Maryland Health Care Commission releases 2013 report measuring quality and performance among commercial health benefit plans in Maryland PDF Print E-mail
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

The Worcester County Health Department is working with the Maryland Department of Health's Division of Outbreak Investigation to investigate an outbreak of gastroenteritis among attendees of a Beer and Oyster Festival held at Fager's Island Restaurant in Ocean City, MD on Saturday, November 4, 2017. 
 
Worcester County Environmental Health staff were onsite Saturday, November 11, 2017 to conduct a facility check and reinforce safe food handling practices.. At this time, we have not received any reports of illness from the November 11, 2017 event. 
 
Individuals who attended the event on November 4, 2017 and are concerned about their personal health should consult with their physicians.
 
Due to inclement weather, the Just Walk Making Strides event scheduled for today is rescheduled for 5-6 p.m. on October 18 at Byrd Park in Snow Hill. For more information, please call 410-632-0056. 
Read more...
 
Snow Hill, Md. – The Lower Shore Health Insurance Assistance Program would like to announce this year’s open enrollment period which begins on November 1, 2017 through December 15, 2017 for Qualified Health and/or Dental plans. During this time, certified Navigators are available to assist individuals and families with the application and enrollment process into a private plan through the state marketplace, Maryland Health Connection.  
Read more...
 
 Lower Shore Health Insurance Assistance Program
Web Mastering by
 www.WheatleyComputers.com