Our Quality Commitment

We want to exceed your expectations

The ways we measure quality and keep improving the member experience

Health Tradition Health Plan is continuously working to provide a level of service consistent with high standards of quality. We advance our vision of service to our members in the following ways:

  • We participate in formal programs that measure and report our performance in areas identified as key quality metrics.
  • We are measured by governmental agencies to gauge achievement of targeted public health objectives within our member population

HEDIS® reporting

This reporting program is called the Healthcare Effectiveness Data and Information Set or HEDIS.® HEDIS provides unbiased quality information. More than 90 percent of health plans across the United States participate in their data collection. We are excited to report that Health Tradition exceeded the HEDIS 2013 National Committee on Quality Assurance (NCQA) national rate in the following measures:

  • Childhood Immunizations Status: DTaP/DT, IPV/OPV, MMR, Hepatitis A, Rotavirus, Hepatits B, Influenza, HIB, Pneumococcal Conjugate and Combo 2 (DTaP, IPV, MMR, HiB, Hepatitis B, Varicella)
  • Timeliness of Prenatal Care and Postpartum Care
  • Cholesterol Management for Patients with Cardiovascular Conditions
  • Breast Cancer Screening
  • Colorectal Cancer Screening
  • Comprehensive Diabetes Care: HbA1c Testing, HbA1c <8%, Eye Exams,
    LDL-C Level <100, Nephropathy Monitoring, BP <130/80
  • Controlling High Blood Pressure <140/90
  • Adolescent Immunizations: Tdap/Td and Meningococcal
  • Antidepressant Medication Management: Effective Acute Phase Treatment, Effective Continuation Phase Treatment

CAHPS® Member Satisfaction Survey

Today’s complex and competitive healthcare environment has generated unprecedented demand for tools and information to document healthcare quality. The consumer’s perspective has become an essential aspect of measuring healthcare quality, and CAHPS® Member Satisfaction Survey is recognized as the industry standard for obtaining consumers’ assessment of their health plans. Health Tradition Health Plan contracts with an NCQA-accredited company to conduct our CAHPS® survey annually.

 

Health Tradition Health Plan does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.