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Committed to Quality Care for Our Members

 

First Choice is always looking for ways to serve you better. We have a quality program that works with you to help improve your health. We also use national surveys and reports to check how we are doing and how we can improve our services to you.

Each year, we survey our members about their satisfaction with the First Choice plan, their doctors and healthcare in general. The survey tool is called CAHPS (Consumer Assessment of Healthcare Providers and Systems), and it is used by Medicaid plans across the country.

This year, most members said they were very happy with First Choice. The survey results show that most members were pleased with how quickly they are able to get care from their doctor. A majority of members were also pleased with how their doctors explained things and listened – respecting what members had to say.

The survey also showed some areas where we could improve. Two of these areas are: “getting needed care” and “rating of a specialist.”

  • Getting needed care relates to members’ experiences trying to get care from doctors or specialists.
  • Rating of a specialist refers to members’ overall assessment of the specialist they see most.

Please know that we are already working on these areas to make sure we improve and that you get the best medical care and services.
We also measure the healthcare services that our First Choice members get like well visits, breast and cervical cancer tests, diabetes tests and prenatal visits. We see if members are getting the right care and check-ups, and we do this through a tool called HEDIS® (Healthcare Effectiveness Data and Information Set).

The results from this year’s report show that more members are getting their recommended diabetes tests as well as screenings for cervical cancer. The report also shows us areas to work on. We will work on making sure:

  • Members with asthma see their doctor to ensure they are on the right medicine.
  • Members with high blood pressure see their doctor to make sure their blood pressure is under control.
  • All children see their doctor for their annual well visit.
View detailed quality data

If you would like more information about our quality program, please call Member Services at 1.888.276.2020.

NCQA Excellent Accreditation  NCQA Multicultural Healthcare Distinction