NY State - Special Needs CAHPS© 5.0H Adult Medicaid Special Needs Plan Survey Continuous Quality Improvement Report February 2016 3975 Research Park Drive Ann Arbor, MI 48108 Medicaid Managed Care Program - Special Needs Plans Table of Contents Background 1 Executive Summary 2 CAHPS© 5.0H Ratings CAHPS© 5.0H Composites Key Measure Summary Sample Profile Sample Disposition Response Rate Report Trend Analysis Methodology 4 5 6 7 9 Introduction Survey Milestones Sampling Frame Questionnaire Selection of Cases for Analysis Definition of Achievement Scores Composites Correlation to Satisfaction Comparisons Statistical Testing Case-Mix Analysis Using This Report 12 Graphs/Results Overall Rating Questions Composites Medical Assistance with Smoking Cessation Single Items Correlation Analysis 14 18 36 39 SNP Overall Rating Question Details 55 56 57 Responses by Question 61 Appendix A: Questionnaire New York State Department of Health ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Background Background In New York City, Medicaid enrollees living with HIV/AIDS may be enrolled in a type of Medicaid managed care plan called a Special Needs Plan (SNP). These plans are designed to specifically address the needs of members living with HIV/AIDS by providing access to providers experienced in HIV/AIDS care and offering services specialized for HIV patients. Specialized services include care coordination between medical and other providers, promoting wellness, and treatment adherence services. The Consumer Assessment of Healthcare Providers and Systems (CAHPS©) is a comprehensive tool designed to assess consumers' experience with health care and health plans. CAHPS© is the survey instrument that asks health plan members about experiences with access to care, health care providers and health plans. The New York State Department of Health (NYSDOH) sponsors a CAHPS survey every other year for the Medicaid managed care plans and uses the results to determine variation in member satisfaction among the plans. DataStat, Inc. conducted the survey on behalf of the NYSDOH in 2015. The instrument used for the administration of the survey was the CAHPS© 5.0H Adult Medicaid core survey, developed and tested nationally for assessing the performance of health plans. While SNPs are a type of Medicaid managed care plan, the membership and plan requirements are significantly different from the mainstream plans. The administration of the SNP survey was conducted at the same time as the managed care plans, however results between the two plan types were analyzed separately for fair comparison. Copyright Notice: DataStat has created the format and organization of this report and retains that as its sole property, holds the copyright on that portion of the report and conveys no interest in that portion of the report. Users of this report expressly agree not to copy or otherwise disseminate the format or organization which are DataStat's sole property without DataStat's written permission. CAHPS© is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). New York State Department of Health Page 1 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Executive Summary Executive Summary In New York, the CAHPS© survey is administered to Medicaid managed care plan members every other year. For the 2015 administration, the NYSDOH focused on adult members of Medicaid managed care plans as well as members in Special Needs Plans (SNPs). The SNP survey included three Medicaid SNPs in New York with a sample of 1,500 adults per plan. Surveys were sent to 4,500 members following a combined mail and phone methodology (four mailings, followed by phone follow-up of non-responders) during the period September 15, 2015, through December 7, 2015, using a standardized survey procedure and questionnaire. Across SNPs, a total of 1,609 responses were received resulting in a 36.3% response rate. The disposition of surveys is contained at the end of this section. Conclusions based on the information presented in this report should be tempered by a few caveats. First, for some survey items, relatively small numbers of responses may be available due to skip patterns in the instrument. To provide the highest level of detailed reporting, results with less than 30 observations are included in the report. Conclusions based on analysis of fewer than 30 observations should be viewed with caution. Second, in some of the data presentations included in this report, correlation coefficients are computed to explore the relationship between different measures. High correlations, however, do not necessarily indicate causation. Finally, in many of the graphs and tables presented in this report, differences between the Statewide SNP average and individual SNPs are readily apparent. However, where these differences are not statistically significant they should be evaluated accordingly. Summary of Overall Rating Questions Response options for overall rating questions ranged from 0 (worst) to 10 (best). In the table below, the achievement score represents the proportion of members who responded with a rating of 8, 9, or 10. Planlevel and SNP Total results are presented below. Plan results and SNP Total trend scores are compared to the SNP Total achievement scores and a significance level of .05 or less was considered statistically significant and "é" or " ê" is placed at the top of the appropriate bar. Better Overall Rating Questions (8, 9 or 10) 100 90 80 ê 70 60 50 40 30 Worse 20 10 0 SNP Total 2015 Amidacare 2015 MetroPlus Select Health 2015 VNSNY CHOICE 2015 SNP Total 2013 éê Q17. Rating of all health care Q33. Rating of personal doctor Q37. Rating of specialist seen most often Q41. Rating of health plan 76.56% 74.14% 77.10% 78.45% 79.19% 88.79% 87.38% 90.55% 88.42% 89.61% 74.67% 73.77% 74.30% 75.93% 74.17% 76.88% 77.69% 79.69% 73.27% 75.17% Statistically significantly better/worse than SNP Total 2015. New York State Department of Health Page 2 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Executive Summary Summary of Composites A composite score is calculated for each of five domains of member experience: Getting Needed Care, Getting Care Quickly, How Well Doctors Communicate, Customer Service and Shared Decision Making. Composite scores are intended to give a summary assessment of performance across the domain. Plan-level and SNP Total results are presented below. Plan results and SNP Total trend scores are compared to the SNP Total achievement scores and a significance level of .05 or less was considered statistically significant and "é" or " ê" is placed at the top of the appropriate bar. The CAHPS© 5.0H Adult Medicaid core survey contains a revision to the Shared Decision Making composite; the response options and question text for two of the three questions were changed. Due to these revisions in the Shared Decision Making composite, the composite and two of the questions comprising it are not considered eligible for trend comparisons. Better Composites 100 90 ê ê ê 80 70 60 50 40 30 Worse 20 10 0 SNP Total 2015 Amidacare 2015 MetroPlus Select Health 2015 VNSNY CHOICE 2015 SNP Total 2013 éê X Getting Needed Care (Usually or Always) Getting Care Quickly (Usually or Always) How Well Doctors Communicate (Usually or Always) Customer Service (Usually or Always) Shared Decision Making (Yes) 82.43% 80.63% 83.45% 83.20% 79.89% 86.45% 84.66% 88.51% 86.17% 83.62% 94.26% 93.08% 94.63% 95.06% 94.10% 89.08% 89.72% 89.70% 87.82% 80.91% 82.94% 84.62% 83.36% 80.84% NT Statistically significantly better/worse than SNP Total 2015. X Trend data not available NT: No trend data available. New York State Department of Health Page 3 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Executive Summary Key Measure Summary NYSDOH SNP Medicaid Managed Care Plans 2015 Plans Getting Needed Care (Usually or Always) How Well Getting Care Doctors Quickly Communicate (Usually or (Usually or Always) Always) Customer Service (Usually or Always) Shared Decision Making (Yes) Rating of all health care Rating of personal doctor Rating of specialist seen most often Rating of health plan SNP Total 82 86 94 89 83 77 89 75 77 Amidacare 81 85 93 90 85 74 87 74 78 MetroPlus Select Health 83 89 95 90 83 77 91 74 80 VNSNY CHOICE 83 86 95 88 81 78 88 76 73 Statistically significantly better/worse than SNP Total 2015. New York State Department of Health Page 4 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Executive Summary Respondent Sample Profile SNP Total Amidacare MetroPlus Select Health VNSNY CHOICE 18 to 24 1.3% 0.6% 1.8% 1.4% 25 to 34 5.9% 6.6% 6.7% 4.4% 35 to 44 14.0% 15.3% 13.4% 13.4% 45 to 54 39.2% 40.3% 38.6% 38.8% 55 to 64 38.5% 36.0% 38.4% 41.0% 65 to 74 1.1% 1.1% 1.2% 1.0% 75 or older 0.1% 0.2% 0.0% 0.0% SNP Total Amidacare MetroPlus Select Health VNSNY CHOICE Male 62.1% 62.9% 60.0% 63.4% Female 37.9% 37.1% 40.0% 36.6% SNP Total Amidacare MetroPlus Select Health VNSNY CHOICE Age (years) Gender Highest grade or level of school completed 8th grade or less 10.6% 9.9% 11.9% 9.9% Some high school, but did not graduate 27.9% 29.1% 29.6% 25.1% High school graduate or GED 28.9% 26.5% 31.0% 29.1% Some college or 2-year degree 22.8% 23.7% 20.4% 24.5% 4-year college graduate 6.0% 6.5% 5.0% 6.5% More than 4-year college graduate 3.8% 4.3% 2.2% 4.9% Hispanic or Latino SNP Total Amidacare MetroPlus Select Health VNSNY CHOICE Yes, Hispanic or Latino 46.7% 47.6% 42.4% 50.2% No, Not Hispanic or Latino 53.3% 52.4% 57.6% 49.8% Race SNP Total Amidacare MetroPlus Select Health VNSNY CHOICE White 20.3% 23.9% 16.5% 20.8% Black or African-American 52.4% 50.0% 57.4% 49.6% Asian 2.2% 3.0% 2.6% 1.1% Native Hawaiian or Other Pacific Islander 1.3% 1.8% 0.6% 1.3% American Indian or Alaska Native 3.6% 4.4% 1.9% 4.6% 28.9% 27.8% 27.0% 31.9% SNP Total Amidacare MetroPlus Select Health VNSNY CHOICE Excellent 16.2% 17.7% 17.7% 13.3% Very good 25.4% 26.8% 26.0% 23.5% Good 32.6% 32.4% 31.8% 33.7% Fair 21.8% 20.8% 20.8% 23.7% Poor 3.9% 2.3% 3.7% 5.8% Other Rating of Overall Health New York State Department of Health Page 5 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Executive Summary Sample Disposition SNP Total First mailing - sent Amidacare MetroPlus VNSNY CHOICE 4,500 1,500 1,500 1,500 925 292 315 318 3,881 1,287 1,299 1,295 Second mailing - usable survey returned* 355 117 126 112 Phone - usable surveys* 329 109 113 107 1,609 518 554 537 Ineligible: According to population criteria‡† 28 5 9 14 Ineligible: Language barrier† 31 7 14 10 Ineligible: Deceased† 3 2 1 0 Ineligible: Mentally or physically unable to complete survey† 4 1 2 1 359 145 111 103 94 29 29 36 2,372 793 780 799 36.3% 34.9% 37.6% 36.4% First mailing - usable survey returned* Second mailing - sent Total - usable surveys Bad address and bad phone number -OR- bad address AND no evidence of bad phone number Refusal/Returned survey blank Nonresponse - Unavailable by mail or phone Response Rate *Included in response rate numerator †Excluded from response rate denominator ‡Population criteria: The designated respondent must be a member of the managed care plan. Note: Response Rate = Total Usable Surveys / Total Eligible Cases New York State Department of Health Page 6 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Executive Summary Response Rates Response Rate Usable Surveys SNP Total 36.29% 1609 Amidacare 34.88% 518 MetroPlus 37.58% 554 VNSNY CHOICE 36.41% 537 0 5 10 15 20 25 30 35 Worse 40 45 50 55 60 SNP Total 2015 New York State Department of Health 65 70 75 80 85 90 95 100 Better Response Rate Health Plans 2015 Page 7 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Trend Analysis Trend Analysis - 2015 vs. 2013 NY State - Special Needs The table below provides a snapshot of the items with the greatest point change, positive or negative, since 2013. All performance-related items in the questionnaire that were trendable were listed in descending order of point change, and testing was conducted to determine which trends were statistically signficant. Two questions from the Shared Decision Making Composite (Questions 11 and 12) as well as the flu shot question (Question 45) cannot be trended and are not included in this analysis. Shown below are the ten items at the top of the list and the ten items at the bottom, with their 2013 and 2015 scores and results of the significance testing. In the table presented below, differences over time may be readily apparent. However, where these differences are not statistically significant they should be evaluated accordingly. SNP Total 2015 Score SNP Total 2013 Score Point Change Composite/ Question Group Q39. Health plan's customer service usually or always gave needed information or help 84.1% 73.1% + 11.0 Customer Service Q23. Usually or always easy to get the alcohol, drug, or addiction treatment or counseling you needed through your health plan 85.5% 76.9% + 8.5 Single Items Q40. Usually or always treated with courtesy and respect by health plan's customer service staff 94.1% 88.7% + 5.4 Customer Service Q24. Rating of alcohol, drug, or addiction treatment or counseling 68.1% 63.4% + 4.8 Single Items Question Q4. Usually or always got care right away as soon as you needed 86.5% 82.1% + 4.5 Getting Care Quickly Q35. Usually or always get an appointment to see a specialist as soon as you needed 75.4% 71.1% + 4.3 Getting Needed Care Q13. Doctor/provider asked what you thought was best for you 88.3% 84.7% + 3.7 Shared Decision Making Q42. Would recommend health plan to your family and friends 88.6% 85.5% + 3.0 Single Items Q20. Usually or always easy to get treatment or counseling you needed for a personal or family problem through your health plan 78.5% 76.1% + 2.4 Single Items Q48. Doctor or health provider recommended or discussed medication to assist with quitting smoking or using tobacco 81.2% 79.4% + 1.8 Medical Assistance with Smoking Cessation Q9b. Doctor or other health provider talked about exercise or physical activity 75.8% 77.0% - 1.2 Single Items Q9a. Doctor or other health provider talked about a healthy diet and eating habits 78.6% 80.1% - 1.4 Single Items Q15. Someone from doctor's office usually or always followed up to give blood test, x-ray or other test results 86.4% 88.0% - 1.6 Single Items Q47. Advised by doctor or other health provider to quit smoking or using tobacco 90.9% 93.1% - 2.2 Medical Assistance with Smoking Cessation Q17. Rating of all health care 76.6% 79.2% - 2.6 Ratings Q21. Rating of treatment or counseling for a personal or family problem (8, 9 or 10) 63.3% 66.1% - 2.8 Single Items Q8. Doctor/provider definitely talked about specific things to do to prevent illness 84.4% 87.9% - 3.5 Single Items Q9f. Doctor or other health provider talked about alcohol or other drug use 51.8% 56.1% - 4.3 Single Items Q9c. Doctor or other health provider talked about things in your life that worry you or cause you stress 72.0% 77.8% - 5.8 Single Items Q9d. Doctor or other health provider talked about whether there was a period of time when you felt sad, empty or depressed 64.9% 71.9% - 7.0 Single Items Worse Statistically significantly higher/lower than 2013 score. New York State Department of Health Better Page 8 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Methodology Methodology The survey drew as potential respondents adults, ages 18 to 64, who were current members of NYS SNPs as of July 2015 and who had been enrolled for five out of the last six months. Respondents were surveyed in English or Spanish. The survey was administered over a thirteen-week period using a mixed-mode (mail and telephone) five-wave protocol. The five-wave protocol consisted of a pre-survey letter, first questionnaire packet, and reminder postcard to all selected members, followed by a second questionnaire packet to nonrespondents and finally a phone follow-up to those who had not responded to the mailings. Survey Milestones 1. 1st questionnaire packets mailed: September 15, 2015 2. Reminder postcards mailed: September 23, 2015 3. 2nd questionnaire packets mailed: October 14, 2015 4. Phone field opened: October 26, 2015 5. Mail and phone field closed: December 7, 2015 Sampling Frame A random sample of 1500 adults ages 18-64 was drawn for each of the SNPs. To be eligible, individuals had to be current members who were continuously enrolled in the SNP for at least five out of the last six months as of July 2015. Questionnaire The instrument selected for the survey, the CAHPS© 5.0H Adult Medicaid core survey, was developed and tested nationally for use in assessing the performance of health plans. The majority of questions addressed domains of member experience such as getting care quickly, doctor communication, overall satisfaction with health care and with the health plan. The survey was expanded to include 15 supplemental questions addressing areas of particular interest to the NYSDOH. Rounding out the survey was a set of questions collecting demographic data. In total, the survey instrument consisted of 63 questions. A copy of the modified CAHPS© questionnaire can be found in Appendix A. Selection of Cases for Analysis Surveys were considered complete if respondents did not say 'No' to Question 1 (Our records show that you are now in [HEALTH PLAN NAME]. Is that right?) and if they provided a valid response to at least one question. Complete interviews were obtained from 1,609 NYSDOH Medicaid SNP members, and the overall project response rate was 36.3%. Definition of Achievement Scores Member responses to survey questions are summarized as achievement scores. Responses that indicate a positive experience are labeled as achievements, and an achievement score is computed equal to the proportion of responses qualifying as achievements. Since achievement scores for survey questions represent the proportion of enrollees who indicate a positive experience, the lower the achievement score, the greater the need for improvement. See the Responses by Question section for assignment of achievement responses for each question. In general, somewhat positive responses are included with positive responses as achievements. Responses of "Yes" are considered achievements for the Shared Decision Making composite. For all other composites, responses of "Usually" or "Always" are considered achievements, as are responses of "8", "9", or "10" to ratings questions. For the smoking questions, responses of "Sometimes", "Usually" or "Always" are considered achievements. New York State Department of Health Page 9 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Methodology Composites Five composite scores summarize responses in key areas: Getting Needed Care, Getting Care Quickly, How Well Doctors Communicate, Customer Service, and Shared Decision Making. The achievement score for the composite is the average of the achievement scores for the individual items comprising a composite. Following is a list of the questions that comprise each composite: Getting Needed Care Q18. Usually or always got care, tests or treatment you thought you needed Q35. Usually or always get an appointment to see a specialist as soon as you needed Getting Care Quickly Q4. Usually or always got care right away as soon as you needed Q6. Usually or always got an appt. for check-up or routine care as soon as you needed How Well Doctors Communicate Q27. Q28. Q29. Q30. Personal doctor usually or always explained things in way that was easy to understand Personal doctor usually or always listened carefully to you Personal doctor usually or always showed respect for what you had to say Personal doctor usually or always spent enough time with you Customer Service Q39. Health plan's customer service usually or always gave needed information or help Q40. Usually or always treated with courtesy and respect by health plan's customer service staff Shared Decision Making Q11. Doctor/provider talked about reasons you might want to take a medicine Q12. Doctor/provider talked about reasons you might not want to take a medicine Q13. Doctor/provider asked what you thought was best for you The CAHPS© 5.0H Adult Medicaid core survey contains a revision to the Shared Decision Making composite; the response options and question text for two of the three questions were changed. Due to these revisions in the Shared Decision Making composite, the composite and two of the questions comprising it are not considered eligible for trend comparisons. Correlation to Satisfaction To understand the relationship between performance and satisfaction in particular areas of member experience, correlations are computed between responses to the question items comprising the five composites and each of the ratings questions. The specific correlation computed is Pearson's Correlation Coefficient, which takes on values between -1 to 1. Correlation scores are presented in the Correlation Analysis section. Comparisons: Current Year and Trending Current year comparisons are found in the Executive Summary and Graphs sections. In both sections, plan achievement scores are compared to the SNP Total, with statistical testing. The Executive Summary presents results for Rating Items and Composites while the Graphs section compares all participating SNPs for each performance measure. Comparisons across time are the focus of the Trend Analysis section: all performancerelated items in the questionnaire that were trendable were listed in descending order of point change for the SNP Total. The Trend Analysis section displays for the SNP Total the ten items at the top of the list and the ten items at the bottom, with their 2013 and 2015 scores and results of significance testing. In addition, in the Responses by Question section, for each performance item, the achievement score point change is displayed along with results of significance testing. New York State Department of Health Page 10 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Methodology Statistical Testing Statistically significant differences between scores were determined using t-tests. A significance level of .05 or less was considered statistically significant and "é" or " ê" is placed at the top of the appropriate bar or next to the appropriate achievement score. Case-Mix Analysis The results presented in this report are case-mix adjusted to control for differences in the member population across SNPs. The results for 2015 are case-mix adjusted for age (Q56), health status (Q43) and education (Q58). Case-mix adjustment is applied to mitigate the effect of differences in individual plan's member population. The variables chosen for case-mix adjustment are beyond the control of the SNP and have been shown to affect SNP and health care ratings. For example, individuals with higher levels of education generally rate lower for satisfaction. Details about the distribution of populations in categories for the three adjusters can be seen in the Respondent Sample Profile contained in the Executive Summary section. All achievement scores based on questions in the "About Your Health" and "About You" sections are not casemix adjusted. Case-mix adjustment is also not applied to the achievement scores for the Question 9 series. New York State Department of Health Page 11 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Using this report Using this Report Understanding Achievement Scores This report is designed to assist the NYSDOH and participating health plans in identifying key opportunities to improve members' experiences. Member responses to survey questions are summarized as achievement scores. Responses that indicate a positive experience are labeled as achievements, and an achievement score is computed as the proportion of responses qualifying as positive. Responses of "Yes" are considered achievements for the Shared Decision Making composite. For all other composites, responses of "Usually" or "Always" are considered achievements. For example, a response of "Usually" or "Always" to the question "How often did you get care as soon as you needed?" is considered a positive response, and the achievement score for this question is equal to the proportion of respondents who answered the question with "Usually" or "Always". Because achievement scores for survey questions are computed as the proportion of members who indicate a positive experience, the lower the achievement score, the greater the need to improve. Achievement scores are computed and reported for all pertinent survey questions. In addition, composite scores are built from groups of survey questions that make up broad domains of members' experience: Getting Needed Care, Getting Care Quickly, How Well Doctors Communicate, Customer Service, and Shared Decision Making. Understanding the Sections of the Report The CAHPS© survey results are presented here in a format that is optimized for use in practical decision-making. Specifically, these reports can: 1. Assist the NYSDOH and health plans in identifying strengths and weaknesses in quality of health care, access and services, and 2. Provide the NYSDOH and health plans with a way to assess where resources can best be allocated to improve experiences. The remainder of the report is broken into three major sections that are briefly described here to help you make the best use of the report and the information it contains. Rating Questions, Composites, Medical Assistance with Smoking Cessation and Single Items This section contains a graphic presentation of the SNP Total and plan-specific results for each question using the achievement scores. Statistical significance, the achievement score, and the number of respondents for each plan are displayed. This depicts plan-specific performance compared to the SNP Total and peers. The composites are directly followed by the individual questions in the composite for more detailed information. Correlation Analysis The Correlation Analysis section is helpful in understanding how satisfaction in various questions relates to the four general rating questions (personal doctor, specialist seen most often, all health care, and health plan) for respondents. The tables show which questions are most strongly linked to the rating and the current achievement score. The information helps define what areas are related to satisfaction and how the plan performed in that area. The section enables a quick view of how composite questions correlate across ratings. The correlation analyses are presented two ways. First there are correlations of the top ten highly correlated composite questions to the four rating questions ranked by the highest correlation between the question and rating. This allows a visual picture of clustering of composites across ratings. The second analysis presents the proportion of responses in each response option for each composite question for each individual rating. This lets you see where there may be an opportunity for improvement. For example, if a question correlates highly and has higher proportions of "usually" and "sometimes", improving the processes may move respondents up to "always" to improve not only that composite, but the other rating questions. New York State Department of Health Page 12 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Using this report Responses by Question This section provides a breakdown for each question with the number of members responding to the question and the distribution for each available response option. For each question that has responses determined to be positive or negative, there is a colored circle indicating achievement or room for improvement. The circles are based on the response category and are not indicative of areas the plan needs to improve necessarily. For example, "Always" and "Usually" are achievement and "Sometimes" and "Never" are room for improvement. Similarly on a rating question, 8, 9, or 10 are achievement and 0 through 7 are room for improvement. Questions without a colored circle indicate the question is not associated with this type of response determination. For example, asking whether a member needed a service in the past six months does not have an associated achievement related to it. This section provides additional information about volume of members to help you prioritize areas to be addressed. When applicable, each question is represented with the composite name, the achievement score, the correlation value and trend information. The achievement scores are case-mix adjusted while data for each response option are not case-mix adjusted. Achievement scores for the Question 9 series, the "About Your Health" and "About You" sections are not case-mix adjusted. New York State Department of Health Page 13 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Overall Ratings Overall Ratings The CAHPS© 5.0H survey uses a 0-10 rating for assessing overall experience with personal doctors, specialists, health care and health plans. In the following four graphs, proportions of respondents assigning ratings of 8, 9, or 10 are reported as achievement scores. For each rating graph, plan-level and SNP Total results are presented and plan scores are compared to the SNP Total for statistical significance. Q17. Rating of all health care (8, 9 or 10) Score N SNP Total 76.56% 1195 Amidacare 74.14% 388 MetroPlus 77.10% 389 VNSNY CHOICE 78.45% 418 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 14 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Overall Ratings Overall Ratings Q33. Rating of personal doctor (8, 9 or 10) Score N SNP Total 88.79% 1292 Amidacare 87.38% 430 MetroPlus 90.55% 427 VNSNY CHOICE 88.42% 435 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 15 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Overall Ratings Overall Ratings Q37. Rating of specialist seen most often (8, 9 or 10) Score N SNP Total 74.67% 617 Amidacare 73.77% 202 MetroPlus 74.30% 191 VNSNY CHOICE 75.93% 224 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 16 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Overall Ratings Overall Ratings Q41. Rating of health plan (8, 9 or 10) Score N SNP Total 76.88% 1469 Amidacare 77.69% 474 MetroPlus 79.69% 508 73.27% 487 ê VNSNY CHOICE 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 17 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Composites Questions that relate to the same broad domain of performance are grouped together for the purpose of reporting. For example, the domain "Getting Care Quickly" includes questions about how soon appointments were scheduled. Composite achievement scores reflect responses of "Usually" or "Always" for the first four composites. Responses of "Yes" and "A lot" are considered achievements for the Shared Decision Making composite. For each graph, plan-level and SNP Total results are presented and plan-level scores are compared to the SNP Total for statistical significance. For full detail of response options for each question and which responses qualify as achievements, please refer to the Responses by Question section. Getting Needed Care (Usually or Always) Score N SNP Total 82.43% 1315 Amidacare 80.63% 431 MetroPlus 83.45% 431 VNSNY CHOICE 83.20% 453 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 18 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Getting Needed Care (Usually or Always) Q18. Usually or always got care, tests or treatment you thought you needed Score N SNP Total 89.44% 1191 Amidacare 88.08% 387 MetroPlus 90.97% 389 VNSNY CHOICE 89.26% 415 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 19 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Getting Needed Care (Usually or Always) Q35. Usually or always get an appointment to see a specialist as soon as you needed Score N SNP Total 75.42% 708 Amidacare 73.18% 237 MetroPlus 75.93% 219 VNSNY CHOICE 77.15% 252 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 20 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Getting Care Quickly (Usually or Always) Score N SNP Total 86.45% 1373 Amidacare 84.66% 446 MetroPlus 88.51% 453 VNSNY CHOICE 86.17% 474 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 21 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Getting Care Quickly (Usually or Always) Q4. Usually or always got care right away as soon as you needed Score N SNP Total 86.54% 560 Amidacare 82.83% 185 90.88% 172 85.90% 203 MetroPlus é VNSNY CHOICE 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 22 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Getting Care Quickly (Usually or Always) Q6. Usually or always got an appt. for check-up or routine care as soon as you needed Score N SNP Total 86.36% 1334 Amidacare 86.49% 427 MetroPlus 86.15% 443 VNSNY CHOICE 86.44% 464 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 23 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites How Well Doctors Communicate (Usually or Always) Score N SNP Total 94.26% 1201 Amidacare 93.08% 397 MetroPlus 94.63% 396 VNSNY CHOICE 95.06% 408 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 24 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites How Well Doctors Communicate (Usually or Always) Q27. Personal doctor usually or always explained things in way that was easy to understand Score N SNP Total 94.22% 1196 Amidacare 93.62% 397 MetroPlus 93.67% 393 VNSNY CHOICE 95.37% 406 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 25 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites How Well Doctors Communicate (Usually or Always) Q28. Personal doctor usually or always listened carefully to you Score N SNP Total 94.43% 1185 Amidacare 92.91% 392 MetroPlus 95.13% 390 VNSNY CHOICE 95.24% 403 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 26 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites How Well Doctors Communicate (Usually or Always) Q29. Personal doctor usually or always showed respect for what you had to say Score N SNP Total 95.46% 1192 Amidacare 94.54% 392 MetroPlus 95.69% 393 VNSNY CHOICE 96.15% 407 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 27 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites How Well Doctors Communicate (Usually or Always) Q30. Personal doctor usually or always spent enough time with you Score N SNP Total 92.92% 1187 Amidacare 91.23% 394 MetroPlus 94.04% 393 VNSNY CHOICE 93.50% 400 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 28 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Customer Service (Usually or Always) Score N SNP Total 89.08% 764 Amidacare 89.72% 283 MetroPlus 89.70% 240 VNSNY CHOICE 87.82% 241 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 29 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Customer Service (Usually or Always) Q39. Health plan's customer service usually or always gave needed information or help Score N SNP Total 84.05% 758 Amidacare 86.33% 281 MetroPlus 83.37% 239 VNSNY CHOICE 82.46% 238 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 30 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Customer Service (Usually or Always) Q40. Usually or always treated with courtesy and respect by health plan's customer service staff Score N SNP Total 94.10% 756 Amidacare 93.11% 280 MetroPlus 96.03% 237 VNSNY CHOICE 93.17% 239 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 31 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Shared Decision Making (Yes) Score N SNP Total 82.94% 516 Amidacare 84.62% 158 MetroPlus 83.36% 161 VNSNY CHOICE 80.84% 197 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 32 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Shared Decision Making (Yes) Q11. Doctor/provider talked about reasons you might want to take a medicine Score N SNP Total 94.10% 510 Amidacare 93.01% 157 MetroPlus 94.95% 161 VNSNY CHOICE 94.34% 192 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 33 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Shared Decision Making (Yes) Q12. Doctor/provider talked about reasons you might not want to take a medicine Score N SNP Total 66.38% 511 Amidacare 71.70% 157 MetroPlus 66.31% 157 VNSNY CHOICE 61.13% 197 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 34 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Composites Shared Decision Making (Yes) Q13. Doctor/provider asked what you thought was best for you Score N SNP Total 88.34% 511 Amidacare 89.16% 157 MetroPlus 88.82% 159 VNSNY CHOICE 87.05% 195 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 35 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Medical Assistance with Smoking Cessation Medical Assistance with Smoking Cessation Q47. Advised by doctor or other health provider to quit smoking or using tobacco % N SNP Total 90.90% 670 Amidacare 92.31% 247 MetroPlus 90.91% 220 VNSNY CHOICE 89.16% 203 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 36 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Medical Assistance with Smoking Cessation Medical Assistance with Smoking Cessation Q48. Doctor or health provider recommended or discussed medication to assist with quitting smoking or using tobacco % N SNP Total 81.19% 670 Amidacare 85.08% 248 MetroPlus 77.83% 221 VNSNY CHOICE 80.10% 201 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 37 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Medical Assistance with Smoking Cessation Medical Assistance with Smoking Cessation Q49. Doctor or health provider discussed or provided methods and strategies to assist with quitting smoking or using tobacco % N SNP Total 74.66% 663 Amidacare 77.78% 243 MetroPlus 74.65% 217 VNSNY CHOICE 70.94% 203 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 38 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q8. Doctor/provider definitely talked about specific things to do to prevent illness Score N SNP Total 84.38% 1202 Amidacare 85.47% 393 MetroPlus 83.68% 388 VNSNY CHOICE 83.98% 421 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 39 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q32. Personal doctor usually or always seemed informed about care received from other doctors or providers Score N SNP Total 87.25% 600 Amidacare 84.22% 191 MetroPlus 89.23% 173 VNSNY CHOICE 88.31% 236 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 40 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q9a. Doctor or other health provider talked about a healthy diet and eating habits Score N SNP Total 78.63% 1179 Amidacare 78.04% 387 MetroPlus 78.85% 383 VNSNY CHOICE 78.97% 409 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 41 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q9b. Doctor or other health provider talked about exercise or physical activity Score N SNP Total 75.84% 1163 Amidacare 77.31% 379 MetroPlus 74.67% 379 VNSNY CHOICE 75.56% 405 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 42 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q9c. Doctor or other health provider talked about things in your life that worry you or cause you stress Score N SNP Total 72.00% 1175 Amidacare 74.21% 380 MetroPlus 70.16% 382 VNSNY CHOICE 71.67% 413 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 43 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q9d. Doctor or other health provider talked about whether there was a period of time when you felt sad, empty or depressed Score N SNP Total 64.86% 1161 Amidacare 68.05% 385 MetroPlus 61.62% 370 VNSNY CHOICE 64.78% 406 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 44 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q9e. Doctor or other health provider talked about smoking or using tobacco products Score N SNP Total 64.56% 1157 Amidacare 68.68% 380 MetroPlus 63.40% 377 VNSNY CHOICE 61.75% 400 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 45 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q9f. Doctor or other health provider talked about alcohol or other drug use Score N SNP Total 51.84% 1140 Amidacare 54.55% 374 MetroPlus 50.94% 373 VNSNY CHOICE 50.13% 393 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 46 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q15. Someone from doctor's office usually or always followed up to give blood test, x-ray or other test results Score N SNP Total 86.41% 1115 Amidacare 86.07% 368 MetroPlus 88.02% 361 VNSNY CHOICE 85.13% 386 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 47 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q16. Results of blood test, x-ray or other test usually or always easy to understand Score N SNP Total 87.57% 1116 Amidacare 86.93% 371 MetroPlus 88.53% 358 VNSNY CHOICE 87.25% 387 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 48 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q20. Usually or always easy to get treatment or counseling you needed for a personal or family problem through your health plan Score N SNP Total 78.55% 450 Amidacare 75.35% 161 83.79% 134 76.50% 155 MetroPlus é VNSNY CHOICE 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 49 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q21. Rating of treatment or counseling for a personal or family problem (8, 9 or 10) Score N SNP Total 63.31% 446 Amidacare 62.12% 157 MetroPlus 63.84% 134 VNSNY CHOICE 63.99% 155 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 50 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q23. Usually or always easy to get the alcohol, drug, or addiction treatment or counseling you needed through your health plan Score N SNP Total 85.45% 145 Amidacare 88.10% 53 MetroPlus 84.40% 46 VNSNY CHOICE 83.86% 46 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 51 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q24. Rating of alcohol, drug, or addiction treatment or counseling Score N SNP Total 68.13% 141 Amidacare 66.31% 52 MetroPlus 70.45% 45 VNSNY CHOICE 67.61% 44 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 52 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q42. Would recommend health plan to your family and friends Score N SNP Total 88.59% 1356 Amidacare 90.04% 440 MetroPlus 90.69% 459 85.04% 457 ê VNSNY CHOICE 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 53 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Single Items Single Items Q45. Had flu shot or flu spray since September 1, 2014? [Displayed for Respondents 18-64 years old] Score N SNP Total 74.04% 1460 Amidacare 71.61% 465 MetroPlus 74.16% 503 VNSNY CHOICE 76.22% 492 0 5 10 15 20 25 30 35 Worse éê 40 45 50 55 60 65 70 75 80 Achievement Score 85 90 95 100 Better Statistically significantly better/worse than Statewide 2015. SNP Total 2015 New York State Department of Health Health Plans 2015 Page 54 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Correlation Analysis Correlation Analysis The Correlation Analysis section is helpful in understanding how results in various questions relate to the four general ratings (personal doctor, specialist seen most often, all health care, and health plan) for respondents. This allows for evaluation of which questions are most strongly linked to the rating and what the current achievement score is. You can use the section for a quick view of how composite questions correlate across ratings. The correlation analyses are presented two ways. First there is a table summarizing correlations of the top ten highly correlated composite questions to the four rating questions ranked by the highest correlation between the question and rating. This allows a visual picture of clustering of composites across ratings. Each question in a composite is represented with the individual question number, the composite name, the achievement score and the correlation value. Example: Looking at where the composites cluster will let you identify areas correlating with ratings. For example if Getting Needed Care and How Well Doctors Communicate have higher correlations across the ratings, you can see how these aspects are important to members and influence how satisfied they are with their providers, their health care or their health plan. Likewise, composites clustered toward the bottom may indicate areas of lower importance to the members. The visual also allows you to see areas where you can improve. If you are performing poorly in Getting Needed Care, and it is important to the members' satisfaction with care, this could be a compelling reason to focus on improving this area. It also lets you see how different questions within a composite correlate individually. The summary is followed by four tables presenting more detailed data on composite questions for each individual rating. The questions are written out and you can see the proportion of responses for each response option. This lets you see where an opportunity for improvement may lie. For example, if a question correlates highly and has higher proportions of "sometimes" and "never", improving the processes may move respondents up to "always" which will improve not only that composite, but the other rating questions. New York State Department of Health Page 55 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Correlation Analysis Correlation Summary Rating of personal doctor Rating of specialist seen most often Corr. Rating of all health care Rank Question Score Correlation Question Score Correlation Question Score Correlation Question Score Correlation Q18 89% 0.57 Q30 93% 0.55 Q18 89% 0.44 Q40 94% 0.41 1 2 3 4 5 6 7 8 9 10 Getting Needed Care Q4 87% 0.48 Communication Q29 Getting Care Quickly Q28 94% 0.44 93% 0.42 Communication Q29 95% 0.41 Q28 94% 0.40 Communication Q35 75% 0.37 Getting Needed Care Q40 94% 0.35 Customer Service Q6 86% 0.29 Getting Care Quickly Q39 84% 0.25 Customer Service New York State Department of Health 94% Q18 89% 0.48 94% 0.41 0.40 Communication Q13 88% 75% 0.26 0.26 Getting Needed Care Q40 94% 0.24 Customer Service Q6 86% 0.23 Getting Care Quickly Q4 87% 0.42 Q39 84% 0.36 Q13 88% 0.33 Shared Decision Making Q4 87% 0.31 Customer Service Q18 0.23 Getting Care Quickly Page 56 Q28 94% 0.30 Communication Q30 93% 0.30 Q4 94% 0.28 94% 0.23 95% 0.22 Communication 0.35 84% 0.35 Customer Service Q28 94% 0.29 Communication Q35 75% 0.29 Getting Needed Care Q30 93% 0.28 Communication Q29 95% 0.27 Communication Q27 Customer Service Q29 87% Q39 Communication Q40 0.37 Getting Care Quickly Communication Q27 89% Getting Needed Care Getting Care Quickly Shared Decision Making Q35 75% Customer Service Getting Needed Care Q27 Q35 Getting Needed Care Communication Communication Q27 0.51 Communication Communication Q30 95% Getting Needed Care Rating of health plan 94% 0.27 Communication Q6 86% 0.20 Getting Care Quickly ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Correlation Analysis Rating of all health care Corr. Rank Question Correlation w/ Rating of all health care Achievement Score Always Usually Sometimes Never Positive Responses Negative Responses 1 Q18. In the last 6 months, how often was it easy to get the care, tests, or treatment you needed? 0.57 89% 64% 25% 9% 1% 2 Q4. In the last 6 months, when you needed care right away, how often did you get care as soon as you needed? 0.48 87% 63% 24% 11% 2% 3 Q28. In the last 6 months, how often did your personal doctor listen carefully to you? 0.44 94% 81% 14% 5% 1% 4 Q30. In the last 6 months, how often did your personal doctor spend enough time with you? 0.42 93% 75% 18% 6% 1% 5 Q29. In the last 6 months, how often did your personal doctor show respect for what you had to say? 0.41 95% 84% 11% 4% 1% 6 Q27. In the last 6 months, how often did your personal doctor explain things in a way that was easy to understand? 0.40 94% 80% 15% 5% 1% 7 Q35. In the last 6 months, how often did you get an appointment to see a specialist as soon as you needed? 0.37 75% 47% 29% 19% 6% 8 Q40. In the last 6 months, how often did your health plan's customer service staff treat you with courtesy and respect? 0.35 94% 79% 15% 5% 1% 9 Q6. In the last 6 months, how often did you get an appointment for a check-up or routine care at a doctor's office or clinic as soon as you needed? 0.29 86% 65% 22% 12% 2% 10 Q39. In the last 6 months, how often did your health plan's customer service give you the information or help you needed? 0.25 84% 59% 25% 13% 3% New York State Department of Health Page 57 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Correlation Analysis Rating of personal doctor Corr. Rank Question Positive Responses Negative Responses Correlation w/ Rating of personal doctor Achievement Score Always / Yes Usually Sometimes Never / No 1 Q30. In the last 6 months, how often did your personal doctor spend enough time with you? 0.55 93% 75% 18% 6% 1% 2 Q29. In the last 6 months, how often did your personal doctor show respect for what you had to say? 0.51 95% 84% 11% 4% 1% 3 Q28. In the last 6 months, how often did your personal doctor listen carefully to you? 0.48 94% 81% 14% 5% 1% 4 Q18. In the last 6 months, how often was it easy to get the care, tests, or treatment you needed? 0.41 89% 64% 25% 9% 1% 5 Q27. In the last 6 months, how often did your personal doctor explain things in a way that was easy to understand? 0.40 94% 80% 15% 5% 1% 6 Q13. When you talked about starting or stopping a prescription medicine, did a doctor or other health provider ask you what was best for you? 0.26 88% 88% (na) (na) 12% 7 Q35. In the last 6 months, how often did you get an appointment to see a specialist as soon as you needed? 0.26 75% 47% 29% 19% 6% 8 Q40. In the last 6 months, how often did your health plan's customer service staff treat you with courtesy and respect? 0.24 94% 79% 15% 5% 1% 9 Q6. In the last 6 months, how often did you get an appointment for a check-up or routine care at a doctor's office or clinic as soon as you needed? 0.23 86% 65% 22% 12% 2% 10 Q4. In the last 6 months, when you needed care right away, how often did you get care as soon as you needed? 0.23 87% 63% 24% 11% 2% New York State Department of Health Page 58 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Correlation Analysis Rating of specialist seen most often Corr. Rank Question Correlation w/ Rating of specialist seen most often Achievement Score Always / Yes Usually Sometimes Never / No Positive Responses Negative Responses 1 Q18. In the last 6 months, how often was it easy to get the care, tests, or treatment you needed? 0.44 89% 64% 25% 9% 1% 2 Q35. In the last 6 months, how often did you get an appointment to see a specialist as soon as you needed? 0.42 75% 47% 29% 19% 6% 3 Q39. In the last 6 months, how often did your health plan's customer service give you the information or help you needed? 0.36 84% 59% 25% 13% 3% 4 Q13. When you talked about starting or stopping a prescription medicine, did a doctor or other health provider ask you what was best for you? 0.33 88% 88% (na) (na) 12% 5 Q4. In the last 6 months, when you needed care right away, how often did you get care as soon as you needed? 0.31 87% 63% 24% 11% 2% 6 Q28. In the last 6 months, how often did your personal doctor listen carefully to you? 0.30 94% 81% 14% 5% 1% 7 Q30. In the last 6 months, how often did your personal doctor spend enough time with you? 0.30 93% 75% 18% 6% 1% 8 Q27. In the last 6 months, how often did your personal doctor explain things in a way that was easy to understand? 0.28 94% 80% 15% 5% 1% 9 Q40. In the last 6 months, how often did your health plan's customer service staff treat you with courtesy and respect? 0.23 94% 79% 15% 5% 1% Q29. In the last 6 months, how often did your personal doctor show respect for what you had to say? 0.22 95% 84% 11% 4% 1% 10 New York State Department of Health Page 59 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Correlation Analysis Rating of health plan Positive Responses Negative Responses Correlation w/ Rating of health plan Achievement Score Always Usually Sometimes Never 1 Q40. In the last 6 months, how often did your health plan's customer service staff treat you with courtesy and respect? 0.41 94% 79% 15% 5% 1% 2 Q18. In the last 6 months, how often was it easy to get the care, tests, or treatment you needed? 0.37 89% 64% 25% 9% 1% 3 Q4. In the last 6 months, when you needed care right away, how often did you get care as soon as you needed? 0.35 87% 63% 24% 11% 2% 4 Q39. In the last 6 months, how often did your health plan's customer service give you the information or help you needed? 0.35 84% 59% 25% 13% 3% 5 Q28. In the last 6 months, how often did your personal doctor listen carefully to you? 0.29 94% 81% 14% 5% 1% 6 Q35. In the last 6 months, how often did you get an appointment to see a specialist as soon as you needed? 0.29 75% 47% 29% 19% 6% 7 Q30. In the last 6 months, how often did your personal doctor spend enough time with you? 0.28 93% 75% 18% 6% 1% 8 Q29. In the last 6 months, how often did your personal doctor show respect for what you had to say? 0.27 95% 84% 11% 4% 1% 9 Q27. In the last 6 months, how often did your personal doctor explain things in a way that was easy to understand? 0.27 94% 80% 15% 5% 1% 10 Q6. In the last 6 months, how often did you get an appointment for a check-up or routine care at a doctor's office or clinic as soon as you needed? 0.20 86% 65% 22% 12% 2% Corr. Rank Question New York State Department of Health Page 60 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Responses by Question This section presents each question and the distribution for each available response option. For each question that has responses determined to be positive or negative, there is a colored circle indicating achievement or room for improvement. The circles are based on the response category and are not indicative of areas the plan needs to improve necessarily. When applicable, each question is presented with the composite name, the achievement score, the correlation value and trend information. In this section, a t-test is used to determine significant differences across time where 2015 scores are compared to 2013 scores where applicable. A significance level of .05 or less was considered statistically significant and " é" or " ê" is placed next to the appropriate achievement score change. The achievement scores are case-mix adjusted while data for each response option are not case-mix adjusted. Achievement scores for the Question 9 series, the "About Your Health" and "About You" sections are not case-mix adjusted. Q1. Our records show that you are now in [Health Plan Name]. Is that right? SNP Total N Yes No Total Not Answered % Amidacare N % MetroPlus N VNSNY CHOICE % N % 1,560 100.0% 502 100.0% 535 100.0% 523 0 0.0% 0 0.0% 0 0.0% 0 0.0% 1,560 100.0% 502 100.0% 535 100.0% 523 100.0% 49 16 19 100.0% 14 Your Health Care in the Last 6 Months Q3. In the last 6 months, did you have an illness, injury or condition that needed care right away in a clinic, emergency room or doctor's office? SNP Total N Yes No Total Not Answered New York State Department of Health % Amidacare N % MetroPlus N % VNSNY CHOICE N % 571 37.3% 189 38.0% 174 33.5% 208 960 62.7% 308 62.0% 346 66.5% 306 59.5% 1,531 100.0% 497 100.0% 520 100.0% 514 100.0% 78 21 Page 61 34 40.5% 23 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q4. (continued) In the last 6 months, when you needed care right away, how often did you get care as soon as you needed? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % N % 2.1% 4 2.2% 2 1.2% 6 3.0% 64 11.4% 28 15.1% 14 8.1% 22 10.8% 132 23.6% 44 23.8% 38 22.1% 50 24.6% 352 62.9% 109 58.9% 118 68.6% 125 61.6% 560 100.0% 185 100.0% 172 100.0% 203 100.0% 11 4 2 5 Getting Care Quickly Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction 86.54% 82.83% 90.88% 85.90% +4.5é +1.0 +4.4 +8.1é 0.353 0.381 0.279 0.368 In the last 6 months, did you make any appointments for a check-up or routine care at a doctor's office or clinic? SNP Total N Yes No Total Not Answered Q6. VNSNY CHOICE % 12 Reporting Category Q5. MetroPlus N % Amidacare N % MetroPlus N VNSNY CHOICE % N % 1,371 90.4% 432 89.1% 464 88.9% 475 146 9.6% 53 10.9% 58 11.1% 35 6.9% 1,517 100.0% 485 100.0% 522 100.0% 510 100.0% 92 33 32 93.1% 27 In the last 6 months, how often did you get an appointment for a check-up or routine care at a doctor's office or clinic as soon as you needed? SNP Total N Never Sometimes Usually Always Total Not Answered % % MetroPlus N VNSNY CHOICE % N % 22 1.6% 7 1.6% 5 1.1% 10 2.2% 160 12.0% 50 11.7% 56 12.6% 54 11.6% 291 21.8% 80 18.7% 104 23.5% 107 23.1% 861 64.5% 290 67.9% 278 62.8% 293 63.1% 1,334 100.0% 427 100.0% 443 100.0% 464 100.0% 37 5 Reporting Category 21 11 Getting Care Quickly Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Response scored as: Amidacare N Achievement New York State Department of Health 86.36% 86.49% 86.15% +1.2 -2.7 +2.3 86.44% +4.0 0.205 0.243 0.200 0.175 Room for improvement Page 62 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q7. In the last 6 months, not counting the times you went to an emergency room, how many times did you go to a doctor's office or clinic to get health care for yourself? SNP Total N None 1 time 2 3 4 5 to 9 10 or more times Total Not Answered Q8. (continued) % Amidacare N % VNSNY CHOICE % N % 187 13.2% 62 13.4% 75 15.8% 50 211 14.9% 57 12.3% 80 16.8% 74 15.4% 353 24.9% 118 25.5% 127 26.7% 108 22.5% 221 15.6% 70 15.2% 72 15.1% 79 16.5% 136 9.6% 50 10.8% 38 8.0% 48 10.0% 227 16.0% 83 18.0% 60 12.6% 84 17.5% 82 5.8% 22 4.8% 24 5.0% 36 7.5% 1,417 100.0% 462 100.0% 476 100.0% 479 100.0% 192 56 78 10.4% 58 In the last 6 months, did you and a doctor or other health provider talk about specific things you could do to prevent illness? SNP Total N Yes No Total Not Answered % Amidacare N % MetroPlus N % VNSNY CHOICE N % 1,014 84.4% 336 85.5% 326 84.0% 352 188 15.6% 57 14.5% 62 16.0% 69 16.4% 1,202 100.0% 393 100.0% 388 100.0% 421 100.0% 28 7 13 Reporting Category 83.6% 8 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q9a. MetroPlus N 84.38% 85.47% 83.68% 83.98% -3.5ê -3.3 -3.6 -3.5 In the last 6 months, did you and a doctor or other health provider talk about... A healthy diet and eating habits? SNP Total N Yes No Total Not Answered % Amidacare N % % VNSNY CHOICE N % 927 78.6% 302 78.0% 302 78.9% 323 252 21.4% 85 22.0% 81 21.1% 86 21.0% 1,179 100.0% 387 100.0% 383 100.0% 409 100.0% 51 13 18 Reporting Category 79.0% 20 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Response scored as: MetroPlus N Achievement New York State Department of Health 78.63% 78.04% 78.85% 78.97% -1.4 -2.9 -4.1 +2.9 Room for improvement Page 63 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q9b. (continued) In the last 6 months, did you and a doctor or other health provider talk about... Exercise or physical activity? SNP Total N Yes No Total Not Answered % Amidacare N % % VNSNY CHOICE N % 882 75.8% 293 77.3% 283 74.7% 306 281 24.2% 86 22.7% 96 25.3% 99 24.4% 1,163 100.0% 379 100.0% 379 100.0% 405 100.0% 67 21 22 Reporting Category 75.6% 24 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q9c. MetroPlus N 75.84% 77.31% 74.67% 75.56% -1.2 -0.5 -3.1 +0.2 In the last 6 months, did you and a doctor or other health provider talk about... Things in your life that worry you or cause you stress? SNP Total N Yes No Total Not Answered % Amidacare N % % VNSNY CHOICE N % 846 72.0% 282 74.2% 268 70.2% 296 329 28.0% 98 25.8% 114 29.8% 117 28.3% 1,175 100.0% 380 100.0% 382 100.0% 413 100.0% 55 20 19 Reporting Category 71.7% 16 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q9d. MetroPlus N 72.00% 74.21% 70.16% 71.67% -5.8ê -5.0 -5.9 -6.4ê In the last 6 months, did you and a doctor or other health provider talk about... Whether you felt sad, empty or depressed? SNP Total N Yes No Total Not Answered % Amidacare N % % VNSNY CHOICE N % 753 64.9% 262 68.1% 228 61.6% 263 408 35.1% 123 31.9% 142 38.4% 143 35.2% 1,161 100.0% 385 100.0% 370 100.0% 406 100.0% 69 15 31 Reporting Category 64.8% 23 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Response scored as: MetroPlus N Achievement New York State Department of Health 64.86% 68.05% 61.62% 64.78% -7.0ê -5.3 -11.7ê -4.1 Room for improvement Page 64 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q9e. (continued) In the last 6 months, did you and a doctor or other health provider talk about... Smoking or using tobacco products? SNP Total N Yes No Total Not Answered % Amidacare N % VNSNY CHOICE N % 64.6% 261 68.7% 239 63.4% 247 410 35.4% 119 31.3% 138 36.6% 153 38.3% 1,157 100.0% 380 100.0% 377 100.0% 400 100.0% 73 20 24 61.8% 29 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) 64.56% 68.68% 63.40% 61.75% -1.1 +5.1 -5.8 -2.4 In the last 6 months, did you and a doctor or other health provider talk about... Alcohol or other drug use? SNP Total N Yes No Total Not Answered % Amidacare N % MetroPlus N % VNSNY CHOICE N % 591 51.8% 204 54.5% 190 50.9% 197 549 48.2% 170 45.5% 183 49.1% 196 49.9% 1,140 100.0% 374 100.0% 373 100.0% 393 100.0% 90 26 28 Reporting Category 50.1% 36 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q10. % 747 Reporting Category Q9f. MetroPlus N 51.84% 54.55% 50.94% 50.13% -4.3ê -0.9 -8.0ê -3.7 In the last 6 months, did you and a doctor or other health care provider talk about starting or stopping a prescription medicine? SNP Total N Yes No Total Not Answered Response scored as: % New York State Department of Health % MetroPlus N % VNSNY CHOICE N % 519 43.1% 159 40.5% 161 41.2% 199 685 56.9% 234 59.5% 230 58.8% 221 52.6% 1,204 100.0% 393 100.0% 391 100.0% 420 100.0% 26 Achievement Amidacare N 7 10 47.4% 9 Room for improvement Page 65 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q11. (continued) Did you and a doctor or other health provider talk about the reasons you might want to take a medicine? SNP Total N Yes No Total Not Answered % Amidacare N % N % 94.1% 146 93.0% 153 95.0% 181 30 5.9% 11 7.0% 8 5.0% 11 5.7% 510 100.0% 157 100.0% 161 100.0% 192 100.0% 9 2 0 94.3% 7 Shared Decision Making Achievement Score Correlation with Health Plan Satisfaction 94.10% 93.01% 94.95% 94.34% 0.143 0.098 0.364 0.001 Did you and a doctor or other health provider talk about the reasons you might not want to take a medicine? SNP Total N Yes No Total Not Answered % Amidacare N % MetroPlus N % VNSNY CHOICE N % 337 65.9% 112 71.3% 105 66.9% 120 174 34.1% 45 28.7% 52 33.1% 77 39.1% 511 100.0% 157 100.0% 157 100.0% 197 100.0% 8 2 Reporting Category 4 60.9% 2 Shared Decision Making Achievement Score Correlation with Health Plan Satisfaction Q13. VNSNY CHOICE % 480 Reporting Category Q12. MetroPlus N 66.38% 71.70% 66.31% 61.13% 0.152 0.121 0.217 0.097 When you talked about starting or stopping a prescription medicine, did a doctor or other health provider ask you what was best for you? SNP Total N Yes No Total Not Answered % % MetroPlus N % VNSNY CHOICE N % 451 88.3% 140 89.2% 141 88.7% 170 60 11.7% 17 10.8% 18 11.3% 25 12.8% 511 100.0% 157 100.0% 159 100.0% 195 100.0% 8 2 Reporting Category 2 87.2% 4 Shared Decision Making Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Response scored as: Amidacare N Achievement New York State Department of Health 88.34% 89.16% 88.82% +3.7 +3.8 +0.7 87.05% +6.5 0.195 0.291 0.028 0.253 Room for improvement Page 66 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q14. In the last 6 months, did a doctor or other health provider order a blood test, x-ray or other test for you? SNP Total N Yes No Total Not Answered Q15. (continued) % Amidacare N % VNSNY CHOICE % N % 1,131 94.3% 375 95.4% 364 93.6% 392 69 5.8% 18 4.6% 25 6.4% 26 6.2% 1,200 100.0% 393 100.0% 389 100.0% 418 100.0% 30 7 12 93.8% 11 When a doctor or other health provider ordered a blood test, x-ray or other test for you, how often did someone from this doctor's office follow up to give you those results? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % MetroPlus N VNSNY CHOICE % N % 55 4.9% 21 5.7% 12 3.3% 22 97 8.7% 29 7.9% 31 8.6% 37 9.6% 175 15.7% 53 14.4% 55 15.2% 67 17.4% 788 70.7% 265 72.0% 263 72.9% 260 67.4% 1,115 100.0% 368 100.0% 361 100.0% 386 100.0% 16 7 3 Reporting Category 5.7% 6 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q16. MetroPlus N 86.41% 86.07% 88.02% 85.13% -1.6 -3.2 -1.0 -0.7 In the last 6 months, how often were the results of your blood test, x-ray or other test easy to understand? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 35 3.1% 16 4.3% 8 2.2% 11 2.8% 104 9.3% 30 8.1% 33 9.2% 41 10.6% 255 22.8% 82 22.1% 65 18.2% 108 27.9% 722 64.7% 243 65.5% 252 70.4% 227 58.7% 1,116 100.0% 371 100.0% 358 100.0% 387 100.0% 15 4 Reporting Category 6 5 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Response scored as: MetroPlus N Achievement New York State Department of Health 87.57% 86.93% 88.53% 87.25% +0.1 -0.6 -0.2 +1.1 Room for improvement Page 67 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q17. (continued) Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your health care in the last 6 months? SNP Total N Worst health care possible 1 2 3 4 5 6 7 8 9 Best health care possible Total Not Answered % Amidacare N N VNSNY CHOICE % N % 3 0.3% 2 0.5% 0 0.0% 1 0.2% 3 0.3% 2 0.5% 0 0.0% 1 0.2% 7 0.6% 3 0.8% 1 0.3% 3 0.7% 15 1.3% 2 0.5% 6 1.5% 7 1.7% 22 1.8% 8 2.1% 6 1.5% 8 1.9% 65 5.4% 20 5.2% 18 4.6% 27 6.5% 2.6% 53 4.4% 21 5.4% 21 5.4% 11 112 9.4% 38 9.8% 35 9.0% 39 9.3% 204 17.1% 61 15.7% 70 18.0% 73 17.5% 188 15.7% 67 17.3% 47 12.1% 74 17.7% 523 43.8% 164 42.3% 185 47.6% 174 41.6% 1,195 100.0% 388 100.0% 389 100.0% 418 100.0% 35 12 12 Reporting Category 11 Ratings Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Q18. MetroPlus % 76.56% 74.14% 77.10% -2.6 -6.3ê -3.1 78.45% +1.5 0.570 0.550 0.539 0.616 In the last 6 months, how often was it easy to get the care, tests, or treatment you needed? SNP Total N Never Sometimes Usually Always Total Not Answered % % MetroPlus N VNSNY CHOICE % N % 17 1.4% 3 0.8% 8 2.1% 6 1.4% 109 9.2% 42 10.9% 26 6.7% 41 9.9% 298 25.0% 100 25.8% 85 21.9% 113 27.2% 767 64.4% 242 62.5% 270 69.4% 255 61.4% 1,191 100.0% 387 100.0% 389 100.0% 415 100.0% 39 13 Reporting Category 12 14 Getting Needed Care Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Response scored as: Amidacare N Achievement New York State Department of Health 89.44% 88.08% 90.97% +0.7 -2.8 +1.6 89.26% +3.4 0.368 0.412 0.323 0.362 Room for improvement Page 68 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q19. In the last 6 months, did you need any emotional or mental health treatment or counseling for a personal or family problem? SNP Total N Yes No Total Not Answered Q20. (continued) % Amidacare N % MetroPlus N VNSNY CHOICE % N % 464 30.9% 165 34.1% 139 27.0% 160 1,038 69.1% 319 65.9% 376 73.0% 343 68.2% 1,502 100.0% 484 100.0% 515 100.0% 503 100.0% 107 34 39 31.8% 34 In the last 6 months, how often was it easy to get the emotional or mental health treatment or counseling you needed through your health plan? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 43 9.6% 17 10.6% 7 5.2% 19 12.3% 55 12.2% 24 14.9% 14 10.4% 17 11.0% 86 19.1% 33 20.5% 22 16.4% 31 20.0% 266 59.1% 87 54.0% 91 67.9% 88 56.8% 450 100.0% 161 100.0% 134 100.0% 155 100.0% 14 4 Reporting Category 5 5 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Response scored as: MetroPlus N Achievement New York State Department of Health 78.55% 75.35% 83.79% 76.50% +2.4 -5.3 +10.5é +2.0 Room for improvement Page 69 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q21. (continued) Using any number from 0 to 10, where 0 is the worst treatment or counseling possible and 10 is the best treatment or counseling possible, what number would you use to rate all your emotional or mental health treatment or counseling in the last 6 months? SNP Total N Worst treatment possible 1 2 3 4 5 6 7 8 9 Best treatment possible Total Not Answered % Amidacare N % VNSNY CHOICE % N % 20 4.5% 9 5.7% 3 2.2% 8 5.2% 7 1.6% 2 1.3% 3 2.2% 2 1.3% 9 2.0% 3 1.9% 4 3.0% 2 1.3% 10 2.2% 2 1.3% 4 3.0% 4 2.6% 10 2.2% 3 1.9% 4 3.0% 3 1.9% 36 8.1% 13 8.3% 8 6.0% 15 9.7% 21 4.7% 12 7.6% 4 3.0% 5 3.2% 51 11.4% 17 10.8% 17 12.7% 17 11.0% 70 15.7% 21 13.4% 20 14.9% 29 18.7% 58 13.0% 21 13.4% 12 9.0% 25 16.1% 154 34.5% 54 34.4% 55 41.0% 45 29.0% 446 100.0% 157 100.0% 134 100.0% 155 100.0% 18 8 5 Reporting Category 5 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q22. MetroPlus N 63.31% 62.12% 63.84% 63.99% -2.8 -6.4 -2.2 +0.1 In the last 6 months, did you need any treatment or counseling for alcohol use, drug use or other addiction? SNP Total N Yes No Total Not Answered Response scored as: % New York State Department of Health % MetroPlus N VNSNY CHOICE % N % 146 9.7% 53 11.1% 46 8.9% 47 9.3% 1,354 90.3% 425 88.9% 469 91.1% 460 90.7% 1,500 100.0% 478 100.0% 515 100.0% 507 100.0% 109 Achievement Amidacare N 40 39 30 Room for improvement Page 70 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Health Care in the Last 6 Months Q23. (continued) In the last 6 months, how often was it easy to get the alcohol, drug or addiction treatment or counseling you needed through your health plan? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 12 8.3% 3 5.7% 5 10.9% 4 9 6.2% 4 7.5% 2 4.3% 3 6.5% 22 15.2% 12 22.6% 2 4.3% 8 17.4% 102 70.3% 34 64.2% 37 80.4% 31 67.4% 145 100.0% 53 100.0% 46 100.0% 46 100.0% 1 0 Reporting Category 8.7% 0 1 84.40% 83.86% +4.8 +9.8 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q24. MetroPlus N 85.45% 88.10% +8.5 +11.0 Using any number from 0 to 10, where 0 is the worst treatment or counseling possible and 10 is the best treatment or counseling possible, what number would you use to rate all your alcohol, drug or addiction treatment or counseling in the last 6 months? SNP Total N Worst treatment possible 1 2 3 4 5 6 7 8 9 Best treatment possible Total Not Answered % Amidacare N % VNSNY CHOICE % N % 5 3.5% 2 3.8% 3 6.7% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 2 1.4% 1 1.9% 0 0.0% 1 2.3% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 4 2.8% 1 1.9% 0 0.0% 3 6.8% 12 8.5% 4 7.7% 4 8.9% 4 9.1% 7 5.0% 3 5.8% 2 4.4% 2 4.5% 15 10.6% 6 11.5% 5 11.1% 4 9.1% 23 16.3% 10 19.2% 5 11.1% 8 18.2% 18 12.8% 5 9.6% 8 17.8% 5 11.4% 55 39.0% 20 38.5% 18 40.0% 17 38.6% 141 100.0% 52 100.0% 45 100.0% 44 100.0% 5 1 Reporting Category 1 3 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Response scored as: MetroPlus N Achievement New York State Department of Health 68.13% 66.31% 70.45% 67.61% +4.8 +3.1 +5.1 +6.0 Room for improvement Page 71 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Your Personal Doctor Q25. A personal doctor is the one you would see if you need a check-up, want advice about a health problem, or get sick or hurt. Do you have a personal doctor? SNP Total N Yes No Total Not Answered Q26. % % MetroPlus N VNSNY CHOICE % N % 1,335 89.4% 441 90.6% 441 86.5% 453 159 10.6% 46 9.4% 69 13.5% 44 8.9% 1,494 100.0% 487 100.0% 510 100.0% 497 100.0% 115 31 44 91.1% 40 In the last 6 months, how many times did you visit your personal doctor to get care for yourself? SNP Total N None 1 time 2 3 4 5 to 9 10 or more times Total Not Answered Q27. Amidacare N % Amidacare N % MetroPlus N VNSNY CHOICE % N % 44 3.5% 13 3.2% 14 3.4% 17 4.0% 207 16.6% 57 13.9% 80 19.5% 70 16.5% 413 33.1% 126 30.7% 144 35.0% 143 33.6% 216 17.3% 66 16.1% 77 18.7% 73 17.2% 100 8.0% 37 9.0% 29 7.1% 34 8.0% 194 15.6% 81 19.8% 49 11.9% 64 15.1% 72 5.8% 30 7.3% 18 4.4% 24 5.6% 1,246 100.0% 410 100.0% 411 100.0% 425 100.0% 89 31 30 28 In the last 6 months, how often did your personal doctor explain things in a way that was easy to understand? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 6 0.5% 3 0.8% 2 0.5% 1 0.2% 63 5.3% 22 5.5% 23 5.9% 18 4.4% 175 14.6% 59 14.9% 47 12.0% 69 17.0% 952 79.6% 313 78.8% 321 81.7% 318 78.3% 1,196 100.0% 397 100.0% 393 100.0% 406 100.0% 6 0 4 94.22% 93.62% 93.67% -1.0 -2.0 -1.8 +0.8 0.266 0.309 0.198 0.298 Reporting Category 2 Communication Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Response scored as: MetroPlus N Achievement New York State Department of Health 95.37% Room for improvement Page 72 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Your Personal Doctor Q28. Responses by Question (continued) In the last 6 months, how often did your personal doctor listen carefully to you? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 10 0.8% 5 1.3% 3 0.8% 2 0.5% 56 4.7% 22 5.6% 16 4.1% 18 4.5% 161 13.6% 57 14.5% 34 8.7% 70 17.4% 958 80.8% 308 78.6% 337 86.4% 313 77.7% 1,185 100.0% 392 100.0% 390 100.0% 403 100.0% 17 5 7 Reporting Category 5 Communication Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Q29. MetroPlus N 94.43% 92.91% 95.13% +0.6 -0.7 -0.8 95.24% +3.2 0.285 0.341 0.277 0.237 In the last 6 months, how often did your personal doctor show respect for what you had to say? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 11 0.9% 3 0.8% 2 0.5% 6 1.5% 43 3.6% 18 4.6% 15 3.8% 10 2.5% 135 11.3% 44 11.2% 25 6.4% 66 16.2% 1,003 84.1% 327 83.4% 351 89.3% 325 79.9% 1,192 100.0% 392 100.0% 393 100.0% 407 100.0% 10 5 4 Reporting Category 1 Communication Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Response scored as: MetroPlus N Achievement New York State Department of Health 95.46% 94.54% 95.69% 96.15% +0.5 -0.2 -0.1 +2.0 0.268 0.314 0.231 0.242 Room for improvement Page 73 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Your Personal Doctor Q30. Responses by Question (continued) In the last 6 months, how often did your personal doctor spend enough time with you? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % N % 0.8% 5 1.3% 4 1.0% 1 0.3% 74 6.2% 29 7.4% 19 4.8% 26 6.5% 215 18.1% 69 17.5% 63 16.0% 83 20.8% 888 74.8% 291 73.9% 307 78.1% 290 72.5% 1,187 100.0% 394 100.0% 393 100.0% 400 100.0% 15 3 4 8 Communication Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction 92.92% 91.23% 94.04% +0.5 +0.2 -0.3 +1.7 0.284 0.294 0.237 0.314 93.50% In the last 6 months, did you get care from a doctor or other health provider besides your personal doctor? SNP Total N Yes No Total Not Answered Q32. VNSNY CHOICE % 10 Reporting Category Q31. MetroPlus N % Amidacare N % MetroPlus N VNSNY CHOICE % N % 612 52.4% 199 51.2% 176 46.1% 237 556 47.6% 190 48.8% 206 53.9% 160 40.3% 1,168 100.0% 389 100.0% 382 100.0% 397 100.0% 34 8 15 59.7% 11 In the last 6 months, how often did your personal doctor seem informed and up-to-date about the care you got from these doctors or other health providers? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 24 4.0% 11 5.8% 7 4.0% 6 2.5% 53 8.8% 19 9.9% 10 5.8% 24 10.2% 114 19.0% 34 17.8% 31 17.9% 49 20.8% 409 68.2% 127 66.5% 125 72.3% 157 66.5% 600 100.0% 191 100.0% 173 100.0% 236 100.0% 12 8 Reporting Category 3 1 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Response scored as: MetroPlus N Achievement New York State Department of Health 87.25% 84.22% 89.23% 88.31% -0.2 -2.3 +0.9 +0.8 Room for improvement Page 74 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Your Personal Doctor Q33. Responses by Question (continued) Using any number from 0 to 10, where 0 is the worst personal doctor possible and 10 is the best personal doctor possible, what number would you use to rate your personal doctor? SNP Total N Worst personal doctor possible 1 2 3 4 5 6 7 8 9 Best personal doctor possible Total Not Answered % Amidacare N MetroPlus % N VNSNY CHOICE % N % 5 0.4% 3 0.7% 0 0.0% 2 0.5% 5 0.4% 2 0.5% 1 0.2% 2 0.5% 5 0.4% 2 0.5% 0 0.0% 3 0.7% 7 0.5% 1 0.2% 4 0.9% 2 0.5% 10 0.8% 3 0.7% 4 0.9% 3 0.7% 30 2.3% 11 2.6% 7 1.6% 12 2.8% 29 2.2% 9 2.1% 8 1.9% 12 2.8% 54 4.2% 22 5.1% 15 3.5% 17 3.9% 126 9.8% 34 7.9% 48 11.2% 44 10.1% 198 15.3% 77 17.9% 56 13.1% 65 14.9% 823 63.7% 266 61.9% 284 66.5% 273 62.8% 1,292 100.0% 430 100.0% 427 100.0% 435 100.0% 43 11 14 Reporting Category 18 Ratings Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction 88.79% 87.38% 90.55% -0.8 -2.6 +0.0 88.42% +0.1 0.485 0.532 0.393 0.505 Getting Health Care From Specialists Q34. Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors who specialize in one area of health care. In the last 6 months, did you make any appointments to see a specialist? SNP Total N Yes No Total Not Answered Response scored as: % New York State Department of Health % MetroPlus N % VNSNY CHOICE N % 721 49.3% 241 51.0% 223 44.2% 257 742 50.7% 232 49.0% 281 55.8% 229 47.1% 1,463 100.0% 473 100.0% 504 100.0% 486 100.0% 146 Achievement Amidacare N 45 50 52.9% 51 Room for improvement Page 75 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Getting Health Care From Specialists Q35. (continued) In the last 6 months, how often did you get an appointment to see a specialist as soon as you needed? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 41 5.8% 17 7.2% 10 4.6% 14 5.6% 133 18.8% 46 19.4% 42 19.2% 45 17.9% 202 28.5% 60 25.3% 57 26.0% 85 33.7% 332 46.9% 114 48.1% 110 50.2% 108 42.9% 708 100.0% 237 100.0% 219 100.0% 252 100.0% 13 4 Reporting Category 4 5 Getting Needed Care Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Q36. MetroPlus N 75.42% 73.18% 75.93% 77.15% +4.3 -1.6 +5.7 +8.9é 0.285 0.423 0.201 0.210 How many specialists have you seen in the last 6 months? SNP Total N None 1 specialist 2 3 4 5 or more specialists Total Not Answered Response scored as: % New York State Department of Health % MetroPlus N VNSNY CHOICE % N % 64 9.3% 24 10.5% 21 9.9% 19 7.7% 268 38.9% 104 45.6% 81 38.0% 83 33.5% 207 30.0% 59 25.9% 60 28.2% 88 35.5% 92 13.4% 25 11.0% 27 12.7% 40 16.1% 34 4.9% 10 4.4% 13 6.1% 11 4.4% 24 3.5% 6 2.6% 11 5.2% 7 2.8% 689 100.0% 228 100.0% 213 100.0% 248 100.0% 32 Achievement Amidacare N 13 10 9 Room for improvement Page 76 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question Getting Health Care From Specialists Q37. (continued) We want to know your rating of the specialist you saw most often in the last 6 months. Using any number from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible, what number would you use to rate the specialist? SNP Total N Worst specialist possible 1 2 3 4 5 6 7 8 9 Best specialist possible Total Not Answered % Amidacare N MetroPlus % N VNSNY CHOICE % N % 9 1.5% 3 1.5% 3 1.6% 3 1.3% 5 0.8% 0 0.0% 1 0.5% 4 1.8% 6 1.0% 2 1.0% 4 2.1% 0 0.0% 8 1.3% 5 2.5% 3 1.6% 0 0.0% 8 1.3% 5 2.5% 1 0.5% 2 0.9% 37 6.0% 9 4.5% 12 6.3% 16 7.1% 29 4.7% 12 5.9% 8 4.2% 9 4.0% 54 8.8% 17 8.4% 17 8.9% 20 8.9% 95 15.4% 33 16.3% 29 15.2% 33 14.7% 102 16.5% 30 14.9% 31 16.2% 41 18.3% 264 42.8% 86 42.6% 82 42.9% 96 42.9% 617 100.0% 202 100.0% 191 100.0% 224 100.0% 8 2 1 Reporting Category 5 Ratings Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction 74.67% 73.77% 74.30% +0.5 +1.9 -1.1 75.93% +0.7 0.416 0.524 0.345 0.391 Your Health Plan Q38. In the last 6 months, did you get information or help from your health plan's customer service? SNP Total N Yes No Total Not Answered Response scored as: % New York State Department of Health % MetroPlus N % VNSNY CHOICE N % 769 52.7% 285 61.3% 241 47.9% 243 689 47.3% 180 38.7% 262 52.1% 247 50.4% 1,458 100.0% 465 100.0% 503 100.0% 490 100.0% 151 Achievement Amidacare N 53 51 49.6% 47 Room for improvement Page 77 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Your Health Plan Q39. Responses by Question (continued) In the last 6 months, how often did your health plan's customer service give you the information or help you needed? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 21 2.8% 7 2.5% 7 2.9% 7 2.9% 99 13.1% 32 11.4% 32 13.4% 35 14.7% 191 25.2% 65 23.1% 52 21.8% 74 31.1% 447 59.0% 177 63.0% 148 61.9% 122 51.3% 758 100.0% 281 100.0% 239 100.0% 238 100.0% 11 4 Reporting Category 2 5 Customer Service Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Q40. MetroPlus N 84.05% 86.33% 83.37% 82.46% +11.0é +12.5é +7.3 +13.0é 0.351 0.535 0.222 0.259 In the last 6 months, how often did your health plan's customer service staff treat you with courtesy and respect? SNP Total N Never Sometimes Usually Always Total Not Answered % Amidacare N % VNSNY CHOICE % N % 10 1.3% 5 1.8% 3 1.3% 2 0.8% 35 4.6% 14 5.0% 6 2.5% 15 6.3% 114 15.1% 36 12.9% 35 14.8% 43 18.0% 597 79.0% 225 80.4% 193 81.4% 179 74.9% 756 100.0% 280 100.0% 237 100.0% 239 100.0% 13 5 Reporting Category 4 4 Customer Service Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Correlation with Health Plan Satisfaction Response scored as: MetroPlus N Achievement New York State Department of Health 94.10% 93.11% 96.03% 93.17% +5.4é +3.3 +5.0é +7.8é 0.407 0.491 0.403 0.313 Room for improvement Page 78 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Your Health Plan Q41. Responses by Question (continued) Using any number from 0 to 10, where 0 is the worst health plan possible and 10 is the best health plan possible, what number would you use to rate your health plan? SNP Total N Worst health plan possible 1 2 3 4 5 6 7 8 9 Best health plan possible Total Not Answered % Amidacare N N VNSNY CHOICE % N % 12 0.8% 4 0.8% 4 0.8% 4 0.8% 8 0.5% 4 0.8% 1 0.2% 3 0.6% 7 0.5% 1 0.2% 2 0.4% 4 0.8% 26 1.8% 7 1.5% 9 1.8% 10 2.1% 17 1.2% 5 1.1% 1 0.2% 11 2.3% 90 6.1% 34 7.2% 24 4.7% 32 6.6% 54 3.7% 19 4.0% 15 3.0% 20 4.1% 125 8.5% 29 6.1% 43 8.5% 53 10.9% 222 15.1% 67 14.1% 71 14.0% 84 17.2% 226 15.4% 79 16.7% 69 13.6% 78 16.0% 682 46.4% 225 47.5% 269 53.0% 188 38.6% 1,469 100.0% 474 100.0% 508 100.0% 487 100.0% 140 44 46 Reporting Category 50 Ratings Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q42. MetroPlus % 76.88% 77.69% 79.69% 73.27% +1.7 +2.8 -0.1 +2.4 Would you recommend your health plan to your family and friends? SNP Total N Yes No Total Not Answered % Amidacare N % VNSNY CHOICE % N % 1,201 88.6% 398 90.5% 419 91.3% 384 155 11.4% 42 9.5% 40 8.7% 73 16.0% 1,356 100.0% 440 100.0% 459 100.0% 457 100.0% 253 78 Reporting Category 95 84.0% 80 Single Items Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Response scored as: MetroPlus N Achievement New York State Department of Health 88.59% 90.04% 90.69% 85.04% +3.0é +3.6 -1.3 +6.8é Room for improvement Page 79 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question About Your Health Q43. In general, how would you rate your overall health? SNP Total N Excellent Very Good Good Fair Poor Total Not Answered Q44. % % MetroPlus N VNSNY CHOICE % N % 243 16.2% 85 17.7% 91 17.7% 67 13.3% 381 25.4% 129 26.8% 134 26.0% 118 23.5% 489 32.6% 156 32.4% 164 31.8% 169 33.7% 326 21.8% 100 20.8% 107 20.8% 119 23.7% 59 3.9% 11 2.3% 19 3.7% 29 5.8% 1,498 100.0% 481 100.0% 515 100.0% 502 100.0% 111 37 39 35 In general, how would you rate your overall mental or emotional health? SNP Total N Excellent Very Good Good Fair Poor Total Not Answered Q45. Amidacare N % Amidacare N % MetroPlus N VNSNY CHOICE % N % 275 18.3% 82 17.1% 105 20.3% 88 17.5% 337 22.5% 105 21.9% 121 23.4% 111 22.1% 460 30.7% 157 32.7% 144 27.9% 159 31.7% 354 23.6% 116 24.2% 121 23.4% 117 23.3% 73 4.9% 20 4.2% 26 5.0% 27 5.4% 1,499 100.0% 480 100.0% 517 100.0% 502 100.0% 110 38 37 35 Have you had a flu shot or flu spray since September 1, 2014? [Displayed for Respondents 18-64 years old] SNP Total N Yes No Don't Know Total Not Answered % Amidacare N % % VNSNY CHOICE N % 1,081 74.0% 333 71.6% 373 74.2% 375 76.2% 379 26.0% 132 28.4% 130 25.8% 117 23.8% 100.0% 465 100.0% 503 100.0% 492 37 1,460 15 106 12 36 Reporting Category 10 37 100.0% 33 Single Items Achievement Score Response scored as: MetroPlus N 74.04% Achievement New York State Department of Health 71.61% 74.16% 76.22% Room for improvement Page 80 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About Your Health Q46. Responses by Question (continued) Do you now smoke cigarettes or use tobacco every day, some days or not at all? SNP Total N Every day Some days Not at all Don't Know Total Not Answered Q47. Amidacare % N MetroPlus N VNSNY CHOICE % N % 401 27.3% 152 32.0% 131 26.1% 118 23.9% 284 19.3% 102 21.5% 94 18.7% 88 17.8% 786 53.4% 221 46.5% 277 55.2% 288 58.3% 18 6 1,471 100.0% 475 120 8 100.0% 4 502 37 100.0% 494 44 100.0% 39 In the last 6 months, how often were you advised to quit smoking or using tobacco by a doctor or other health provider in your plan? SNP Total N Never Sometimes Usually Always Total Not Answered Amidacare % N % MetroPlus N VNSNY CHOICE % N % 61 9.1% 19 7.7% 20 9.1% 22 10.8% 118 17.6% 44 17.8% 42 19.1% 32 15.8% 136 20.3% 44 17.8% 39 17.7% 53 26.1% 355 53.0% 140 56.7% 119 54.1% 96 47.3% 670 100.0% 247 100.0% 220 100.0% 203 100.0% 15 7 Reporting Category 5 3 Medical Assistance with Smoking Cessation Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q48. % 90.90% 92.31% 90.91% 89.16% -2.2 +0.6 -4.4 -3.0 In the last 6 months, how often was medication recommended or discussed by a doctor or health provider to assist you with quitting smoking or using tobacco? Examples of medication are: nicotine gum, patch, nasal spray, inhaler, or prescription medication. SNP Total N Never Sometimes Usually Always Total Not Answered N % MetroPlus N % VNSNY CHOICE N % 126 18.8% 37 14.9% 49 22.2% 40 19.9% 147 21.9% 48 19.4% 42 19.0% 57 28.4% 132 19.7% 49 19.8% 51 23.1% 32 15.9% 265 39.6% 114 46.0% 79 35.7% 72 35.8% 670 100.0% 248 100.0% 221 100.0% 201 100.0% 15 6 Reporting Category 4 5 Medical Assistance with Smoking Cessation Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Response scored as: Amidacare % Achievement New York State Department of Health 81.19% 85.08% 77.83% 80.10% +1.8 +5.4 -3.7 +3.5 Room for improvement Page 81 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About Your Health Q49. Responses by Question (continued) In the last 6 months, how often did your doctor or health provider discuss or provide methods and strategies other than medication to assist you with quitting smoking or using tobacco? Examples of methods and strategies are: telephone helpline, individual or group counseling, or cessation program. SNP Total N Never Sometimes Usually Always Total Not Answered N MetroPlus N VNSNY CHOICE % N % 25.3% 54 22.2% 55 25.3% 59 29.1% 160 24.1% 57 23.5% 54 24.9% 49 24.1% 145 21.9% 54 22.2% 53 24.4% 38 18.7% 190 28.7% 78 32.1% 55 25.3% 57 28.1% 663 100.0% 243 100.0% 217 100.0% 203 100.0% 22 11 8 3 Medical Assistance with Smoking Cessation Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) 74.66% 77.78% 74.65% 70.94% +0.1 +1.4 -0.1 -1.2 Do you take aspirin daily or every other day? [NOTE: Data presented for eligible respondents determined by NCQA scoring guidelines.] SNP Total N Yes No Don't know Total Not Answered % Amidacare N % MetroPlus N VNSNY CHOICE % N % 84 26.8% 26 25.7% 29 29.6% 29 25.4% 229 73.2% 75 74.3% 69 70.4% 85 74.6% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 313 100.0% 101 100.0% 98 100.0% 114 100.0% 0 0 26.84% 25.74% 29.59% 25.44% -0.8 -0.8 +4.4 -5.9 Reporting Category 0 0 Aspirin Use and Discussion Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q51. % 168 Reporting Category Q50. Amidacare % Do you have a health problem or take medication that makes taking aspirin unsafe for you? SNP Total N Yes No Don't know Total Not Answered Response scored as: % MetroPlus N % VNSNY CHOICE N % 173 13.2% 47 11.1% 61 13.5% 65 14.8% 86.8% 378 88.9% 390 86.5% 373 85.2% 100.0% 425 100.0% 451 100.0% 438 183 54 112 New York State Department of Health % 1,141 1,314 Achievement Amidacare N 39 61 42 68 100.0% 31 Room for improvement Page 82 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About Your Health Q52. Responses by Question (continued) Has a doctor or health provider ever discussed with you the risks and benefits of aspirin to prevent heart attack and stroke? [NOTE: Data presented for eligible respondents determined by NCQA scoring guidelines.] SNP Total N Yes No Total Not Answered % Amidacare N VNSNY CHOICE N % 50.9% 89 48.6% 105 55.3% 99 49.1% 94 51.4% 85 44.7% 104 51.2% 576 100.0% 183 100.0% 190 100.0% 203 100.0% 0 0 0 48.8% 0 Aspirin Use and Discussion 50.87% 48.63% 55.26% 48.77% -0.9 -3.9 +5.0 -3.8 Are you aware that you have any of the following conditions? Response: High cholesterol SNP Total N Yes No Total Not Answered % Amidacare N % MetroPlus N % VNSNY CHOICE N % 477 50.2% 140 48.6% 173 52.6% 164 474 49.8% 148 51.4% 156 47.4% 170 50.9% 951 100.0% 288 100.0% 329 100.0% 334 100.0% 658 230 225 49.1% 203 Are you aware that you have any of the following conditions? Response: High blood pressure SNP Total N Yes No Total Not Answered Q53.3. % 283 Achievement Score 2015 vs. 2013: +/- Change (éê Stat. sig.) Q53.2. MetroPlus N 293 Reporting Category Q53.1. % % Amidacare N % MetroPlus N % VNSNY CHOICE N % 593 62.4% 191 66.3% 191 58.1% 211 358 37.6% 97 33.7% 138 41.9% 123 36.8% 951 100.0% 288 100.0% 329 100.0% 334 100.0% 658 230 225 63.2% 203 Are you aware that you have any of the following conditions? Response: Parent or sibling with a heart attack before the age of 60 SNP Total N Yes No Total Not Answered Response scored as: % New York State Department of Health % MetroPlus N % VNSNY CHOICE N % 239 25.1% 69 24.0% 74 22.5% 96 28.7% 712 74.9% 219 76.0% 255 77.5% 238 71.3% 951 100.0% 288 100.0% 329 100.0% 334 100.0% 658 Achievement Amidacare N 230 225 203 Room for improvement Page 83 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About Your Health Q54.1. Responses by Question (continued) Has a doctor ever told you that you have any of the following conditions? Response: A heart attack SNP Total N Yes No Total Not Answered Q54.2. % MetroPlus N % VNSNY CHOICE N % 70 15.6% 18 13.3% 26 16.4% 26 16.8% 84.4% 117 86.7% 133 83.6% 129 83.2% 449 100.0% 135 100.0% 159 100.0% 155 100.0% 1,160 383 395 382 Has a doctor ever told you that you have any of the following conditions? Response: Angina or coronary heart disease SNP Total Yes No Total Not Answered % Amidacare N % MetroPlus N % VNSNY CHOICE N % 66 14.7% 21 15.6% 20 12.6% 25 16.1% 383 85.3% 114 84.4% 139 87.4% 130 83.9% 449 100.0% 135 100.0% 159 100.0% 155 100.0% 1,160 383 395 382 Has a doctor ever told you that you have any of the following conditions? Response: A stroke SNP Total N Yes No Total Not Answered Q54.4. % 379 N Q54.3. Amidacare N % Amidacare N % MetroPlus N % VNSNY CHOICE N % 85 18.9% 33 24.4% 26 16.4% 26 16.8% 364 81.1% 102 75.6% 133 83.6% 129 83.2% 449 100.0% 135 100.0% 159 100.0% 155 100.0% 1,160 383 395 382 Has a doctor ever told you that you have any of the following conditions? Response: Any kind of diabetes or high blood sugar SNP Total N Yes No Total Not Answered New York State Department of Health % Amidacare N % MetroPlus N % VNSNY CHOICE N % 322 71.7% 90 66.7% 124 78.0% 108 127 28.3% 45 33.3% 35 22.0% 47 30.3% 449 100.0% 135 100.0% 159 100.0% 155 100.0% 1,160 383 Page 84 395 69.7% 382 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About Your Health Q55a. Responses by Question (continued) Do any of the following conditions affect you right now ... Cancer? SNP Total N Yes No Total Not Answered Q55b. % % MetroPlus N VNSNY CHOICE % N % 82 7.3% 25 6.8% 26 6.7% 31 8.3% 1,045 92.7% 343 93.2% 360 93.3% 342 91.7% 1,127 100.0% 368 100.0% 386 100.0% 373 100.0% 482 150 168 164 Do any of the following conditions affect you right now ... Arthritis? SNP Total N Yes No Total Not Answered Q55c. % Amidacare N % MetroPlus N % VNSNY CHOICE N % 434 35.9% 146 37.5% 132 31.8% 156 776 64.1% 243 62.5% 283 68.2% 250 61.6% 1,210 100.0% 389 100.0% 415 100.0% 406 100.0% 399 129 139 38.4% 131 Do any of the following conditions affect you right now ... Asthma? SNP Total N Yes No Total Not Answered Q55d. Amidacare N % Amidacare N % MetroPlus N % VNSNY CHOICE N % 396 33.1% 140 36.9% 132 31.7% 124 800 66.9% 239 63.1% 284 68.3% 277 69.1% 1,196 100.0% 379 100.0% 416 100.0% 401 100.0% 413 139 138 30.9% 136 Do any of the following conditions affect you right now ... Overweight? SNP Total N Yes No Total Not Answered New York State Department of Health % Amidacare N % MetroPlus N % VNSNY CHOICE N % 316 26.8% 95 25.3% 101 24.9% 120 30.2% 863 73.2% 280 74.7% 305 75.1% 278 69.8% 1,179 100.0% 375 100.0% 406 100.0% 398 100.0% 430 143 Page 85 148 139 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About Your Health Q55e. Responses by Question (continued) Do any of the following conditions affect you right now ... Depression? SNP Total N Yes No Total Not Answered Q55f. % MetroPlus N VNSNY CHOICE % N % 49.9% 218 53.0% 185 42.9% 229 635 50.1% 193 47.0% 246 57.1% 196 46.1% 1,267 100.0% 411 100.0% 431 100.0% 425 100.0% 342 107 123 53.9% 112 Do any of the following conditions affect you right now ... Drinking or other drug problems? SNP Total Yes No Total Not Answered % Amidacare N % MetroPlus N VNSNY CHOICE % N % 149 12.8% 52 13.8% 52 13.1% 45 11.4% 1,018 87.2% 324 86.2% 345 86.9% 349 88.6% 1,167 100.0% 376 100.0% 397 100.0% 394 100.0% 442 142 157 143 Do any of the following conditions affect you right now ... Emotional problems or mental illness? SNP Total N Yes No Total Not Answered Q55h. % 632 N Q55g. Amidacare N % Amidacare N % MetroPlus N % VNSNY CHOICE N % 452 36.9% 172 42.4% 129 31.1% 151 774 63.1% 234 57.6% 286 68.9% 254 62.7% 1,226 100.0% 406 100.0% 415 100.0% 405 100.0% 383 112 139 37.3% 132 Do any of the following conditions affect you right now ... Other medical conditions lasting more than three months? SNP Total N Yes No Total Not Answered New York State Department of Health % Amidacare N % MetroPlus N % VNSNY CHOICE N % 786 60.4% 248 59.6% 247 54.5% 291 516 39.6% 168 40.4% 206 45.5% 142 32.8% 1,302 100.0% 416 100.0% 453 100.0% 433 100.0% 307 102 Page 86 101 67.2% 104 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans Responses by Question About You Q56. What is your age? SNP Total N 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Total Not Answered Q57. % % MetroPlus N VNSNY CHOICE % N % 19 1.3% 3 0.6% 9 1.8% 7 1.4% 87 5.9% 31 6.6% 34 6.7% 22 4.4% 207 14.0% 72 15.3% 68 13.4% 67 13.4% 580 39.2% 190 40.3% 196 38.6% 194 38.8% 570 38.5% 170 36.0% 195 38.4% 205 41.0% 16 1.1% 5 1.1% 6 1.2% 5 1.0% 1 0.1% 1 0.2% 0 0.0% 0 0.0% 1,480 100.0% 472 100.0% 508 100.0% 500 100.0% 129 46 46 37 Are you male or female? SNP Total N Male Female Total Not Answered Q58. Amidacare N % 915 Amidacare N % 62.1% 292 559 37.9% 1,474 100.0% MetroPlus N 62.9% 306 172 37.1% 464 100.0% 135 VNSNY CHOICE % N % 60.0% 317 204 40.0% 183 36.6% 510 100.0% 500 100.0% 54 44 63.4% 37 What is the highest grade or level of school that you have completed? SNP Total N 8th grade or less Some high school but did not graduate High school graduate or GED Some college or 2-year degree 4-year college graduate More than 4-year college degree Total Not Answered New York State Department of Health % Amidacare N % MetroPlus N VNSNY CHOICE % N % 155 10.6% 46 9.9% 60 11.9% 49 9.9% 408 27.9% 135 29.1% 149 29.6% 124 25.1% 423 28.9% 123 26.5% 156 31.0% 144 29.1% 334 22.8% 110 23.7% 103 20.4% 121 24.5% 87 6.0% 30 6.5% 25 5.0% 32 6.5% 55 3.8% 20 4.3% 11 2.2% 24 4.9% 1,462 100.0% 464 100.0% 504 100.0% 494 100.0% 147 54 Page 87 50 43 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About You Q59. Responses by Question (continued) Are you of Hispanic or Latino origin or descent? SNP Total N Yes, Hispanic or Latino No, Not Hispanic or Latino Total Not Answered Q60.1. % MetroPlus N VNSNY CHOICE % N % 46.7% 216 47.6% 211 42.4% 243 766 53.3% 238 52.4% 287 57.6% 241 49.8% 1,436 100.0% 454 100.0% 498 100.0% 484 100.0% 173 64 56 50.2% 53 What is your race? Response: White. SNP Total Yes No Total Not Answered % Amidacare N % MetroPlus N VNSNY CHOICE % N % 275 20.3% 104 23.9% 77 16.5% 94 1,080 79.7% 332 76.1% 390 83.5% 358 79.2% 1,355 100.0% 436 100.0% 467 100.0% 452 100.0% 254 82 87 20.8% 85 What is your race? Response: Black or African-American. SNP Total N Yes No Total Not Answered Q60.3. % 670 N Q60.2. Amidacare N % Amidacare N % MetroPlus N VNSNY CHOICE % N % 710 52.4% 218 50.0% 268 57.4% 224 645 47.6% 218 50.0% 199 42.6% 228 50.4% 1,355 100.0% 436 100.0% 467 100.0% 452 100.0% 254 82 87 49.6% 85 What is your race? Response: Asian. SNP Total N Yes No Total Not Answered New York State Department of Health % Amidacare N % MetroPlus N VNSNY CHOICE % N % 30 2.2% 13 3.0% 12 2.6% 5 1.1% 1,325 97.8% 423 97.0% 455 97.4% 447 98.9% 1,355 100.0% 436 100.0% 467 100.0% 452 100.0% 254 82 Page 88 87 85 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About You Q60.4. Responses by Question (continued) What is your race? Response: Native Hawaiian or other Pacific Islander. SNP Total N Yes No Total Not Answered Q60.5. % MetroPlus N VNSNY CHOICE % N % 17 1.3% 8 1.8% 3 0.6% 6 1.3% 98.7% 428 98.2% 464 99.4% 446 98.7% 1,355 100.0% 436 100.0% 467 100.0% 452 100.0% 254 82 87 85 What is your race? Response: American Indian or Alaska Native. SNP Total Yes No Total Not Answered % Amidacare N % MetroPlus N VNSNY CHOICE % N % 49 3.6% 19 4.4% 9 1.9% 21 4.6% 1,306 96.4% 417 95.6% 458 98.1% 431 95.4% 1,355 100.0% 436 100.0% 467 100.0% 452 100.0% 254 82 87 85 What is your race? Response: Other. SNP Total N Yes No Total Not Answered Q61. % 1,338 N Q60.6. Amidacare N % Amidacare N % MetroPlus N VNSNY CHOICE % N % 391 28.9% 121 27.8% 126 27.0% 144 964 71.1% 315 72.2% 341 73.0% 308 68.1% 1,355 100.0% 436 100.0% 467 100.0% 452 100.0% 254 82 87 31.9% 85 How well do you speak English? SNP Total N Very well Well Not well Not at all Total Not Answered New York State Department of Health % Amidacare N % MetroPlus N VNSNY CHOICE % N % 1,034 70.0% 345 73.7% 339 66.7% 350 69.7% 261 17.7% 72 15.4% 97 19.1% 92 18.3% 130 8.8% 34 7.3% 55 10.8% 41 8.2% 53 3.6% 17 3.6% 17 3.3% 19 3.8% 1,478 100.0% 468 100.0% 508 100.0% 502 100.0% 131 50 Page 89 46 35 ¸ DataStat, Inc. Medicaid Managed Care Program - Special Needs Plans About You Q62. Responses by Question (continued) Do you speak a language other than English at home? SNP Total N Yes No Total Not Answered Q63. % Amidacare N % MetroPlus N % VNSNY CHOICE N % 643 44.6% 207 45.0% 217 43.8% 219 799 55.4% 253 55.0% 279 56.3% 267 54.9% 1,442 100.0% 460 100.0% 496 100.0% 486 100.0% 167 58 58 45.1% 51 What is the language spoken at home? SNP Total N Spanish Other Total Not Answered New York State Department of Health % Amidacare N % MetroPlus N % VNSNY CHOICE N % 487 78.2% 156 78.0% 151 72.2% 180 136 21.8% 44 22.0% 58 27.8% 34 15.9% 623 100.0% 200 100.0% 209 100.0% 214 100.0% 20 7 Page 90 8 84.1% 5 ¸ DataStat, Inc. All information that would let someone identify you will be kept private. The New York State Department of Health and DataStat will not share your personal information with anyone without your OK. You may choose to answer this survey or not. If you choose not to, this will not affect the benefits you get. Your responses to this survey are completely confidential. Once you complete the survey, place it in the envelope that was provided, seal the envelope, and return the envelope to DataStat. You may notice a barcode number on the front of this survey. This number is ONLY used to let us know if you returned your survey so we don't send you reminders. If you want to know more about this study, please call 1-877-455-3394. SURVEY INSTRUCTIONS Please be sure to fill the response circle completely. Use only black or blue ink or dark pencil to complete the survey. Correct Mark Incorrect Marks You are sometimes told to skip over some questions in the survey. When this happens you will see an arrow with a note that tells you what question to answer next, like this: Yes Go to Question 1 No START HERE 1. Our records show that you are now in [HEALTH PLAN NAME]. Is that right? Yes Go to Question 3 No Go to Question 2 2. What is the name of your health plan? (please print) 698-01 01 CXJAE 8. In the last 6 months, did you and a doctor or other health provider talk about specific things you could do to prevent illness? YOUR HEALTH CARE IN THE LAST 6 MONTHS These questions ask about your own health care. Do not include care you got when you stayed overnight in a hospital. Do not include the times you went for dental care visits. Yes No 9. In the last 6 months, did you and a doctor or other health provider talk about any of the following? 3. In the last 6 months, did you have an illness, injury, or condition that needed care right away in a clinic, emergency room, or doctor's office? Yes Go to Question 4 No Go to Question 5 4. In the last 6 months, when you needed care right away, how often did you get care as soon as you needed? Never Sometimes Usually Always 5. In the last 6 months, did you make any appointments for a check-up or routine care at a doctor's office or clinic? 6. In the last 6 months, how often did you get an appointment for a check-up or routine care at a doctor's office or clinic as soon as you needed? Healthy diet and eating habits b. Exercise or physical activity c. Things in your life that worry you or cause you stress d. Whether you felt sad, empty, or depressed e. Smoking or using tobacco products f. Alcohol or other drug use 11. Did you and a doctor or other health provider talk about the reasons you might want to take a medicine? Never Sometimes Usually Always Yes No 12. Did you and a doctor or other health provider talk about the reasons you might not want to take a medicine? Yes No None Go to Question 19 1 Go to Question 8 2 Go to Question 8 3 Go to Question 8 4 Go to Question 8 5 to 9 Go to Question 8 10 or more Go to Question 8 698-02 a. Yes Go to Question 11 No Go to Question 14 7. In the last 6 months, not counting the times you went to an emergency room, how many times did you go to a doctor's office or clinic to get health care for yourself? No 10. In the last 6 months, did you and a doctor or other health care provider talk about starting or stopping a prescription medicine? Yes Go to Question 6 No Go to Question 7 Yes 13. When you talked about starting or stopping a prescription medicine, did a doctor or other health provider ask you what was best for you? Yes No 02 CXJAE 14. In the last 6 months, did a doctor or other health provider order a blood test, x-ray or other test for you? 20. In the last 6 months, how often was it easy to get the emotional or mental health treatment or counseling you needed through your health plan? Yes Go to Question 15 No Go to Question 17 15. When a doctor or other health provider ordered a blood test, x-ray or other test for you, how often did someone from this doctor's office follow up to give you those results? 21. Using any number from 0 to 10, where 0 is the worst treatment or counseling possible and 10 is the best treatment or counseling possible, what number would you use to rate all your emotional or mental health treatment or counseling in the last 6 months? Never Sometimes Usually Always 16. In the last 6 months, how often were the results of your blood test, x-ray or other test easy to understand? 0 1 2 Worst Treatment Possible Never Sometimes Usually Always 5 6 7 8 9 10 Best Health Care Possible 6 7 8 9 10 Best Treatment Possible Never Sometimes Usually Always 24. Using any number from 0 to 10, where 0 is the worst treatment or counseling possible and 10 is the best treatment or counseling possible, what number would you use to rate all your alcohol, drug or addiction treatment or counseling in the last 6 months? Never Sometimes Usually Always 19. In the last 6 months, did you need any emotional or mental health treatment or counseling for a personal or family problem? 0 1 2 Worst Treatment Possible Yes Go to Question 20 No Go to Question 22 698-03 5 23. In the last 6 months, how often was it easy to get the alcohol, drug or addiction treatment or counseling you needed through your health plan? 18. In the last 6 months, how often was it easy to get the care, tests, or treatment you needed? 4 Yes Go to Question 23 No Go to Question 25 4 3 22. In the last 6 months, did you need any treatment or counseling for alcohol use, drug use or other addiction? 17. Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your health care in the last 6 months? 0 1 2 3 Worst Health Care Possible Never Sometimes Usually Always 03 3 4 5 6 7 8 9 10 Best Treatment Possible CXJAE 31. In the last 6 months, did you get care from a doctor or other health provider besides your personal doctor? YOUR PERSONAL DOCTOR 25. A personal doctor is the one you would see if you need a check-up, want advice about a health problem, or get sick or hurt. Do you have a personal doctor? Yes Go to Question 32 No Go to Question 33 32. In the last 6 months, how often did your personal doctor seem informed and upto-date about the care you got from these doctors or other health providers? Yes Go to Question 26 No Go to Question 34 26. In the last 6 months, how many times did you visit your personal doctor to get care for yourself? None Go to Question 33 1 Go to Question 27 2 Go to Question 27 3 Go to Question 27 4 Go to Question 27 5 to 9 Go to Question 27 10 or more Go to Question 27 33. Using any number from 0 to 10, where 0 is the worst personal doctor possible and 10 is the best personal doctor possible, what number would you use to rate your personal doctor? 27. In the last 6 months, how often did your personal doctor explain things in a way that was easy to understand? 0 1 2 3 4 Worst Personal Doctor Possible Never Sometimes Usually Always Never Sometimes Usually Always Never Sometimes Usually Always 8 9 10 Best Personal Doctor Possible Yes Go to Question 35 No Go to Question 38 35. In the last 6 months, how often did you get an appointment with specialists as soon as you needed? Never Sometimes Usually Always 698-04 7 34. Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors who specialize in one area of health care. In the last 6 months, did you try to make any appointments to see a specialist? 30. In the last 6 months, how often did your personal doctor spend enough time with you? 6 When you answer the next questions, do not include dental visits or care you got when you stayed overnight in a hospital. 29. In the last 6 months, how often did your personal doctor show respect for what you had to say? 5 GETTING HEALTH CARE FROM SPECIALISTS 28. In the last 6 months, how often did your personal doctor listen carefully to you? Never Sometimes Usually Always 04 Never Sometimes Usually Always CXJAE 36. How many specialists have you seen in the last 6 months? 41. Using any number from 0 to 10, where 0 is the worst health plan possible and 10 is the best health plan possible, what number would you use to rate your health plan? None Go to Question 38 1 specialist Go to Question 37 2 Go to Question 37 3 Go to Question 37 4 Go to Question 37 5 or more specialists Go to Question 37 0 1 2 3 Worst Health Plan Possible 37. We want to know your rating of the specialist you saw most often in the last 6 months. Using any number from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible, what number would you use to rate the specialist? 3 4 5 6 7 8 9 10 Best Specialist Possible 8 9 10 Best Health Plan Possible 43. In general, how would you rate your overall health? Excellent Very good Good Fair Poor 44. In general, how would you rate your overall mental or emotional health? 38. In the last 6 months, did you get information or help from your health plan's customer service? Yes Go to Question 39 No Go to Question 41 Excellent Very good Good Fair Poor 45. Have you had a flu shot or flu spray since September 1, 2014? 39. In the last 6 months, how often did your health plan's customer service give you the information or help you needed? Yes No Don't know Never Sometimes Usually Always 46. Do you now smoke cigarettes or use tobacco every day, some days, or not at all? 40. In the last 6 months, how often did your health plan's customer service staff treat you with courtesy and respect? Never Sometimes Usually Always 698-05 7 ABOUT YOUR HEALTH The next questions ask about your experience with your health plan. 6 Yes No YOUR HEALTH PLAN 5 42. Would you recommend your health plan to your family and friends? 0 1 2 Worst Specialist Possible 4 05 Every day Go to Question 47 Some days Go to Question 47 Not at all Go to Question 50 Don't know Go to Question 50 CXJAE 47. In the last 6 months, how often were you advised to quit smoking or using tobacco by a doctor or other health provider in your plan? 52. Has a doctor or health provider ever discussed with you the risks and benefits of aspirin to prevent heart attack and stroke? Yes No Never Sometimes Usually Always 53. Are you aware that you have any of the following conditions? Mark one or more. 48. In the last 6 months, how often was medication recommended or discussed by a doctor or health provider to assist you with quitting smoking or using tobacco? Examples of medication are: nicotine gum, patch, nasal spray, inhaler, or prescription medication. High cholesterol High blood pressure Parent or sibling with a heart attack before the age of 60 54. Has a doctor ever told you that you have any of the following conditions? Mark one or more. Never Sometimes Usually Always 49. In the last 6 months, how often did your doctor or health provider discuss or provide methods and strategies other than medication to assist you with quitting smoking or using tobacco? Examples of methods and strategies are: telephone helpline, individual or group counseling, or cessation program. A heart attack Angina or coronary heart disease A stroke Any kind of diabetes or high blood sugar 55. Do any of the following conditions affect you right now? Never Sometimes Usually Always 50. Do you take aspirin daily or every other day? Yes No Don't know 51. Do you have a health problem or take medication that makes taking aspirin unsafe for you? Yes No a. Cancer b. Arthritis c. Asthma d. Overweight e. Depression f. Drinking or other drug problems g. Emotional problems or mental illness h. Other medical conditions lasting more than three months Yes No Don't know 698-06 06 CXJAE 63. What is this language spoken at home? ABOUT YOU Spanish Other 56. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Thank you for taking the time to complete this survey. Your answers are greatly appreciated. When you are done, please use the enclosed prepaid envelope to mail the survey to: DataStat 3975 Research Park Drive Ann Arbor, MI 48108 57. Are you male or female? Male Female 58. What is the highest grade or level of school that you have completed? 8th grade or less Some high school, but did not graduate High school graduate or GED Some college or 2-year degree 4-year college graduate More than 4-year college degree 59. Are you of Hispanic or Latino origin or descent? Yes No 60. What is your race? Please mark one or more. White Black or African-American Asian Native Hawaiian or other Pacific Islander American Indian or Alaska Native Other 61. How well do you speak English? Very well Well Not well Not at all 62. Do you speak a language other than English at home? Yes Go to Question 63 No 698-07 07 CXJAE 698-08 08 CXJAE
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