DHS

 

Wisconsin Department of Health Services

Spacer Image

Medicaid Managed Care


Home

Search

What's New

Recipients

Providers

Contacts

Advisory Committees

Related Programs and Services

Reports and Data

Quality Reports

Site Map

 

 

Wisconsin Medicaid Home Wisconsin Medicaid Managed Care Home Managed Care Banner

BadgerCare Plus Choice Booklet

2007 Wisconsin Medicaid and BadgerCare HMO Report Card

The Wisconsin Medicaid and BadgerCare HMO Report Card can help you choose or change your HMO. It compares one HMO to another in five areas of health care and four areas of enrollee satisfaction.

They are:

Health Care

  • HealthChecks for children

  • Shots (vaccinations) for children

  • Blood lead screening for children

  • Pap tests for women

  • Mental health and drug abuse evaluations

Satisfaction With

  • HMO customer service

  • Getting needed care

  • The HMO

  • HMO health care

The health care ratings are based on information about services HMOs provided to Medicaid and BadgerCare enrollees.

The satisfaction ratings are based on a survey of HMO enrollees on these topics:

HMO customer service shows how well their HMO handled questions or problems.

Getting needed care shows how they rated how easy it is to get an appointment.

The HMO shows how enrollees rated their HMO overall.

HMO health care shows how they felt about the quality of care they received.

Each HMO is rated on a scale of one to three stars.

One star means the HMO scored below the average score of the other HMOs.
Two stars mean the score was average.
 Three stars mean the HMO scored above average.

A below-average score does not mean that the HMO provides poor care or bad service. It means that the HMO scored below average compared to other HMOs. An HMO is above or below the average only when the difference is large enough to show a true difference in performance.

The high and low scores on each item are shown at the bottom of the table. This shows that the difference between the scores for above average, average and below average can be quite small, quite large in others.

For more information about HMOs, call the HMO Enrollment Specialist at 1-800-291-2002.


Next — HMO Report Card
Previous — Who to Call


Wisconsin Medicaid Recipient Section