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What is CAHPS?
What is CAHPS?
The CAHPS survey asks consumers and patients about their experiences with health care. The survey standardizes this information to ensure safe, quality, and coordinated care. CAHPS covers topics that are important to consumers. It also focuses on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
As an Aetna® provider, we’re here to help you meet the standards of care measured by CAHPS to assign performance scores for Medicare Advantage plans.
Your health organization probably hears a lot of feedback from Medicare patients that could improve their quality of care. And as a healthcare provider, chances are you want to do two things:
One, provide quality care for each of your patients. And two, expand your patient-base.
But how do you get valuable patient data without the excess noise?
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) are two surveys that can help fine-tune your care approach and achieve your practice goals.
What do these surveys cover?
The CAHPS survey focuses on quality measures, things like the communication skills of providers and ease of access to health care services.
The HOS survey measures patient reported outcomes related to mental and physical health.
The data from these surveys influences quality improvement and pays for performance and enhancements to the overall healthcare experience — so these surveys are very important for both you and your health plan partners.
Plus, positive patient experiences can improve health outcomes and they can lead to more meaningful patient-provider interactions.
When patients feel their doctor cares, they develop a greater sense of loyalty and they're more likely to stay committed to a specific provider.
But which talking points should you discuss with your patients to improve their experience? Follow the links to these modules for some tips that can help with your patient care, outcomes, and retention.
For more information on the surveys and access to a detailed pocket guide full of tips on how to keep applying the CAHPS and HOS best practices, visit our library of materials in the Availity Aetna Payer Space resource tab. You can also contact your Aetna representative to learn more.
Why does CAHPS matter?
CAHPS performance is key to several objective health care evaluations to learn how members believe their health plan supports them to:
- Improve and maintain their health
- Manage chronic conditions
- Ensure satisfaction with customer service and pharmacy services
Programs like the National Committee for Quality Assurance (NCQA) Health Plan Accreditation rely on CAHPS to measure Medicare star ratings. Star ratings were created to help beneficiaries assess their care needs against the quality of Medicare Advantage health plans care and service. The Centers for Medicare & Medicaid Services (CMS) assigns scores to Medicare Advantage plans based on over 50 plus service and care quality measures across 5 important categories.
Benefits for providers
The CAHPS survey lets you see how you provide care through your patients’ eyes. CAHPS encourages quality care through an enhanced relationship with patients. Survey insights allow you to develop enhanced plan relationships with patients that include greater emphasis on preventive medicine and early disease detection and stronger decision support for chronic condition management. For patients and their caregivers, you can bring increased awareness of patient safety issues for a holistic approach to care.
CAHPS support for providers
The heart of the Aetna network is providers who ensure patients receive safe, high quality, and coordinated care. We have developed these resources to give you the tools, data, and knowledge to provide the best care possible while keeping patients informed throughout their health care journey.
Resources for your patients
Patients are an important part of health care. The resources below will help empower them to take charge of their well-being.
*CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
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