2012 Plan Performance - Managed Long Term Care in New York City

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 Healthcare Select MLTC Three stars - above average Three stars - above average One star - below average Two stars - average Two stars - average Three stars - above average Three stars - above average One star - below average Two stars - average Two stars - average 73%
ElderServe Health, Inc. One star - below average Two stars - average N/A Two stars - average Two stars - average Two stars - average Three stars - above average N/A N/A N/A 67%
Fidelis Care at Home Two stars - average Two stars - average Three stars - above average Two stars - average Two stars - average One star - below average One star - below average Two stars - average Three stars - above average Two stars - average 67%
GuildNet One star - below average Three stars - above 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%
HealthPlus, an Amerigroup Company MLTC Two stars - average One star - below average One star - below average One star - below average Two stars - average One star - below average One star - below average Two stars - average One star - below average Two stars - average 47%
HHH Choices Health Plan, LLC Two stars - average One star - below average One star - below average Two stars - average One star - below average One star - below average Two stars - average Two stars - average Two stars - average Two stars - average 53%
HomeFirst One star - below average Two stars - average One star - below average Three stars - above average Three stars - above average Three stars - above average Two stars - average One star - below average Two stars - average Two stars - average 67%
Independence Care System One star - below average Two stars - average Two stars - average Two stars - average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average Two stars - average 60%
Senior Health Partners A Healthfirst Company Two stars - average One star - below average Two stars - average Two stars - average One star - below average One star - below average Two stars - average Two stars - average Two stars - average Two stars - average 57%
VNSNY CHOICE Managed Long Term Care Three stars - above average Three stars - above average Two stars - average One star - below average One star - below average Two stars - average One star - below average Two stars - average Two stars - average Two stars - average 63%
WellCare Advocate MLTC Three stars - above average One star - below average One star - below average Three stars - above average One star - below average Two stars - average One star - below average Two stars - average One star - below average Two stars - average 57%
Medicaid Advantage Plus (MAP)
Elderplan, Inc. Two stars - average Two stars - average N/A Two stars - average Three stars - above average Three stars - above average Two stars - average N/A N/A N/A 78%
Guildnet Gold One star - below 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 Two stars - average 67%
HIP MAP-MLTC One star - below average Two stars - average N/A Two stars - average Two stars - average Two stars - average Two stars - average N/A N/A N/A 61%
Senior Whole Health of New York MAP Three stars - above average One star - below average Two stars - average Two stars - average Two stars - average One star - below average Two stars - average Three stars - above average Two stars - average Three stars - above average 70%
VNSNY CHOICE Total 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%
Wellcare Advocate Complete 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)
ArchCare Senior Life Three stars - above average Three stars - above average N/A One star - below average Two stars - average Two stars - average Three stars - above average N/A N/A N/A 78%
Centerlight Healthcare PACE Three stars - above average Three stars - above average Three stars - above average Two stars - average Three stars - above average Three stars - above average Three stars - above average Three stars - above average Three stars - above average Three stars - above average 97%

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 VillageCareMAX, HIP MLTC, Fidelis Medicaid Advantage Plus, Healthfirst Complete Care, and HealthPlus, an Amerigroup Company MAP.
  • 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 Satisfactio n 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