WellPoint Program for Medicare Advantage Members Earns URAC Gold Award in
Consumer Empowerment and Protection
URAC honors WellPoint for improving quality care and outcomes by helping
address and improve gaps in care
INDIANAPOLIS -- October 19, 2012
WellPoint, Inc., (NYSE:WLP) today announced it has won Gold Honors from URAC
for its Medicare Advantage Stars Outbound Call program offered through its
affiliated Medicare Advantage health plans, which helps health plan members
improve their health by getting the quality care they need at the right time
and in the right setting.
The honor was announced at a gala reception during the 2012 URAC Quality
Summit and Awards Program October 9-11 in San Francisco, CA. The award
recognizes achievements of organizations that are effectively advancing the
role of consumers as active participants in health care through Consumer
WellPoint received the honor for conducting a rigorous evaluation of its
Medicare Advantage Stars Outbound Call program that uses sophisticated
predictive modeling to identify potential gaps in care and then, through its
Case Management operational center, actively works to close those gaps.
The study found that by proactively calling Medicare Advantage health plan
members to help them schedule appointments with their doctors, or take their
prescribed medications as directed, the program had a positive effect on
consumer behavior and health outcomes. In just the first two months of the
year-long program, those included in the study were 20 to 42 percent more
likely to close gaps in care associated with five of nine evidence-based
clinical measures, than were those who were not contacted for the study.
“Our top priority is improving access to quality, affordable care in a way
that makes a positive difference in peoples’ lives and enhances their
experience with us and with their providers,” said Dr. Harlan Levine,
executive vice president of WellPoint. “This recognition underscores our
commitment to putting our customers first by offering innovative programs and
services that foster and combine better decision making with better outcomes
that are achievable and proven.”
Each year URAC, a leading health care accreditation, education and measurement
organization, recognizes industry milestones in advancing the role of
consumers as active participants in their health care through heightened
awareness and education.
“Our Best Practices Awards are a unique celebration of innovative health care
management programs. These organizations have implemented leading initiatives
that have made a difference in the lives of the consumers they serve with
demonstrable results that matter,” said Alan P. Spielman, president and CEO of
URAC. “This year’s winners are recognized for their leadership in pursuing
practices to advance consumer empowerment and protection in an exceptional,
measurable and reproducible way, and delivering on the promise of a quality
health care system that puts consumers first.”
Entries were judged by a panel of prestigious, independent judges including
recognized experts in program evaluation, care coordination, health
information technology, employer and purchaser decision making and patient
safety. Honors were awarded in the categories of Consumer Decision-Making and
Consumer Health Improvement.
About WellPoint, Inc.
At WellPoint, we believe there is an important connection between our members’
health and well-being—and the value we bring our customers and shareholders.
So each day we work to improve the health of our members and their
communities. And, we can make a real difference since we have approximately 34
million people in our branded health plans, and approximately 65 million
people served through our subsidiaries. As an independent licensee of the Blue
Cross and Blue Shield Association, WellPoint serves members as the Blue Cross
licensee for California; the Blue Cross and Blue Shield licensee for Colorado,
Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30
counties in the Kansas City area), Nevada, New Hampshire, New York (as the
Blue Cross Blue Shield licensee in 10 New York City metropolitan and
surrounding counties and as the Blue Cross or Blue Cross Blue Shield licensee
in selected upstate counties only), Ohio, Virginia (excluding the Northern
Virginia suburbs of Washington, D.C.), and Wisconsin. In a majority of these
service areas, WellPoint’s plans do business as Anthem Blue Cross, Anthem Blue
Cross and Blue Shield, Blue Cross and Blue Shield of Georgia and Empire Blue
Cross Blue Shield, or Empire Blue Cross (in the New York service areas).
WellPoint also serves customers across the country through our UniCare
subsidiary and in certain California, Arizona and Nevada markets through our
CareMore subsidiary. Our 1-800 CONTACTS, Inc. subsidiary offers customers
online sales of contact lenses, eyeglasses and other ocular products.
Additional information about WellPoint is available at www.wellpoint.com.
URAC, an independent, nonprofit organization, is well-known as a leader in
promoting health care quality through its accreditation, education and
measurement programs. URAC offers a wide range of quality benchmarking
programs and services that keep pace with the rapid changes in the health care
system, and provide a symbol of excellence for organizations to validate their
commitment to quality and accountability. Through its broad-based governance
structure and an inclusive standards development process, URAC ensures that
all stakeholders are represented in establishing meaningful quality measures
for the entire health care industry. For more information, visit www.urac.org.
Brandon Davis, 804-366-3007
Sean Meenan, 317-488-6715
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