2011 MA-RI Health Plan eValue8 Results

2. 2 eValue8: Our Health Plan Scorecard The nation�s leading, evidence-based request for information (RFI) tool; collecting data from over 100 health plans covering 92 million Americans in 25 states (including RI, MA and CT); Widely used by business health coalitions like RIBGH and national employers to assess the quality of their health plans and to advance community-wide delivery reform; A continuous improvement tool that helps Health Plans focus on areas offering the greatest value-added opportunities for improving the quality and efficiency of health care delivery; Scoring is done by independent consultants from NBCH in Washington DC; Tufts, Harvard Pilgrim and BCBS-MA participated in 2011.

3. 3 Areas Scored by eValue8 Plan Profile Accreditation, quality reporting, plan design, HIT Consumer Engagement Provider price and quality transparency, consumer tools and health records Provider Measurement Efforts to measure & improve provider performance, gaps in care, clinical outcome measures Pharmaceutical Management Generics, e-prescribing, medication compliance Prevention & Health Promotion Worksite health promotion, preventive care, HRAs, immunizations, cancer screening; tobacco & obesity Chronic Disease Management Coordination of multiple conditions, Rx management, member compliance and support Behavioral Health Special emphasis on alcohol abuse and depression