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 metroplus.org
and join the conversation at facebook.com/metroplushealth
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 www.nychealthandhospitals.org
and stay connected on Facebook at https://www.facebook.com/NYCHealthandHospitals
or Twitter at @NYCHealthSystem.
MetroPlus Health Plan
Kathryn Knox Soman, 212-908-8588