2011 Consumer Guide - Medicaid Managed Care in Long Island

Ratings

Health Plan Preventive and Well-Care for Adults and Children Quality of Care Provided to Members with Illnesses Patient Satisfaction with Access and Service Overall Rating
Child and Adolescent Care Women's Preventive Care Maternal Care Adult Preventive Care Care for Respiratory Conditions Diabetes Care Cardiovascular Care Mental Health Satisfaction with Personal Doctor or Nurse Getting Care Needed Overall Satisfaction with Plan
Affinity Health Plan Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average Three stars - above average Two stars - average Two stars - average Two stars - average 67%
Fidelis Care New York Two stars - average One star - below average Two stars - average Two stars - average Two stars - average Two stars - average Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average 67%
HIP (EmblemHealth) One star - below average Three stars - above average Two stars - average Two stars - average Three stars - above average Three stars - above average Three stars - above average Two stars - average Two stars - average Two stars - average One star - below average 73%
Health Plus Three stars - above average Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Three stars - above average Two stars - average One star - below average Two stars - average 73%
Healthfirst PHSP, Inc. Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average 61%
Neighborhood Health Providers Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Three stars - above average Two stars - average One star - below average One star - below average 67%
UnitedHealthcare Community Plan One star - below average One star - below average Two stars - average Two stars - average Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average 64%

Key

More stars mean better health plan performance.

Indicator Rating
Three stars Above average
Two stars Average
One star Below average

Notes

  • Ratings are based on a comparison of plan rates to statewide averages.
  • The Quality ratings are from information submitted by the health plans.
  • Patient Satisfaction ratings are from a member survey conducted for the Department of Health Survey.
  • The quality of care measures used in this guide represent some, but not all of the measures from health plans. For additional information about the individual measures included in each category, please see the New York State Department of Health's website.

Availability