Health Insurance Report by Plan Sponsor and Type of Insurance
As a health insurer, how do you rank locally or nationally in member satisfaction among your competitors? What is the impact of plan satisfaction on re-enrollment and recommendation intentions? How can you best differentiate yourselves to increase membership and reduce attrition? Why do members stay in or leave your plan? What is important to members and how satisfied are they? Find out today with the 2008 WilsonRx® Health Insurance Satisfaction Report™ Learn what members are really saying from the largest national independent healthcare survey of its kind in the United States.
WilsonRx® offers unique Health Insurance Satisfaction Reports consisting of more than 100 Power Point Slides each for the nation, census and division regions, PDP regions and for top U.S. CBSA and state markets. Reports cover key importance and satisfaction measures and many other unique findings for each market selected or for up to twenty Health national Insurance carriers that you select for your own custom report. The insights from a presentation of your report will help differentiate you from your competitors and identify your strengths and areas for improvement…for a fraction of the cost of conducting the research yourself.
Call Jim Wilson today at (215) 862-4581 to purchase the report. Or contact us via email.
Plan Sponsor
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Plan Type
- Health Maintenance Organization (HMO) – Insurance that requires a primary care physician and referrals to see specialist physicians
- Preferred Provider Organization (PPO) – Health insurance plan that does not limit choice of providers
- Point of Service (POS) – plans requires primary care physician but includes out of network coverage for a higher fee
- Major Medical – plan that reimburses expenses paid
- Consumer Directed Health plan (CDP) – Plan with high deductibles and a health reimbursement account
About the WilsonRx® Survey
Objective |
Identify & measure respondents perceptions of their pharmacy, health insurance, pharmacy benefit, Medicare Part D plan, and medical treatments. |
Date |
January – February 2008 |
Description |
Self administered 8 page written, alternating format questionnaire. Satisfaction scores on a scale of 1 (highly dissatisfied) to 4 (highly satisfied). |
300+ Topics |
Satisfaction & Importance measures by Pharmacy, Store Type, Chain, Health Insurance Carrier/Plan, PBM, Medicare Part D and Satisfaction with Medical Treatment for 50+ conditions. |
Sample |
34,454 respondents to a survey mailed to 71,015 primary U.S. household healthcare shoppers or decision makers. |
Geographic Coverage |
Nationally Representative Sample with coverage by Census Region/Division, PDP, State and additional coverage in the following CBSA markets: Atlanta, Baltimore, Boston, Chicago, Cleveland, Dallas, Los Angeles, NYC Market, Pittsburgh, San Francisco, Seattle, Washington DC, Miami, Detroit, Philadelphia, Phoenix, Houston, Twin Cities, Denver, Kansas City, Charlotte, Cincinnati, Portland, St. Louis, Las Vegas, Buffalo, Columbus, Indianapolis, Milwaukee, Nashville, Orlando, San Diego, CT-NY, NJ-NY Metro Markets. |
Commercial plans outnumber government plans by a slight margin (61% versus 52%, respectively.
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
PBM Survey 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
- Ethnicity
- Income
- 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
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.