Independent Care Health Plan (iCare) is proud to share positive news about iCare Family Care Partnership (HMO-DSNP).
5-Star MetaStar Audit Score
A Quality Compliance Review and Care Management Review was prepared by MetaStar for the Wisconsin Department of Health Services. On this external quality review, a score of 90% to 100% is required to receive a score of 5-stars (Excellent). iCare Family Care Partnership received a rating of “EXCELLENT” on all 15 applicable standards, earning an overall compliance score of 98.3 percent.
External Quality Review, Fiscal Year 2020 – 2021, by MetaStar, June 9, 2021.
“Standards addressed in audits like this were put in place to ensure health plans are delivering high-quality care to members. It is very gratifying to be recognized for our efforts. We take quality very seriously; It is truly a full-team effort, said Margaret Kristan, iCare Vice President, Long Term Care & Community Inclusion. “We hope it helps members feel good about choosing iCare Family Care Partnership for their health and long-term care needs. “
High member satisfaction rates
Annually, the Wisconsin Department of Health Services (DHS) administers a member satisfaction survey designed to be straightforward and easy for members to complete. Questions include:
- How often do you get the help you need from your Care Team?
- How involved are you in making decisions about your Care Plan?
- How much does your Care Plan include the things that are important to you?
- How well do the services you receive meet your needs?
Responses range on a 1-5 Likert scale (Not at All; A Little; Somewhat; Very; Extremely).
Wisconsin Department of Health Services’ “2020 MCO Pay for Performance Results”, released June 9, 2021, showed that iCare members answered “Extremely Satisfied” on all 4 questions. Members from eight Managed Care Organizations (MCOs) were surveyed. iCare was one of only two MCOs to receive the highest possible score of 4/4.
MetaStar is the External Quality Review Organization (EQRO), contracted and authorized by the Wisconsin Department of Health Services (DHS) to provide independent evaluation of managed care organization (MCO) compliance with federal Medicaid managed care regulations and the DHS contract with MCOs. MetaStar conducts external quality review (EQR) for all MCOs operating Family Care (FC), Family Care Partnership (FCP), and Program of All-inclusive Care for the Elderly (PACE) programs in the State of Wisconsin. All programs provide home- and community-based services (HCBS) for long-term services and supports (LTSS). FCP and PACE also provide acute and primary care services.
The Member Satisfaction Survey is part of Pay for Performance (P4P), a value-based payment system administered by Wisconsin DHS in which MCOs are incentivized to achieve goals or objectives pertaining to quality. It is an outcomes-based initiative that uses data collection and analysis to drive continuous improvement.
About Independent Care Health Plan (iCare)
iCare provides managed care coverage for over 40,000 people throughout Wisconsin, most of whom have low incomes or are disabled. iCare has been securing the wellness of people with complex conditions for over two decades. iCare serves members in four lines of business:
iCare is a wholly-owned subsidiary of leading health and well-being company Humana. For more information about iCare, visit www.iCareHealthPlan.org, or call 800-777-4376 (TTY 1-800-947-3529).
About iCare Family Care Partnership
iCare Family Care Partnership (FCP) is a health and long-term care (LTC) program that covers all aspects of health care. It is designed to meet the long-term care needs of frail older adults and adults who have physical, intellectual or developmental disabilities.