2013 Plan Performance - Medicaid Managed Care in New York City

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 Health Adult Preventive Care Care for Respiratory Conditions Diabetes Care Cardiovascular Care Mental Health Satisfaction with Adult Care Satisfaction with Children's Care
Affinity Health Plan Two stars - average Two stars - average Three stars - above average Two stars - average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average Two stars - average 67%
Fidelis Care New York One star - below average One star - below average Three stars - above average Two stars - average Two stars - average Two stars - average Three stars - above average One star - below average Two stars - average Two stars - average 63%
HIP (EmblemHealth) Three stars - above average Three stars - above average One star - below average Two stars - average Two stars - average Two stars - average Three stars - above average One star - below average Two stars - average Two stars - average 70%
Health Plus (Amerigroup) Three stars - above average Three stars - above average One star - below average One star - below average One star - below average Three stars - above average Two stars - average Three stars - above average Two stars - average Two stars - average 70%
Healthfirst PHSP, Inc. Three stars - above average Three stars - above average Two stars - average Two stars - average Three stars - above average One star - below average Two stars - average Three stars - above average Two stars - average Two stars - average 77%
MetroPlus Health Plan Three stars - above average Three stars - above average One star - below average Two stars - average Two stars - average Two stars - average Three stars - above average One star - below average Two stars - average Two stars - average 70%
UnitedHealthcare Community Plan One star - below average One star - below average Two stars - average One star - below average Three stars - above average Two stars - average Two stars - average Three stars - above average Two stars - average Two stars - average 63%
WellCare of New York One star - below average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average 57%

Key

More stars mean better 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 health plans.
  • Patient Satisfaction ratings are from member surveys conducted by certified vendors for the health plans.
  • Information about quality of care for people living with HIV/AIDS is available at HIV/AIDS Comprehensive Care - Statewide - Medicaid
  • 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