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OPERATIONS UPDATE AHCCCS OPERATIONS UPDATE AHCCCS

OPERATIONS UPDATE AHCCCS - PowerPoint Presentation

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OPERATIONS UPDATE AHCCCS - PPT Presentation

RBHA Provider Survey 2016 1 Reaching across Arizona to provide comprehensive quality health care for those in need RBHA Provider Survey 2 Reaching across Arizona to provide comprehensive quality health care for those in need ID: 718722

care health quality rbhas health care rbhas quality arizona provide comprehensive survey claims rbha resolution satisfied compare provider issues ahcccs reaching 2016

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Slide1

OPERATIONS UPDATE

AHCCCS RBHA Provider Survey 2016

1

Reaching across Arizona to provide comprehensive

quality health care for those in needSlide2

RBHA Provider Survey

2Reaching across Arizona to provide comprehensive quality health care for those in need

Survey

was developed using web-based provider of survey solutions,

Survey

Monkey

Survey

for

all RBHA contracted providers

RBHAs disseminated survey to providers. Also available

on

the AHCCCS website 10/1/16

10/31/16Slide3

Survey Questions

How satisfied are you with this RBHAs processing of your initial claims?            How satisfied are you with this RBHAs resolution of your claims issues?

How satisfied are you with this RBHAs timeliness of resolution of your claims issues?

How satisfied are you with this RBHAs

claims customer service

department

?

How satisfied are you with this RBHAs

provider services

staff?How satisfied are you with this RBHAs credentialing process?

3

Reaching across Arizona to provide comprehensive

quality health care for those in needSlide4

Survey Response

AHCCCS received a total of 308 responses:

4Reaching across Arizona to provide comprehensive

quality health care for those in need

RBHA

# of Contracted Survey Respondents who Completed the Survey

Mercy Maricopa Integrated Care

113

Cenpatico Integrated Care

122

Health Choice Integrated Care

73Slide5

How RBHAs Compare

5Reaching across Arizona to provide comprehensive

quality health care for those in needSlide6

How RBHAs Compare

6Reaching across Arizona to provide comprehensive

quality health care for those in needSlide7

How RBHAs Compare

7Reaching across Arizona to provide comprehensive

quality health care for those in needSlide8

How RBHAs Compare

8Reaching across Arizona to provide comprehensive

quality health care for those in needSlide9

How RBHAs Compare

9Reaching across Arizona to provide comprehensive

quality health care for those in needSlide10

How RBHAs Compare

10Reaching across Arizona to provide comprehensive

quality health care for those in needSlide11

11

Most satisfaction RBHA performance with

processing of initial claims

and

p

rovider

s

ervices staff

.

Most dissatisfaction RBHA performance

with resolution of claims issues,

timeliness of resolution of claims

issues

and

credentialing.

Comments

105

total

comments

across

all

RBHAs

Provider satisfaction –

2016: 30.1%

Provider

dissatisfaction –

2016: 69.9%

Dissatisfied responses

indicate

a desire for RBHA improvement in the efficiency and

responsiveness of

resolution of claims issues, particularly related to timeliness of resolution, subsequent

payment,

and efficient and responsive customer service.

Overall Findings

Reaching across Arizona to provide comprehensive

quality health care for those in needSlide12

Follow-up Actions & Expectations

RBHAsDiscuss the survey results at your

Quarterly Health Plan Update meeting with the Director.Planned course of action to address needed improvements

Strengths

and challenges

Correlation

of implemented strategies to results

12Slide13

Follow-up Actions & Expectations

AHCCCSSurvey Report posted to the AHCCCS web in February / March 2017

Individual RBHA reports to be issued to RBHAs three weeks prior to Quarterly Health Plan Update meeting with AHCCCS Director.

13

Reaching across Arizona to provide comprehensive

quality health care for those in needSlide14

Questions?

14Reaching across Arizona to provide comprehensive quality health care for those in need