Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey, Version 5.0 (Medicaid and Commercial): Rating of Specialist
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The CAHPS Health Plan Survey is a survey that asks health plan enrollees to report about their care and health plan experiences as well as the quality of care received from physicians. This single rating is based on responses to the following statement: Rating of specialist
Numerator
The top box numerator for each of the four Overall Ratings items is the number of respondents who answered 9 or 10 for the item; with a 10 indicating the "Best possible."
Denominator
The eligible population for the survey includes all individuals who have been enrolled in a health plan for at least 6 (Medicaid) or 12 (Commercial) months with no more than one 30-day break in enrolment.
Exclusions
Individuals are excluded from the survey target population if: 1) They were not continuously enrolled in the health plan (excepting an allowable enrolment lapse of less than 30 days), 2) Their primary health coverage was not through the plan, 3) Another member of his or her household had already been sampled or 4) They had been institutionalised (put in the care of a specialised institution) or are deceased.
Use of Risk Adjustment
Risk Adjustments
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey. The survey is designed to be administered to includes individuals (18 and older for the Adult version) who have been enrolled in a health plan for a specified period (6 months or longer for Medicaid version, 12 months or longer for Commercial version) with no more than one 30-day break in enrolment.