CAHPS Health Plan Survey 5.1H, Adult Version (CPA)

This measure provides information on the experiences of commercial and Medicaid members with the organization and gives a general indication of how well the organization meets members’ expectations. Results summarize member experiences through ratings, composites and question summary rates.

Four global rating questions reflect overall satisfaction:

  1. Rating of All Health Care.
  2. Rating of Health Plan.
  3. Rating of Personal Doctor.
  4. Rating of Specialist Seen Most Often.

Five composite scores summarize responses in key areas:

  1. Claims Processing (commercial only).
  2. Customer Service.
  3. Getting Care Quickly.
  4. Getting Needed Care.
  5. How Well Doctors Communicate.

NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS) is the premier tool for monitoring the quality of health plan care. HEDIS Volume 3: Specifications for Survey Measures includes surveys and protocols for the CAHPS 5.1H Survey. Order HEDIS Volume 3: Specifications for Survey Measures today. To learn more about CAHPS, visit the Agency for Healthcare Research and Quality (AHRQ) visit the  website at: https://www.ahrq.gov/cahps.

Historical Results – National Averages

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