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2019 Cook County Scores & Ratings

​Choosing a HealthChoice Illinois Plan

Choosing the plan that best meets your health care needs is important. Here are some questions to ask before you pick a plan:
  •  Have you read all of the materials that were included in this enrollment packet?
  • Which plans have the extra services you want? (See Your Health Plan Choices that came with this packet.) 
  • How did the plans rate in each area on the front of this report card? Do the doctors in the plan I like communicate with their members? 
    1. Do the members in the plan I like get care when they need it? 
    2. Do women get the care they need? 
    3. Do members with behavioral health conditions get the care they need?
    4. Do kids get the care they need to stay healthy? 
  • Which plans have the doctors, clinics, hospitals, specialists, long term care waiver service providers, and other providers you use? Call your providers to find out which HealthChoice Illinois plans they accept. 
  • Do you need providers that speak a certain language? 
  • How far do you want to travel to see your providers? 
  • Which plans have co-pays?

2019 HealthChoice Illinois Plans’ National Ratings - Cook Couny

The star ratings below show how the managed care plans in Cook county compare to national Medicaid ratings for each measure within key performance areas.
 
​
 
Rating Performance Measure Compared to 2017 Quality Compass National Medicaid Benchmarks
★★★★★ Highest Performance The performance measure was above the 90th percentile.
★★★★ High Performance The performance measure was between the 75th and 89th percentiles. 
★★★ Average Performance The performance measure was between the 50th and 74th percentiles.
★★ Low Performance  The performance measure was between the 25th and 49th percentiles. 
★ Lowest Performance The performance measure was below the 25th percentile. 
 
NA = not enough data
BR = data are not accurate
NC = results are available, but comparison could not be made

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Cook County 

Blue Cross Community Health Plans—

Rating & Rate

CountyCare Health Plan—

 Rating & Rate

IlliniCare Health — 

Rating & Rate

Meridian Health* —

Rating & Rate

Molina Healthcare—

Rating & Rate

NextLevel Health Partners—

Rating & Rate

Doctors' Communication and Patient Engagement                        
Adult Medicaid—How Well Doctors Communicate (CAHPS Composite)  ★★★★ 93.80% ★★★★ 93.61% ★★★ 92.98% ★★★ 92.18% ★★ 91.20% NA NA
Child Medicaid—How Well Doctors Communicate (CAHPS Composite)  ★★★ 94.59% ★★ 92.91% ★★ 92.48% ★★★ 94.18% ★★ 92.99% ★ 90.20%
Adult Medicaid—Shared Decision Making (CAHPS Composite)  ★★★ 81.01% ★★ 78.08% ★★ 78.83% ★ 77.80% ★★★★ 82.49% NA NA
Adult Medicaid—Rating of Personal Doctor (CAHPS Global Rating)  ★★ 67.23% ★★ 66.23% ★★★★ 71.94% ★★★ 69.23% ★★★ 68.94% NA NA
Child Medicaid—Rating of Personal Doctor (CAHPS Global Rating)  ★★★ 77.73% ★★★ 78.61% ★ 74.36% ★★★ 77.38% ★★★ 77.05% ★ 73.56%
Medical Assistance With Smoking and Tobacco Use Cessation—Advising Smokers and Tobacco Users to Quit  ★★★ 80.65% ★★★★★ 85.87% ★★★ 79.41% ★ 73.48% ★ 70.74% NA NA
Medical Assistance With Smoking and Tobacco Use Cessation—Discussing Cessation Medications ★★★★ 58.01% ★★★★★ 64.50% ★★★★ 59.29% ★★★ 52.85% ★ 44.76% NA NA
Medical Assistance With Smoking and Tobacco Use Cessation—Discussing Cessation Strategies ★★★ 47.30% ★★★★★ 58.71% ★★★★ 55.08% ★★ 43.61% ★★ 41.11% NA NA
Access to Care                        
Adult Medicaid—Getting Needed Care (CAHPS Composite)  ★★★ 83.60% ★★ 81.15% ★★ 82.66% ★★★ 83.38% ★ 78.54% NA NA
Child Medicaid—Getting Needed Care (CAHPS Composite)  ★ 77.00% ★★ 83.85% ★ 77.11% ★ 79.55% ★★ 83.83% ★ 75.40%
Adult Medicaid—Getting Care Quickly (CAHPS Composite)  ★★ 81.48% ★★ 82.29% ★★★ 82.98% ★★★ 82.92% ★★ 79.58% NA NA
Child Medicaid—Getting Care Quickly (CAHPS Composite)  ★ 82.33% ★ 81.83% ★★★ 90.01% ★★ 87.44% ★★ 87.55% ★ 80.94%
Adults’ Access to Preventive/Ambulatory Health Services—Total  ★★★★★ 94.55% ★★ 77.14% ★ 74.68% ★★ 79.53% ★ 71.61% ★ 48.62%
Adult Body Mass Index (BMI) Assessment  ★ 77.86% ★★ 87.79% ★★ 83.70% ★ 80.55% ★★★ 89.05% ★ 69.59%
Annual Dental Visit—Total ★★★★★ 69.31% ★★ 52.81% ★★★ 61.41% ★★★ 58.22% ★★ 55.27% BR BR
Women's Health                        
Breast Cancer Screening  ★★ 56.28% ★★★★ 64.28% ★★ 53.41% ★★ 57.25% ★ 47.22% ★ 22.26%
Cervical Cancer Screening  ★ 53.53% ★★★ 61.22% ★ 51.58% ★★★ 60.72% ★★ 56.20% ★ 34.06%
Chlamydia Screening in Women  ★★★ 58.42% ★★★★ 66.39% ★★★ 58.50% ★★ 55.36% ★★★ 60.60% ★★★ 63.92%
Prenatal and Postpartum Care—Timeliness of Prenatal Care  ★★★★ 90.02% ★★★ 86.84% ★★ 79.08% ★★★★ 87.68% ★★ 82.00% ★ 61.80%
Prenatal and Postpartum Care—Postpartum Care  ★★★ 68.13% ★★ 63.29% ★★ 59.85% ★★★ 67.68% ★★ 61.31% ★ 46.47%
Living With Illness                        
Comprehensive Diabetes Care—Hemoglobin A1c (HbA1c) Testing  ★★★ 90.27% ★★★ 90.27% ★★★ 88.56% ★★★ 88.08% ★★ 86.62% ★ 76.89%
Comprehensive Diabetes Care—Eye Exam (Retinal) Performed  ★★ 57.66% ★★ 53.28% ★★★ 58.39% ★★★ 60.88% ★★ 54.01% ★ 31.14%
Comprehensive Diabetes Care—Medical Attention for Nephropathy  ★★★★★ 94.16% ★★ 90.27% ★★★ 91.31% ★★ 90.35% ★ 87.59% ★ 84.67%
Controlling High Blood Pressure  NC 48.66% NC 50.12% NC 48.91% NC 50.90% NC 57.66% NC 37.71%
Annual Monitoring for Patients on Persistent Medications—Total  NR NR ★★ 88.07% ★★★★ 90.74% ★ 85.89% ★★★ 88.91% ★ 84.36%
Statin Therapy for Patients With Diabetes—Received Statin Therapy  ★★★★★ 70.74% ★★★★★ 69.60% ★★★★★ 69.84% ★★★★ 66.80% ★★★ 64.49% ★ 54.04%
Statin Therapy for Patients With Diabetes—Statin Adherence 80%  ★★ 58.90% ★★★ 61.12% ★★★★ 66.11% ★★ 57.58% ★★★ 60.50% ★ 47.35%
Medication Management for People With Asthma—75% Compliance—Total  ★★ 32.46% ★ 26.84% ★★ 35.05% ★★ 32.04% ★★ 30.54% ★ 22.11%
Behavioral Health                        
Follow-Up After Hospitalization for Mental Illness—7-Day Follow-Up—Total  ★ 17.87% ★ 25.38% ★ 28.75% ★★ 31.08% ★★ 29.69% ★ 5.27%
Follow-Up After Hospitalization for Mental Illness—30-Day Follow-Up—Total ★ 33.70% ★ 41.48% ★ 49.37% ★★ 51.36% ★★ 52.25% ★ 11.84%
Initiation and Engagement of Alcohol and Other Drug (AOD) Abuse or Dependence Treatment—Initiation of AOD Treatment—Total  ★★★ 45.18% ★★★ 44.03% ★★★★ 47.55% ★★★ 42.23% ★★ 40.16% ★★★★★ 50.25%
Initiation and Engagement of AOD Abuse or Dependence Treatment—Engagement of AOD Treatment—Total  ★★★ 14.32% ★★ 12.67% ★★★ 16.93% ★★★ 15.42% ★★ 9.44% ★★ 12.74%
Metabolic Monitoring for Children and Adolescents on Antipsychotics—Total ★★★ 40.82% ★★★ 32.95% ★★★ 33.24% ★★★ 33.03% ★★★ 35.25% ★ 25.00%
Keeping Kids Healthy                        
Well-Child Visits in the First 15 Months of Life—6 or More Visits  ★★ 63.02% ★★ 65.45% ★★ 61.31% ★★ 64.95% ★★★ 67.88% ★ 32.74%
Well-Child Visits in the Third, Fourth, Fifth, and Sixth Years of Life  ★★★ 76.40% ★★★★ 80.29% ★★ 70.80% ★★★ 76.31% ★★ 69.83% ★ 58.15%
Childhood Immunization Status—Combination 2  ★★★ 76.64% ★★★ 75.18% ★ 51.34% ★ 69.35% ★★★★ 78.35% ★ 2.76%
Childhood Immunization Status—Combination 3  ★★★ 73.72% ★★★ 73.24% ★ 47.20% ★ 64.37% ★★ 69.59% ★ 2.34%
Immunizations for Adolescents—Human Papillomavirus  ★★★ 40.15% ★★★★ 45.74% ★★ 30.66% ★★★ 36.83% ★★★★ 41.61% ★ 7.75%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents—BMI Percentile Documentation—Total  ★★ 73.72% ★★★★ 84.74% ★★★ 77.62% ★★ 70.98% ★★★ 77.62% ★★ 69.10%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents—Counseling for Nutrition—Total  ★★ 62.77% ★★★★ 81.31% ★★ 69.34% ★★ 64.25% ★★★ 69.59% ★★ 67.64%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents—Counseling for Physical Activity—Total  ★★ 61.56% ★★★★ 78.19% ★★★ 66.91% ★★ 61.61% ★★ 63.26% ★★ 63.02%

Need More Information on Your HealthChoice Illinois Plan Options?

Visit the Illinois Department of Healthcare and Family Services online at: https://www.illinois.gov/hfs/. You can contact Illinois Client Enrollment Services by phone at 1-877-912-8880 (TTY 1-866-565-8576) or visit the website at: https://enrollhfs.illinois.gov/. You can also contact the plans directly. All plan contact information is found on the Your Health Plan Choices that came with this Report Card.

About This Report Card

The information in this report card was collected from the plans and their members. The information was reviewed for accuracy by independent organizations. The 2018 National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data were used in this report card to rate the plans. HEDIS® is a registered trademark of NCQA and CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director
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