MBGH released our 2009 eValue8 report at our Annual Conference, "Do It Yourself: Health Benefit Tools for Employers", on August 26, 2009. This year BlueCross BlueShield of Tennessee and CIGNA participated. Next year we will once again report on all 5 major commercial health plans in Tennessee.
This report shows that both BCBST and CIGNA made improvements in identifying and tracking members for program participation and in notifying members of needed or missed services, otherwise called gaps in care. However, there is still significant room for improvement in all of these aspects.
Although there was improvement in some aspects, it was surprising that both plans were at or below the 25th percentile on key HEDIS measures for childhood immunization, well care visits for ages 3-6, adolescent visits, and behavioral health. MBGH will be working with these plans over the next year to identify interventions to improve these HEDIS scores.
Share your thoughts on this eValue8 report and health plan performance in TN by posting comments to this blog. You can see the entire report by clicking on the link below.