MetroPlus Health Plan Grabs Top Spot in New York State Health Quality Scores | Business Wire

NEW YORK–(BUSINESS WIRE)–New York State Department of Health awarded MetroPlus Health Plan the

highest “quality measures” score among Medicaid managed care plans

statewide, the Health Plan announced today. The State’s overall 2016

Quality Incentive results weigh the quality measures score especially

heavily—representing two-thirds of its maximum possible score—pointing

to their importance.

“Our quality measures score reflects the high quality of care we provide

to our Medicaid recipients every day,” said Dr. Arnold Saperstein,

President and CEO of MetroPlus Health Plan. “we're here to serve our

members. The quality scores tell us that our members feel we're getting

a lot of things right. All of us at MetroPlus, across every department,

are extremely proud to have participated in the important work it took

to achieve these results.”

In addition to its obvious importance for beneficiaries and those who

are considering enrolling, the results are also important to the health

plan since stronger results bestow incentive premium awards on the

health plan. “We focus on quality for the good of our members. The

added financial benefit is welcome,” said Dr. Saperstein.

The areas where MetroPlus scored particularly highly include timeliness

of prenatal care, administration of flu shots, smoking cessation, asthma

medication management. Two key indicators of diabetes management.

MetroPlus also received high scores for postpartum care and well child


These results reflect the investment MetroPlus makes in keeping its

members healthy. MetroPlus staff work closely with designated members

throughout the year to remind them of appointments and to stress the

importance of maintaining their medication regimens to improve their


Contributing to the impressive showing were a number of initiatives and

improvements the Plan made recently with quality and member satisfaction

in mind, including expanding the scope of its quality outreach and

member engagement programs, improving provider data sharing.

collaborating more effectively with its vendors and business partners.

MetroPlus recently began a new member reward program designed to

incentivize members to stay healthy. This program, provided under a

contract with Finity, allows members to earn points for achieving health

outcomes such as obtaining preventive care and completing needed health

screenings. Members have already begun earning points and redeeming

those points for prizes, such as art sets and basketballs.

The Plan, a wholly owned subsidiary of NYC Health + Hospitals, also

attributes its success to the high quality of its provider network,

including Health + Hospitals and community providers, as well as a

myriad of community partnerships.

With more than 30 years’ experience in managed care and over 500,000

members on board, MetroPlus will continue to reach out to New Yorkers in

need of health insurance. The Plan can now add “highest scoring” to its

core message of free or low-cost quality health care.

About MetroPlus Health Plan

Since 1985, MetroPlus Health Plan has built a reputation for providing

access to affordable, quality health care to eligible New Yorkers. A

wholly-owned subsidiary of NYC Health + Hospitals, the nation’s largest

public health system, MetroPlus is the plan of choice for over half a

million New Yorkers. In addition to Medicaid Managed Care, MetroPlus

offers Child Health Plus. Several Medicare Plans. A Special Needs Plan

(SNP) for people with HIV and their families. A Long-Term Managed Care

Plan. MetroPlus Gold, a plan exclusively for New York City employees.

FIDA and HARP plans. More than five dozen NY State of Health

Marketplace products. The company’s robust network of primary care

doctors and specialists includes many independent community providers.

Culturally sensitive. Fluent in more than 40 languages, MetroPlus

staff is as diverse as the great city it serves. Visit us at

and join the conversation at

and twitter @metroplushealth.

About NYC Health + Hospitals

NYC Health + Hospitals is the largest public health care system in the

nation serving more than a million New Yorkers annually in more than 70

patient care locations across the city’s five boroughs. A robust network

of outpatient, neighborhood-based primary and specialty care centers

anchors care coordination with the system’s trauma centers, nursing

homes, post-acute care centers, home care agency. MetroPlus health

plan—all supported by 11 essential hospitals. Its diverse workforce of

more than 42,000 employees is uniquely focused on empowering New

Yorkers, without exception, to live the healthiest life possible. For

more information, visit

and stay connected on Facebook at

or Twitter at @NYCHealthSystem.

MetroPlus Health Plan
Kathryn Knox Soman, 212-908-8588
[email protected]