NCQA: Member satisfaction and clinical quality related

MANAGED CARE September 1999. ©1999 MediMedia USA

For the first time, the National Committee for Quality Assurance says it can demonstrate a strong link between clinical quality, as reported in HEDIS, and member satisfaction. Plans that scored in the highest quartile last year on “effectiveness of care” measures in HEDIS, NCQA’s vehicle for HMO-quality measurement, also received the highest marks from members in NCQA’s Consumer Assessment of Health Plans survey (CAHPS).

NCQA compared mean CAHPS rates for the top 25 percent of HEDIS performers against all other health plans. For every CAHPS measure, below, high-scoring HEDIS plans achieved greater member satisfaction than those with lower performance on HEDIS.