Listening to and acting on feedback

Our goal is to provide our members with access to high-quality care. As a partner in care, you are key in helping us achieve this goal. Surveys give us actionable information that can help improve our members’ health care experiences and promote a high level of care.

Gathering feedback
Every year, UPMC Health Plan members provide anonymous feedback on their health care experiences in these ways:

• The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey for Commercial, Medicaid, Medicare, and CHIP members
• The Qualified Health Plan Enrollee Experience survey (QHP) for Marketplace members

Marketing accreditation requirements
These surveys are required to maintain ratings and accreditations:

• National Committee for Quality Assurance (NCQA) accreditation
• NCQA ratings
• Centers for Medicare and Medicaid Service (CMS) star ratings

Reviewing the results¹
While we know that you provide excellent care to our members, there are always areas for improvement. The answers to these questions from the 2022 CAHPS surveys identify these opportunities.

Case coordination

• How often did your doctor have your medical records or other information about your care?
• How often did you get test results as soon as you needed them?
• How often did someone from your personal doctor’s office follow up with test results?
• How often did you and your personal doctor talk about all the prescription medicines you were taking?
• Did you get the help you need from your personal doctor’s office to manage your care among these different providers and services?
• How often did your personal doctor seem informed and up to date about care you got from specialists?

Getting care quickly

• When you needed care right away, how often did you get care as soon as you needed?
• When you made an appointment for a check-up or routine care at a doctor’s office or clinic, how often did you get an appointment as soon as you needed?

Getting needed care

• How often was it easy to get the care, tests, or treatment that you needed?
• How often did you get an appointment to see a specialist as soon as you needed?

Annual flu vaccine

• Have you had a flu shot since July 1?

Find care options
It is important for our members to get the right care at the right time.  Members can  talk to a nurse through the UPMC MyHealth 24/7 Nurse Line, or work with the Prescription for Wellness team to make healthy lifestyle changes.

To view the CAHPS survey for each line of business¹, please visit these websites:

• Commercial: upmchp.us/CAHPSCM
• UPMC for You, adult: upmchp.us/CAHPSMAad
• UPMC for You, child: upmchp.us/CAHPSMAchild
• UPMC for Kids: upmchp.us/CAHPSKids
• UPMC for Life: upmchp.us/CAHPSMC
• UPMC Community HealthChoices: upmchp.us/CAHPSCHC
• Marketplace: upmchp.us/CAHPSQHP

As always, thank you for making outstanding care a priority.

¹Please note that the CAHPS survey varies slightly depending on the member’s insurance plan. For example, the survey for individual plan members is different from the survey for Medicaid members.

CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).