About Broker Resources Provider Resources 330-363-6360 Contact Us Account Login FIND A PLAN MEMBER RESOURCES EMPLOYER RESOURCES FIND A PROVIDER quality Our Commitment to Quality AultCare's mission is to lead our community to improved health. We are committing to providing you with a superior level of customer service and access to quality care. To achieve our goal, we continually monitor and evaluate our performance against rigorous national and regional standards. To do this, we utilize data from HEDIS® and CAHPS® every year. What is HEDIS® and CAHPS®? HEDIS® is the Healthcare Effectiveness Data and Information Set. Insurance companies across the United States participate in HEDIS® data collection making it one of the best ways to gauge our performance against benchmarks. This data set includes over 90 measures that evaluate six different domains, including: ‍ o Effectiveness of Care o Access/Availability of Care o Experience of Care o Utilization and Risk-Adjusted Utilization o Health Plan Descriptive Information o Measures Collected Using Electronic Clinical Data System ‍ CAHPS® is the Consumer Assessment of Healthcare Providers and Systems. This set of surveys asks patients to report on their healthcare experiences with both their health plan and their providers. This data is collected annually and plays a key role in how we strive to improve year after year. UNDERSTANDING THE RESULTS Below you can find the description and the questions associated with each table listed below. Comprehensive Diabetes Control The percentage of members ages 18 to 75 years with diabetes who had HbA1c testing. **The percentage of members ages 18 to 75 years with diabetes who had a nephropathy screening test or evidence of nephropathy (used for QHP data only - HbA1c testing data unavailable). Controlling High Blood Pressure The percentage of members ages 18 to 85 years who had a diagnosis of hypertension and whose blood pressure was adequately controlled, less than 140/90. Getting Needed Care How often was it easy to get the care, tests, or treatment you needed? How often did you get an appointment to see a specialist as soon as you needed? Getting Care Quickly When you needed care right away, how often did you get care as soon as you needed? How often did you get an appointment for a check-up or routine care at a doctor’s office or clinic as soon as you needed? Getting Needed Prescription Drugs How often was it easy to use your prescription drug plan to get the medicines your doctor prescribed? How often was it easy to use your prescription drug plan to fill a prescription at your local pharmacy? How often was it easy to use your prescription drug plan to fill a prescription by mail? The following HEDIS data represents the measurement year 2018 and reporting the year 2019. The following CAHPS data represents the measurement year 2019. The Quality Compass benchmarks provided for the below HEDIS® data are representative of the 75th percentile. How we compare against other plans HMO HEDIS® CAHPS® PPO HEDIS® CAHPS® PRIMETIME HEALTH PLAN HEDIS® CAHPS® MARKETPLACE (QHP) HEDIS® CAHPS® Disclaimers: The source for certain health plan measure rates and benchmark (averages and percentiles) data ("the Data") is Quality Compass 2018 and is used with the permission of the National Committee for Quality Assurance ("NCQA"). Any analysis, interpretation, or conclusion based on the Data is solely that of the authors, and NCQA specifically disclaims responsibility for any such analysis, interpretation or conclusion. Quality Compass is a registered trademark of NCQA. The Data comprises audited performance rates and associated benchmarks for Healthcare Effectiveness Data Information Set measures ("HEDIS") and HEDIS CAHPS survey measure results. HEDIS measures and specifications were developed by and are owned by NCQA. HEDIS measures and specifications are not clinical guidelines and do not establish standards of medical care. NCQA makes no representation, warranties or endorsement about the quality of any organization or clinician who uses or reports performance measures, or any data or rates calculated using HEDIS measures and specifications, and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds copyright in Quality Compass and the Data and may rescind or alter the Data at any time. The Data may not be modified by anyone other than NCQA. Anyone desiring to use or reproduce the Data without modification for an internal, noncommercial purpose may do so without obtaining approval from NCQA. All other uses, including commercial use and/or external reproduction, distribution, or publication, must be approved by NCQA and are subject to a license at the discretion of NCQA 2018 National Committee for Quality Assurance, all rights reserved. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). We have listed websites here to help you find out more about health care quality. This information is provided only as a service to readers and does not imply endorsement or promotion of these organizations, any products or services they offer, or any groups they may link with through their websites. Related Links Agency for Health Care Research and Quality Tool to review National Scorecards to make health care safer and improve quality. Hospital Compare Tool to provide you information on hospitals in your area that have submitted quality information for Hospital Comparisons. AultCare Phone: 800-344-8858 330-363-6360 TTY: 711 24-Hour Nurse Line: 866-422-9603 330-363-7620 Customer Service Hours: Monday - Friday 7:30 am - 5:00 pm EST Mailing Address: 2600 Sixth St S.W. Canton, OH 44710 IRS Notice 2020-76 AultCare Insurance Company will not be automatically mailing 2020 Form 1095-Bs to members. However, upon request, any applicable members can have their 2020 Form 1095-B. To receive your 2020 IRS Form 1095-B, submit the request via our CONTACT US on our website or send the request to: AultCare Insurance Company 2600 Sixth ST SW Canton, OH 44710 You can also call us at 330-363-6360 or 800-344-8858 with any questions. Your request will be furnished within 30 days of receipt. Additional Resources HIPAA Privacy Policy Terms & Conditions Language Access Quality Careers COVID-19 Information Social Non-discrimination Notice AultCare/Aultra complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sexual orientation, gender identity, or sex. AultCare/Aultra does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. AultCare/Aultra provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). AultCare/Aultra provides free language services to people whose primary language is not English, such as: Qualified interpreters and information written in other languages.If you need these services, or if you believe that AultCare/Aultra has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can contact or file a grievance with the: AultCare/Aultra Civil Rights Coordinator, 2600 6th St. S.W. Canton, OH 44710, 330-363-7456, CivilRightsCoordinator@aultcare.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Civil Rights staff is available to help you.You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html © 2021 AultCare. All rights reserved.