Health Plan Customer Service

Helpful information for declared emergencies (power outage, wildfires, or other emergencies). | Santa Clara Family Health Plan | 8/21/2020

… Prepare for power shut-offs In extreme weather conditions, PG&E may turn off power in certain regions in Santa Clara County due to high fire risk. During these shut-offs, Santa Clara Family Health Plan Customer Service Representatives can still be reached during normal business hours at the following phone numbers: Medi-Cal Customer Service Hours: 8:30 a.m. to 5 p.m., Monday - Friday Cal MediConnect Customer Service Hours: 8 …

Amidst a public health crisis, what do consumers need from health plans? - MedCity News | 7/16/2020

The Covid-19 public health crisis has shifted the healthcare landscape, if not transformed it. More providers are enlisting telemedicine to substitute for in-person appointments and more people are delaying medical procedures, by choice or because they have been suspended by hospitals in their region. The collection and analysis of meaningful data to inform decision-making by health plan leaders as they guide their organizations has become even more …

Volatility Drives Payer Technological Innovation, Partnerships | HealthPayer Intelligence | 3/10/2020

… health management, and care coordination as driving influences. To no one’s surprise, the Best’s Special Report discovered that data lies at the heart of a payer’s ability to thrive in innovation. READ MORE: Improving Health Plan Customer Service Through Technology Understanding and leveraging the advantages of cloud computing, the Internet of Things, and artificial intelligence are central to a payer’s ability to manage claims data and innovate new ways to …

Medicare Star Ratings show 3 out of 4 Aetna Medicare Advantage members enrolled in a 4.5 Star-rated plan or higher | PR Newswire | 10/22/2019

… and their families compare plans. Medicare Advantage plans are rated on how well they perform on five different categories: Staying healthy Managing chronic (long-term) conditions Member experience with the health plan Member complaints Health plan customer service Medicare Advantage Prescription Drug (MAPD) plans and stand-alone prescription drug plans (PDP) are also rated on how well they perform on three additional categories: Drug plan customer service Member experience with …

92% of Humana’s Medicare Advantage Members are in 4-Star and Above Contracts for 2020, Reflecting an Enterprise-Wide Focus on Improved Health Outcomes and the Member Experience | Business Wire | 10/11/2019

… than 40 different quality measures in nine categories, including: Staying Healthy: Screenings, Tests and Vaccines Managing Chronic (Long Term) Conditions Member Experience with Health Plan Member Complaints and Changes in the Health Plan’s Performance Health Plan Customer Service Drug Plan Customer Service Member Complaints and Changes in the Drug Plan’s Performance Member Experience with Drug Plan Drug Safety and Accuracy of Drug Pricing Listed below is a breakdown of Humana’s …

CarePlus Health Plans Once Again Achieves Medicare’s Highest Quality Rating | Business Wire | 10/11/2019

… than 40 different quality measures in nine categories, including: Staying Healthy: Screenings, Tests and Vaccines Managing Chronic (Long Term) Conditions Member Experience with Health Plan Member Complaints and Changes in the Health Plan’s Performance Health Plan Customer Service Drug Plan Customer Service Member Complaints and Changes in the Drug Plan’s Performance Member Experience with Drug Plan Drug Safety and Accuracy of Drug Pricing People who are Medicare‐eligible can find …

How Healthcare Payers Measure Patient Experience, Use CAHPS Surveys | Patient Engagement HIT | 4/15/2019

… individual health plans, any state agencies that purchase and regulate health care such as Medicaid, the Department of Defense, and CMS. The CAHPS Health Plan Survey measures five different categories, including: Getting needed care Health plan customer service How people rated their health plan There are also supplements for children with chronic illness, health literacy, or individuals with mobility impairments. They key to gleaning actionable data from these surveys is …

Alignment Health Plan Receives Overall 4.5-Star Rating from Centers for Medicare and Medicaid Services | Business Wire | 10/16/2017

… Diabetes Care – Eye Exam Diabetes Care – Kidney Disease Monitoring Diabetes Care – Blood Sugar Controlled Care for Older Adults – Medication Review Care for Older Adults – Pain Assessment Osteoporosis – Management in Women Who Had a Fracture Health Plan Customer Service Domain Drug Plan Customer Service Domain Chronic disease management of conditions, such as diabetes, is a particular area where Alignment Healthcare excels. Alignment provides remote monitoring of chronically ill patients, analyzing incoming …

Aetna Once Again Outperforms Industry Average in Latest Medicare Star Ratings | Business Wire | 10/13/2017

… the communities we serve.” Medicare Advantage plans are rated on how well they perform on five different categories: staying healthy, managing chronic (long-term) conditions, member experience with the health plan, member complaints, and health plan customer service . Medicare Advantage and Medicare prescription drug plans are also rated on how well they perform on four additional categories: drug plan customer service, member complaints, member experience with drug plan and drug …

Medicare Star Quality Ratings Reflect Humana’s Commitment to Quality Care for Its Members | Business Wire | 10/12/2017

… 40 different quality measures in five categories, including: Staying healthy: screening tests and vaccines Managing chronic (long-term) conditions Member experience with the health plan Member complaints and changes in the health plan’s performance Health plan customer service Listed below is a breakdown of Humana’s plans that achieved a rating of 4.5 and 4.0 Stars: Humana 4.5 Star Rated Plans H1019 CarePlus Health Plans, Inc. (FL HMO) H1036 Humana Medical …