient surveys to evaluate each plan on the following: access to care, doctors’ communication and service, keeping kids healthy, managing illness, and women’s health.
The state hopes the tool will help beneficiaries choose coverage that best fits their family’s needs. Half of those in managed care pick their health care plan and half are auto-enrolled.
The plans received one, two, or three stars in each of five categories: access to care, doctors’ communication and service, keeping kids healthy, helping those living with chronic illness, and women’s care. The plans are rated based on comparisons with one another so all cannot receive the highest score or the lowest one.
CareSource received the highest marks, earning 13 of a possible 15 stars, and up from 11 stars last year. Buckeye Health Plan got the lowest score, eight, unchanged from last year. Molina Healthcare received 12 stars and Paramount Advantage and United Healthcare each got 10.
For additional information, read the article “State’s Managed Health Care Plans Score Average or Better on Report Card” in The Columbus Dispatch.