ATLANTA and TAMPA, Fla., Dec. 14, 2017 /PRNewswire/ -- When it comes to consumer satisfaction among Georgia's managed Medicaid members, WellCare of Georgia, a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG) is the top-rated, according to the National Committee for Quality Assurance's (NCQA) 2017 – 2018 Medicaid Health Insurance Plan Ratings.
NCQA reported WellCare of Georgia was rated 4 out of 5 for consumer satisfaction and 3.5 out of 5 overall in NCQA's Medicaid Health Insurance Plan Ratings 2017–2018, making WellCare the state's top-rated managed care organization for member satisfaction.
These quality measures are especially important to help improve health outcomes. Research indicates patients who are satisfied with their physician relationship tend to utilize more preventive care services and screenings.
"Member satisfaction among the Medicaid population is crucial because patients are more likely to manage chronic health conditions and reduce unhealthy behaviors when they have positive relationships with their physicians," said Sonya Nelson, president, WellCare of Georgia. "Because our primary care physicians have done an exceptional job in building patient relationships and offering helpful, manageable ways for members to improve their health, we're seeing improvements in health outcomes."
An August 2016 report from Health Affairs noted that among lower-income patients, trust and respect were their primary concern in the healthcare system. Many reported the issue they were most passionate about was distrust of healthcare workers and a sense that they were seen as "less-than" by medical providers.
WellCare employs more than 80 field-based care associates serving 159 counties across the state who help members manage their health conditions and can provide in-home visits or help members overcome social or economic barriers to care by connecting members to needed social services such as food, transportation or housing.
"Our care management and advocacy teams are making vital improvements in our members' lives. Many families struggle with social or economic barriers to care that put them at a disadvantage when it comes to living a healthy life. By helping families navigate these challenges, WellCare removes major roadblocks to better health. We look forward to continuing to help our members in Georgia live better, healthier lives," said Nelson.
As of Sept. 30, 2017, WellCare serves approximately 498,000 Medicaid and PeachCare for Kids® plan members, 46,000 Medicare Advantage plan members and 20,000 Medicare Prescription Drug Plan members in Georgia. To learn more about how WellCare cares for Georgians, watch Gloria's story at http://youtu.be/qyn-nywze04.
About NCQA Ratings
NCQA ratings are based on three types of quality measures: measures of clinical quality from NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®); measures of consumer satisfaction using Consumer Assessment of Healthcare Providers and Systems (CAHPS®); and results from NCQA's review of a health plan's health quality processes (i.e., performance on NCQA accreditation standards). NCQA rates health plans that report quality information publicly.
For a more detailed review of the latest NCQA health insurance plan ratings report, visit: http://healthinsuranceratings.ncqa.org/2017/search/Medicaid/GA.
National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA's HEDIS® is the most widely used performance measurement tool in health care. NCQA's Web site (www.ncqa.org) contains information to help consumers, employers and others make more informed health care choices.
About WellCare Health Plans, Inc.
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. WellCare serves approximately 4.3 million members nationwide as of Sept. 30, 2017. For more information about WellCare, please visit the company's website at www.wellcare.com or view the company's videos at https://www.youtube.com/user/WellCareHealthPlan.
SOURCE WellCare Health Plans, Inc.