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WilsonRx Health Insurance Report by Market

Covers the top plans within each market and includes importance and satisfaction ratings for medical care, medical treatment satisfaction, prescription drug benefits, preventive care, and more. Each report includes:

  • Name of Health Insurance Carrier
  • Overall Plan Satisfaction, Re-enrollment Intentions & Likelihood of Recommending Plan to a Friend or Relative
  • Changes to Plan in Past Year, Month of Change and Sources of Information Used to Help Make Decision
  • Member Demographics & Utilization
  • 29 Importance and Satisfaction Measures

About the WilsonRx® Survey

Health Insurance Markets available for reporting...

  • 4 Census Regions & 9 Census Divisions
  • 33 Core-based Statistical Areas (CBSA)
  • 32 State-wide Markets

2008 Pharmacy Market Areas

Health Insurance Carriers available for reporting...

  • AARP
  • Advantra
  • Aetna
  • AmeriHealth
  • Blue Cross/Blue Shield plans
  • CIGNA
  • Coventry
  • First Health/ CCN
  • Fiserv (UHC)
  • GEHA
  • Great-West Life
  • Group Health Coop.
  • Group Health Inc. (GHI)
  • Group Health Plan (GHP)
  • Harvard Pilgrim Healthcare
  • Health Alliance Plan (HAP)
  • Health Choice
  • Health Link
  • Health Net
  • Health Plan of Nevada
  • Health America
  • HealthPartners
  • HIP/VIP
  • Humana
  • Independent Health
  • Kaiser Permanente
  • MAMSI
  • Medica
  • Medicaid
  • Medical Mutual
  • Medicare
  • Mercy Health Plans
  • Oxford Health Plan
  • PacifiCare
  • PHCS
  • Preferred Care
  • Presbyterian Health Plan
  • Principal
  • Providence Health System
  • SCAN Health Plan
  • Secure Horizons
  • TRICARE/Military
  • Tufts Health Plan
  • UCare of Minnesota
  • United Healthcare
  • Univera Healthcare
  • UPMC Health Plan
  • Veterans Administration
  • WellCare

Health Insurance Importance and Satisfaction Attributes*

Overall Health Plan Coverage of my Healthcare Needs* Include...

  • Access and coverage of referrals to specialists
  • Choice and coverage of hospital care (Inpatient Services)
  • Choice and coverage of Primary Care Physician (PCP) visits
  • Coverage and availability of diagnostic tests and services
  • Coverage of alternative therapies (e.g., acupuncture, massage, etc.)
  • Coverage of preventive care and immunizations
  • Dental care coverage
  • Eye exams and vision care coverage
  • Hospital outpatient coverage (e.g., ER, outpatient surgery)*
  • Overall coverage and availability of medical treatments(s)
  • Prescription drug benefit coverage

Overall Delivery of Health Plan Services* Include...

  • Claims paid in a timely and hassle-free manner
  • Courteous and helpful plan representatives
  • Ease and timeliness of being able to speak to a plan representative*
  • Easy to understand plan coverage
  • Overall ease and convenience of using the plan
  • Plan representatives answer questions and solve problems
  • Resolution of denied claims/appeals*

Overall Healthcare Quality* Include...

  • Information provided on condition/illness
  • Overall quality of health care providers
  • Overall quality of the medical care received

Overall Healthcare Costs Include...

  • Annual increase in insurance premiums/costs
  • Co-pays and deductibles
  • Out-of-pocket cost for health care

Overall Health Insurance Satisfaction, Re-enrollment and Recommendation Intentions

Pharmacy Benefit Management Importance and Satisfaction Report Topics Include*...

  • Name of Pharmacy Benefit Manager – PBM plan (PBM)
  • Overall Satisfaction, Reenrollment intentions & Likelihood of Recommending plan to a friend or relative.
  • Changes to PBM plan in past year, month of change and sources of information used to help make decision.
  • Member Demographics & Utilization
  • 29 Importance and Satisfaction measures

Overall Medication Cost and Availability* Include...

  • Ability to get the prescribed medication you expected
  • Annual increase in premiums/costs*
  • Availability of participating pharmacies
  • Out-of-pocket costs for prescription drugs
  • Overall ease and ability of getting prescriptions filled and refilled

Overall Medication Coverage* Include...

  • Brand name medication coverage
  • Generic prescription coverage
  • Non-prescription/OTC medication coverage
  • Retail pharmacy prescription coverage
  • Mail Order/home delivery prescription coverage

Overall Delivery of Pharmacy Benefit Service* Include...

  • Ability of PBM representatives to answer questions and solve problems
  • Courteous and helpfulness of PBM plan representatives*
  • Ease and timeliness of being able to speak to a PBM representative*
  • PBM representatives understand my condition & medication needs*
  • Easy to understand benefit and coverage information
  • Information provided to me about condition/illness
  • Information provided to me about medication(s)
  • Ease and ability to access prescription records and order refills*
  • Notification of changes to plan and drug coverage
  • Resolution of denied drug claims/appeals*
  • Timeliness of receiving plan materials (i.e., drug card, brochures)

Overall Quality of Care* Include...

  • Adequately covers my treatment needs*
  • Coordination of care between the plan, pharmacy and my doctor
  • PBM provides personal care for my needs*
  • Trust and reliability of company*

Overall Pharmacy Benefit Manager (PBM) Satisfaction

  • Intent to Re-enroll in PBM
  • Intent to Recommend PBM to a friend or relative
  • Overall PBM Satisfaction Index = Calculated score of 29 satisfaction measures weighted by importance.

Member Demographics Include...

  • Age
  • Gender
  • Race
  • Ethnicity
  • Income
  • Marital Status
  • Employment Status/Industry
  • Geographic location – Region, Division, State, CBSA, Market
  • Home Ownership
  • Marital Status
  • Household Size
  • Household description/life stage
  • Computer Use/Ownership
  • Internet Service Provider (ISP)
  • Computer operating system
  • Long Distance Carrier
  • Credit Card usage
  • And much more…

*new for 2008

For Information, Call (215) 862-4581

WilsonRx in the news

2 Jun 2008

Wilson Health Information names MemberHealth’s Community CCRxSM #1 Medicare Part D Plan for second year in a row and awards Prescription Solutions, RegenceRx and Rite Aid Health Solutions highest honors in the 2008 WilsonRx® Pharmacy Benefit Manager (PBM) Member Satisfaction Survey™.

2 Jun 2008

Wilson Health Information finds Health Mart #1 in pharmacy customer satisfaction nationally.

14 May 2008

Wilson Health Information finds that most pharmacy customers are offered counseling services from their pharmacist and finds that Aurora and Fry’s pharmacists outperform in this initiative.

30 Apr 2008

Wilson Health Information finds Independent pharmacies highest rated in customer satisfaction.

21 Apr 2008

Local Team Completes Organ Donor Awareness DASH

21 Jan 2008

Wilson Health Information reports Diabetes households fill over 50% more prescriptions than household average – Treatment Satisfaction shows steady decline.


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