J.D.Power发现,区域医疗保险优势计划的客户满意度高于商业会员健康计划-动脉网 (2024)

TROY, Mich.--(BUSINESS WIRE)--Even as the nation’s hospitals and health systems continue to battle with Medicare Advantage programs over reimbursem*nt rates, customer satisfaction with Medicare Advantage plans is significantly higher than with commercial member health plans. According to the J.D. Power 2024 U.S.

密歇根州特洛伊市——(商业新闻短讯)——尽管美国的医院和卫生系统继续与医疗保险优势计划在报销率方面进行斗争,但客户对医疗保险优势计划的满意度明显高于商业会员健康计划。根据J.D.Power 2024 U.S。

Medicare Advantage Study,SM released today, the most important factors driving customer satisfaction with Medicare Advantage plans are ease of finding care, low out-of-pocket costs and provider choice..

SM今天发布的Medicare Advantage Study(Medicare Advantage Study)显示,推动客户对Medicare Advantage计划满意度的最重要因素是易于找到护理、低自付费用和提供者选择。。

“The study shows that regional Medicare Advantage plans, on average, are outperforming commercial member health plans in overall customer satisfaction, and it is important to understand why,” said Christopher Lis, managing director of global healthcare intelligence at J.D. Power. “It can be attributed to the top five drivers of satisfaction in the Medicare Advantage shopping experience, which are: preferred in-network doctors; adequate prescription drug coverage; preferred in-network hospitals and facilities; previous experience with a health plan; and existence of a copay.”.

J.D.Power全球医疗保健情报董事总经理克里斯托弗·利斯(ChristopherLis)表示:“研究表明,平均而言,地区医疗保险优势计划在总体客户满意度方面优于商业会员健康计划,因此了解原因很重要。”。“这可以归因于Medicare Advantage购物体验满意度的前五大驱动因素,即:网络医生的首选;足够的处方药覆盖率;网络医院和设施的首选;以前的健康计划经验;以及是否存在共同支付。”。

Following are some of the key findings of the 2024 study:

以下是2024年研究的一些主要发现:

Access to care, provider choice are key drivers of customer satisfaction: Overall customer satisfaction with Medicare Advantage plans is 652 (on a 1,000-point scale). Top drivers of customer satisfaction are ease of finding care; low out-of-pocket costs; and provider choice.

获得护理,提供者选择是客户满意度的关键驱动因素:总体客户对Medicare Advantage计划的满意度为652(1000分制)。客户满意度的首要驱动因素是易于找到护理;自付费用低;和提供者选择。

Performance of Medicare Advantage vs. commercial member plans: Satisfaction among Medicare Advantage customers is 87 points higher than among customers of commercial member plans. The largest gaps in customer satisfaction in specific aspects of the customer experience are: helps me to save time or money (+128 points); ease of doing business (+93); level of trust (+92); and product/coverage offerings meet my needs (+90)..

Medicare Advantage与商业会员计划的表现:Medicare Advantage客户的满意度比商业会员计划客户高87分。在客户体验的特定方面,客户满意度的最大差距是:帮助我节省时间或金钱(+128分);经商便利(+93);信任程度(+92);产品/覆盖范围满足了我的需求(+90)。。

Top-performing regional plans set the pace for customer satisfaction: While average overall satisfaction scores are highest among national health plans, the top-performing individual regional Medicare Advantage plans—UMPC For Life, Highmark Blue Cross Blue Shield, Independence Blue Cross, Geisinger Gold and Priority Health Medicare—significantly outperform the top-performing national plans..

表现最佳的区域计划为客户满意度奠定了基础:虽然平均总体满意度得分在国家健康计划中最高,但表现最佳的个人区域医疗保险优势计划UMPC for Life、Highmark Blue Cross Blue Shield、Independence Blue Cross、Geisinger Gold和Priority health Medicare的表现明显优于表现最佳的国家计划。。

“As the 2025 Medicare open enrollment period rapidly approaches, there are several important factors that Medicare-eligible seniors should consider when evaluating health insurance options for the coming year,” said Caitlin Moling, senior director of global healthcare intelligence at J.D. Power. “Current health status; access to preferred doctors and facilities; access to healthcare in specific regions/locations; and out-of-pocket costs are just a few of the key variables that can weigh heavily on the customer experience with Medicare Advantage plans.

J.D.Power全球医疗保健情报高级主管凯特琳·莫林(CaitlinMoling)表示:“随着2025年医疗保险开放登记期的迅速临近,符合医疗保险资格的老年人在评估来年的医疗保险方案时,应该考虑几个重要因素。”。“目前的健康状况;获得首选医生和设施的机会;在特定地区/地点获得医疗保健的机会;以及自付费用只是几个关键变量,这些变量可能会严重影响Medicare Advantage计划的客户体验。

The more consumers know about what kinds of care they’re likely to need and the detailed coverage their health plan provides going into a contract, the better the experience they will likely have during the course of their relationship with that plan.”.

消费者越了解他们可能需要什么样的护理以及他们的健康计划在签订合同时提供的详细覆盖范围,他们在与该计划建立关系的过程中可能获得的体验就越好。”。

Study Rankings

Kaiser Permanente ranks highest in overall customer satisfaction with Medicare Advantage plans in California, with a score of 666. Alignment Health Plan (665) ranks second and SCAN Health Plan (652) ranks third.

Kaiser Permanente在加州医疗保险优势计划的总体客户满意度中排名最高,得分为666分。校准健康计划(665)排名第二,扫描健康计划(652)排名第三。

UnitedHealthcare ranks highest in overall satisfaction with Medicare Advantage plans in Florida, with a score of 689. Freedom Health Inc. (672) ranks second and Aetna Medicare (668) ranks third.

UnitedHealthcare在佛罗里达州对Medicare Advantage计划的总体满意度最高,得分为689分。Freedom Health Inc.(672)排名第二,安泰医疗保险(668)排名第三。

UnitedHealthcare ranks highest in overall satisfaction with Medicare Advantage plans in Georgia, with a score of 671. Humana (663) ranks second.

UnitedHealthcare在乔治亚州对Medicare Advantage计划的总体满意度最高,得分为671分。。

UnitedHealthcare ranks highest in overall satisfaction with Medicare Advantage plans in Illinois, with a score of 677.

UnitedHealthcare在伊利诺伊州对Medicare Advantage计划的总体满意度最高,得分为677分。

Priority Health Medicare ranks highest in overall satisfaction with Medicare Advantage plans in Michigan, with a score of 677. Blue Cross Blue Shield of Michigan (676) ranks second and HAP Senior Plus (669) ranks third.

优先健康医疗保险在密歇根州对医疗保险优势计划的总体满意度最高,得分为677分。密歇根州蓝十字蓝盾队(676人)排名第二,HAP Senior Plus队(669人)排名第三。

Excellus BlueCross BlueShield ranks highest in overall satisfaction with Medicare Advantage plans in New York for a second consecutive year, with a score of 654. Healthfirst Medicare Plan (625) ranks second and UnitedHealthcare (624) ranks third.

Excellus BlueCross BlueShield连续第二年在纽约对Medicare Advantage计划的总体满意度最高,得分为654分。Healthfirst Medicare Plan(625)排名第二,UnitedHealthcare(624)排名第三。

UnitedHealthcare ranks highest in overall satisfaction with Medicare Advantage plans in North Carolina, with a score of 690. Aetna Medicare (680) ranks second.

UnitedHealthcare在北卡罗莱纳州对Medicare Advantage计划的总体满意度最高,得分为690分。。

Anthem Blue Cross and Blue Shield ranks highest in overall satisfaction with Medicare Advantage plans in Ohio, with a score of 663. Aetna Medicare (660) ranks second.

Anthem Blue Cross和Blue Shield在俄亥俄州对Medicare Advantage计划的总体满意度最高,得分为663分。安泰医疗保险(660)排名第二。

UPMC For Life ranks highest in overall satisfaction with Medicare Advantage plans in Pennsylvania for a second consecutive year, with a score of 699. Highmark Blue Cross Blue Shield (691) ranks second and Independence Blue Cross (678) ranks third.

UPMC For Life连续第二年在宾夕法尼亚州对Medicare Advantage计划的总体满意度最高,得分为699分。Highmark Blue Cross Blue Shield(691)排名第二,Independence Blue Cross(678)排名第三。

Blue Cross Blue Shield of Texas ranks highest in overall satisfaction with Medicare Advantage plans in Texas for a second consecutive year, with a score of 665. Humana (655) ranks second and Cigna Healthcare (637) ranks third.

。Humana(655)排名第二,Cigna Healthcare(637)排名第三。

See the rank chart for each region at http://www.jdpower.com/pr-id/2024086.

请参阅每个地区的排名图http://www.jdpower.com/pr-id/2024086.

The U.S. Medicare Advantage Study, now in its 10th year, measures member satisfaction with Medicare Advantage plans—also known as Medicare Part C or Part D—based on eight factors (in order of importance): level of trust; able to get health services how/when I want; helping to save me time or money; product/coverage offerings meet my needs; ease of doing business; people—representatives, call center agents; resolving problems or complaints; and digital channels..

美国医疗保险优势研究已进入第十个年头,根据八个因素(按重要性顺序)衡量成员对医疗保险优势计划(也称为医疗保险C部分或D部分)的满意度:信任程度;能够以我想要的方式/时间获得医疗服务;帮助我节省时间或金钱;产品/覆盖范围满足我的需求;易于开展业务;;解决问题或投诉;和数字频道。。

The 2024 U.S. Medicare Advantage Study is based on the responses of 10,718 members of Medicare Advantage plans in 10 market-based U.S. regions: California, Florida, Georgia, Illinois, Michigan, New York, North Carolina, Ohio, Pennsylvania and Texas. It was fielded from January through June 2024.

2024年美国医疗保险优势研究基于美国10个市场化地区10718名医疗保险优势计划成员的回应:加利福尼亚州、佛罗里达州、乔治亚州、伊利诺伊州、密歇根州、纽约州、北卡罗来纳州、俄亥俄州、宾夕法尼亚州和德克萨斯州。它于2024年1月至6月部署。

For more information about the U.S. Medicare Advantage Study, visit

有关美国医疗保险优势研究的更多信息,请访问

https://www.jdpower.com/business/resource/us-medicare-advantage-study.

https://www.jdpower.com/business/resource/us-medicare-advantage-study.

About J.D. Power

关于J.D.Power

J.D. Power is a global leader in consumer insights, advisory services, and data and analytics. A pioneer in the use of big data, artificial intelligence (AI) and algorithmic modeling capabilities to understand consumer behavior, J.D. Power has been delivering incisive industry intelligence on customer interactions with brands and products for more than 55 years.

J、 D.Power是消费者洞察、咨询服务、数据和分析领域的全球领导者。J.D.Power是使用大数据、人工智能(AI)和算法建模能力来理解消费者行为的先驱,55多年来一直在为客户与品牌和产品的互动提供敏锐的行业智能。

The world's leading businesses across major industries rely on J.D. Power to guide their customer-facing strategies..

世界主要行业的领先企业依靠J.D.Power来指导其面向客户的战略。。

J.D. Power has offices in North America, Europe and Asia Pacific. To learn more about the company's business offerings, visit JDPower.com/business. The J.D. Power auto-shopping tool can be found at JDPower.com.

J、 D.Power在北美、欧洲和亚太地区设有办事处。要了解有关该公司业务的更多信息,请访问JDPower.com/business。J.D.Power自动购物工具可以在JDPower.com上找到。

About J.D. Power and Advertising/Promotional Rules: www.jdpower.com/business/about-us/press-release-info

关于J.D.Power和广告/促销规则:www.jdpower.com/business/About-us/press-release-info

J.D.Power发现,区域医疗保险优势计划的客户满意度高于商业会员健康计划-动脉网 (2024)
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