2013 Plan Performance - Managed Long Term Care in the Long Island Region

Ratings

Managed Long Term Care Plan Preventive Care Improvement and Stability Satisfaction with Care Overall Rating
Flu Prevention Patient Safety Advanced Directives Activities of Daily Living Management of Incontinence Quality of Life No Known Emergency Care Rating of Health Plan Rating of Regular Visiting Nurse Rating of Care Manager
Partial Capitation Plans
CenterLight Select Three stars - above average Two stars - average One star - below average Two stars - average Two stars - average Three stars - above average Three stars - above average Two stars - average Two stars - average One star - below average 70%
Elderplan dba Homefirst Two stars - average One star - below average Two stars - average Three stars - above average Three stars - above average Three stars - above average One star - below average One star - below average Two stars - average One star - below average 63%
Elderserve One star - below average Two stars - average One star - below average One star - below average One star - below average Two stars - average Three stars - above average Two stars - average Two stars - average Two stars - average 57%
Fidelis Care at Home Two stars - average Two stars - average Three stars - above average Two stars - average Two stars - average Two stars - average One star - below average Two stars - average Three stars - above average Two stars - average 70%
GuildNet One star - below average Two stars - average Two stars - average Three stars - above average Three stars - above average One star - below average Three stars - above average Two stars - average Two stars - average Three stars - above average 73%
Senior Health Partners Three stars - above average One star - below average Two stars - average Three stars - above average Two stars - average One star - below average One star - below average Two stars - average Two stars - average Three stars - above average 67%
VNS Choice Partial Three stars - above average Two stars - average Two stars - average One star - below average Two stars - average Two stars - average One star - below average Three stars - above average Two stars - average Two stars - average 67%
Wellcare Advocate Partial Three stars - above average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average One star - below average Two stars - average Two stars - average Two stars - average 63%
Medicaid Advantage Plus (MAP)
Elderplan Two stars - average One star - below average Two stars - average Two stars - average Three stars - above average Three stars - above average Two stars - average Two stars - average One star - below average Two stars - average 67%
GuildNet Medicaid Advantage Plus One star - below 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 Two stars - average 67%
Health Insurance Plan Two stars - average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average One star - below average Two stars - average Two stars - average Two stars - average 60%
VNS Choice Plus MAP Two stars - average Two stars - average N/A Two stars - average Two stars - average Two stars - average Two stars - average N/A N/A N/A 67%
Program of All-Inclusive Care for the Elderly (PACE)
CenterLight PACE Three stars - above average Two stars - average Three stars - above 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 83%

Key

More stars mean better plan performance.

Indicator Rating
Three Stars Above Average
Two Stars Average
One Star Below Average
N/A Not able to report due to small numbers

Notes

  • Plan performance data are not available for Aetna Better Health, AgeWell New York, Extended MLTC, HIP MLTC, Integra MLTC, North Shore-LIJ Health Plan, and MHI Healthfirst Complete Care.
  • Ratings are based on a comparison of plan rates to statewide averages. Quality ratings are from information submitted by the Managed Long Term Care Plans. Patient Satisf action ratings and Advanced Directives are from a Department of Health Survey.
  • The quality of care measures used in this guide represent some, but not all, of the measures from Managed Long Term Care plans. For additional information about the individual measures included in each category, as well as other quality of care measures available such as nursing home utilization, please see the New York State Department of Health website.

Availability