2015 Plan Performance - Managed Long-Term Care in the Western Region

Ratings

Managed Long-Term Care Plan Preventive Care Quality of Life Satisfaction with Care Stability or Improvement Overall Rating
Prevention Patient Safety Advanced Directives Quality of Life Rating of Health Plan Rating of Regular Visiting Nurse Rating of Care Manager Timeliness of Aide ADL Stable or Improved Pain Intensity Stable or Improved Shortness of Breath Stable or Improved Urinary Continence Stable or Improved
Partial Capitation Plans
Centers Plan for Healthy Living Two stars Three stars Two stars Two stars Three stars Two stars Three stars Two stars One star One star Two stars One star One star
Fallon Health Weinberg Three stars Three stars N/A One star N/A N/A N/A N/A Four stars Three stars Four stars Four stars Three stars
Fidelis Care at Home One star One star One star Three stars Three stars Four stars Three stars Three stars One star Two stars Four stars One star One star
iCircle Three stars Three stars N/A One star N/A N/A N/A N/A N/A N/A N/A N/A Two stars
Kalos Health Three stars Two stars N/A One star N/A N/A N/A N/A Three stars Four stars Four stars Three stars Three stars
United Health Personal Assist Three stars Three stars Two stars Two stars Three stars Two stars Four stars Two stars Four stars Three stars One star One star Two stars
VNA Homecare Options Two stars Two stars Three stars Two stars Three stars Four stars Four stars Two stars Four stars Two stars Three stars Four stars Three stars
VNS Choice Partial Three stars Three stars Four stars Three stars Three stars Three stars Three stars Four stars One star One star One star One star Two stars
WellCare Advocate Partial Three stars Five stars Two stars Five stars Three stars Four stars Four stars Two stars Four stars Four stars Four stars Three stars Four stars
Medicaid Advantage Plus (MAP)
No MAP plans in this region
Program of All-Inclusive Care for the Elderly (PACE)
Catholic Health - LIFE Three stars Three stars Five stars Four stars Five stars Five stars Five stars Five stars Four stars Two stars Three stars Three stars Five stars
Complete Senior Care Three stars Three stars Five stars One star N/A N/A N/A N/A Four stars Three stars Three stars Four stars Three stars
ElderOne Five stars Two stars Three stars Three stars One star Three stars One star Two stars Four stars Four stars Four stars Four stars Three stars
Total Senior Care Three stars One star N/A One star N/A N/A N/A N/A Four stars Two stars Three stars Three stars Two stars

Key

More stars mean better health plan performance with 5 stars being the best.

N/A Not able to report performance due to small numbers.

Notes

  • Plan performance data are not available for FIDA plans because plans are new and lack sufficient data.
  • 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. Member Satisfaction ratings, Advanced Directives, and one component within the Quality of Life domain 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