HEDIS and CAHPS Measures
Network Health participates in two nationally-recognized processes to evaluate the quality of the care and service received by its participants:
Healthcare Effectiveness Data and Information Set (HEDIS)
These measurements evaluate preventive and chronic disease care.
Consumer Assessment of Healthcare Providers and Systems (CAHPS)
This is a survey that measures customer satisfaction with a health plan’s customer service, claims payment process and physicians and providers.
Network Health 2011 HEDIS® Results
The chart below compares the number of Network Health participants who receive preventive care services compared with state and national averages.
| Area Studied | Network Health | WI Average | National Average |
| Cervical Cancer Screening |
86.92% Ranks 4 |
78.61% | 74.49% |
| Childhood Immunizations Status - HiB |
98.1% Ranks 12 |
91.32% | 86.42% |
| Childhood Immunizations Status - Pneumococcal |
94.52% Ranks 5 |
85.32% | 77.24% |
| Childhood Immunizations Status - MMR |
95.0% Ranks 21 |
90.24% | 87.44% |
| Childhood Immunizations Status - Hepatitis B |
95.95% Ranks 20 |
85.22% | 77.25% |
| Immunizations for Adolescents - Tdap/Td |
96.11% Ranks 2 |
79.48% | 63.56% |
| Prenatal and Postpartum Care - Postpartum |
93.20% Ranks 11 |
83.25% | 74.49% |
| Comprehensive Diabetes Care - HbA1c |
96.93% Ranks 3 |
92.21% | 87.96% |
| Comprehensive Diabetes Care - LDL Tested |
93.25% Ranks 6 |
86.01% | 83.20% |
Network Health 2011 CAHPS Results
This chart shows Network Health’s most recent customer satisfaction scores. The numbers say it all!
| Category / Measure | Network Health | WI Average | National Average |
| Claims processed accurately | 94.76% | 93.38% | 90.90% |
| Claims handled quickly | 92.47% | 89.12% | 88.30% |
| Customer service - Composite Score | 90.54% | 87.92% | 85.80% |
| Courtesy and respect | 94.16% | 93.01% | 92.03% |
| Access to care | 94.51% | 92.22% | 88.72% |
| Claims processing - Composite Score | 93.61% | 91.25% | 89.49% |
The source for data contained in this publication is Quality Compass and this data is used with the permission of the National Committee for Quality Assurance (NCQA). Any analysis, interpretation or conclusion based on this data is solely that of the authors. NCQA specifically disclaims responsibility for any such analysis, interpretation or conclusion. Quality Compass is a trademark of NCQA.
HEDIS and CAHPS Measures
HEDIS and CAHPS results help both employers and consumers compare the quality of care and customer service offered by health plans in the United States. These results are also used by the National Committee for Quality Assurance (NCQA) to evaluate health plans. Our results have allowed us to earn Excellent status from NCQA since 2002!