The Survey says … We put our members first

September 4, 2019

Members of Texas Children’s Health Plan are talking back to us – and saying good things.

According to the latest Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, the majority of families who use our health insurance are pleased with the service they receive.

The recently released 2019 results ranked Texas Children’s Health Plan in the 99th percentile of health plans when it comes to overall performance. This means that we outperformed 99 percent of comparable health plans. We also ranked in the 99th percentile for the health care performed by our providers.

The Health Plan leadership team feels optimistic and we will continue to drive improvements in our member experiences.

“I attribute these scores to the hard work of our employees and the Texas Children’s reputation as a whole,” said Dr. Lisa Hollier, chief medical officer of Obstetrics and Gynecology for Texas Children’s Health Plan. “People trust us and want us to take care of their families.”

Hollier stresses that a reputation is not about what may happen every now and then. A reputation is about what consistently takes place over a long period of time – “And excellence really is who we are at Texas Children’s,” she added.

Our areas of improvement according to the survey data are health promotion and education, coordination of care and shared decision making.

All scores from the survey will be submitted to the National Committee for Quality Assurance (NCQA), the same organization that the Health Plan is looking to earn an accreditation from in April of 2020.

NCQA surveyors will look at the following six areas to see how we are measuring up.

  • Effectiveness of care
  • Availability of care
  • Experience of care
  • Utilization and risk adjusted utilization
  • Health plan descriptive information
  • Measures collected using electronic clinical data systems