Maryland Health Care Commission releases 2013 report measuring quality and performance among commercial health benefit plans in Maryland

Baltimore, MD (September 23, 2013) The Maryland Health Care Commission (MHCC) has released its 2013 Health Benefit Plan Quality and Performance Report: Measuring the Quality and Performance of Maryland’s Commercial Health Benefit Plans which presents quality and performance information on individual and authorized combinations of health maintenance organization (HMO) plans, point of service (POS) plans, preferred provider organization (PPO) plans, and exclusive provider organization (EPO) plans operating in Maryland. This report will also be available to consumers through a link on Maryland Health Connection.

The information in this report enables Marylanders to compare health benefit plans on key quality measures regarding clinical processes and outcomes, as well as member satisfaction. The 2013 report contains information on 87 quality measures grouped into six categories: Primary Care and Wellness for Children and Adolescents (21 measures), Child Respiratory Conditions (8 measures), Women’s Health (5 measures), Primary Care for Adults (35 measures), Behavioral Health (8 measures), and Member Experience and Satisfaction (10 measures).

This year, 36% of the measures for HMO plans and 67% of the measures for PPO plans were better than the National Average. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. scored highest among the HMO plans demonstrating performance better than the national average on 50 of the 75 quality measures with a national average benchmark to be compared against. Cigna Health and Life Insurance Company/Connecticut General Life Insurance Company scored highest among the PPO plans demonstrating performance better than the national average on 55 of the 75 quality measures with a national average benchmark to be compared against.

Overall, Maryland plans had strong performance in the categories of Primary Care and Wellness for Children and Adolescents, Child Respiratory Conditions, and Behavioral Health. Strong performance in these categories means that Maryland’s health benefit plans continue to work effectively in not only promoting prevention and wellness initiatives for their youngest members, but also in providing holistic care
for members of all ages.

Consumers shopping for qualified health plans on Maryland Health Connection can find summary information on the Maryland Health Connection Quality Report 2013, and more detailed information using the 2013 Health Benefit Plan Quality and Performance Report.

“These quality data will help Marylanders choose between health benefit plans,” said Dr. Joshua M. Sharfstein, Secretary for the MD Department of Health and Mental Hygiene. “The direct comparisons made possible through Maryland Health Connection should accelerate important efforts for improvement.”

Ben Steffen, Executive Director of the Maryland Health Care Commission stated, “Expanding quality and performance measurement is a continuing State priority, these efforts would not be possible without the active participation of health plans that operate in the State. We look forward to their continued support as we publicly report on the Maryland RELICC (race/ethnicity, language, interpreter need, and cultural competency) Assessment quality measurement tool in 2014.”

The report will be posted on the Maryland Health Care Commission’s website at: http://mhcc.dhmh.maryland.gov/healthplan/Pages/default.aspx

###

For Additional Information about the Health Benefit Plan Quality and Performance Report, contact:
Scharmaine Robinson, Chief
Health Benefit Plan Quality & Performance
410-764-3483

 
 

Substance Abuse Help

 

Zika Information

 

Rabies Information


     

WCHD News

Men's Health Month

The purpose of Men’s Health Month is to heighten the awareness of preventable health problems and encourage early detection and treatment of disease among men and boys. This month gives health care providers, public policy makers, the media, and individuals an opportunity to encourage men and boys to seek regular medical advice and early treatment for disease and injury. The response has been overwhelming with thousands of awareness activities in the USA and around the globe.

Read more ...

Summer Wellness Camp

The Worcester County Health Department will host a free, week-long health and wellness camp for youth age 12-17 this summer. From June 17-21, campers will learn about the importance of health, fitness, setting personal goals and much more. The summer camp is part of Worcester Health’s Promoting Health Among Teens program and will feature guest speakers, snacks and lunch, learning activities and field trips to locations around Worcester including the Jolly Roger amusement park in Ocean City.

Read more ...

Legionella Facts

Legionella is a bacteria that can cause a type of pneumonia called Legionnaires' disease. The disease is caused by inhaling mist from water containing the bacteria. The bacteria are present in many different manmade and natural water systems. Each year, 8,000 - 18,000 people in the United States are hospitalized with Legionnaires' disease. The disease is usually treated successfully with antibiotics, but can sometimes be fatal. The disease is not spread from person to person. Certain groups of people are more likely to become seriously ill when infected with Legionella:

Read more ...

Move Your Way

Worcester is made for being active. Whether you walk, run, bike, swim, dance, explore local parks or move your own way, all physical activity offers benefits. Visit JustWalkWorcester.org to learn about ways to be active, amazing trails and the free Just Walk program.

Read more ...

 

Read more ...
 Lower Shore Health Insurance Assistance Program