Innovative Health Plan Earns Top Grades from New York Office of Health Insurance Programs.

Imagine receiving postcards from your health insurer, reminding you that your child needs immunizations, or that, because you have diabetes, you’re due for an examination. And when was the last time your health insurer called to tell you it’s time for a mammogram or an eye doctor visit, and then stayed on the phone to help you set up an appointment?

That’s the level of service Hudson Health Plan members experience, which is part of the reason why Hudson ranked highest in the 2009 Quality Incentive Program, the annual grading of Medicaid managed care plans by the New York State Department of Health (DOH.)

Georganne Chapin, president and CEO of Hudson, said, “Our model is to deliver cost-effective care — in a culturally appropriate way — to the communities we serve. We always knew that we were the best, but now we have the numbers to prove it.”

The DOH’s Office of Health Insurance Programs annually assesses all 20 Medicaid managed care plans in the State. Hudson scored 135.5 out of 150 points, for a final score of 90 percent. The plan with the next highest score had a final grade of 79 percent. The emphasis of the annual assessment is on quality of care, and this year’s benchmarks focused on several measures, including advising smokers to quit, annual dental visits for ages 2-18, controlling high blood pressure, breast cancer screening, and annual monitoring of patients on persistent medications. Hudson achieved a perfect score in customer satisfaction.

“All of the outreach programs we have put into place over the years, including our mailings, our phone calls to members, and our education programs for health care professionals, have really impacted our scores,” says Margaret Leonard, senior vice president of clinical services at Hudson. “All these initiatives contribute to the overall health and well-being of our members.”

Founded in the mid-1980s by a coalition of community health centers, Hudson Health Plan’s mission statement is “to promote and provide access to excellent health services for all people.” The Tarrytown-based not-for-profit organization provides comprehensive medical and dental coverage to more than 90,000 members in New York’s Hudson Valley. Hudson Health Plan has been driving health care innovation by developing technology to support clinical quality initiatives and streamline the enrollment process for Medicaid Managed Care, Child Health Plus, and Family Health Plus.

Source: Hudson Health Plan

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