About AultCare

At AultCare, You Matter.

For 40 years, AultCare has provided quality healthcare at an affordable cost to the community it serves. Through the use of innovative plan designs, superior customer service, and a high-quality network, AultCare strives to satisfy enrollees and clients and remains committed to providing affordable health insurance.

Quality, local care is a priority at AultCare. Through the use of a Care Coordination program and a team of physicians, nurses, dietitians, pharmacists, and other clinical and non-clinical staff, AultCare can provide its members with programs focused on improving all aspects of member health. The Care Coordination program is a unique approach to giving integrated, comprehensive care to its members.

At AultCare, teamwork is a steadfast theme, and it continues to remain a principal in our culture of over 500 employees. Teamwork allows us to offer convenient, local care to our members. Additionally, our commitment to teamwork helps us provide excellent customer service, quality, and cost-effective healthcare planning – the standard core of our philosophy.

Healthcare is complex and confusing, but it doesn’t need to be. Through the use of our personalized customer service, our members can rely on AultCare for guidance in navigating the healthcare system. AultCare is proud to support its members and serve as a trusted resource in the community.

The History of AultCare

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Accreditation

NCQA Accreditation
Studies have shown that health plans earning NCQA Accreditation outperform nonaccredited health plans on every single measure of clinical quality and member satisfaction. NCQA Accreditation recognizes the commitment of our organization to providing quality healthcare to your family and that we have successfully incorporated quality improvements of our processes. Our HMO and PPO Accreditation status was awarded after rigorous evaluation by NCQA of all aspects of our plan including preventive health services, member satisfaction, physician credentialing, and quality improvement. We are extremely proud of our achievement, in terms of not only what it means to us but also what it means to you - that you can be confident in the quality of healthcare you receive from us.

About NCQA
NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS ®, the performance measurement tool used by more than 90 percent of the nation's health plans. NCQA is committed to providing health care quality information in order to help consumers, employers and others make more informed health care choices. For more information, visit www.ncqa.org. The Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of NCQA Accreditation.

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 are 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: ‍

Effectiveness of Care
Access/Availability of Care
Experience of Care Utilization and Risk-Adjusted Utilization
Health Plan Descriptive Information
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.