Improving Quality and Outcomes
Improving Quality of Care in Ohio
As the cost of medical services continues to rise, the Ohio Association of Health Plans and its member plans are committed to working with medical professionals to explore new payment structures and improving quality of care.
Best of the Best
- 15 Ohio health plans were listed is U.S. News and World Report’s Top Health Plans rankings for Commercial, Medicare and Medicaid plans in 2010.
- 85% of the OAHP’s health plans offer products accredited by either the National Committee for Quality Assurance or URAC
- In 2011, JD Power and Associates reported that Ohio’s health plans rank three points above the national average in consumer satisfaction.
- According to an Ohio Medicaid survey, over 85% of Ohio’s Medicaid Care Coordination Plan members were satisfied with their health plan in 2010, up from 83% in 2009 and 82% in 2008.
- According to the Ohio Department of Insurance, Ohio saw a 30% increase in the number of health insurance carriers offering health insurance benefits in 2010.
- According to AHIP, 92% of commercial plans implement measures to improve quality among physicians.
Focus on Appropriate Care in the Appropriate Setting
- Medicare advantage enrollees spent less time in hospitals and reduced emergency room visits by 29% in 2010.
- Health plans help to save up to $3.5 billion nationally in avoidable medical costs each year.
- 85% of Medicaid plans provide members with access to preventative health services, well above the national average.
Health Plans Connect: By investing in technology and forging new partnerships, health insurers are connecting patients with new sources of care while managing and containing costs.
- Ohio insurers launched the Availity project, which provides physicians access to multiple insurers through a web portal for the purpose of conducting key office tasks. Potential for savings of $29 billion annually when fully implemented. (Source: AHIP)
- Insurers are connecting with consumers anytime, anywhere with the use of apps that can be used on smart phones.
- Insurers are investing in texting services to remind members about upcoming appointments with providers.