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Recognition

Is award-winning superior quality and care important when selecting a healthcare plan?
Our retention rate is 97%.


Join AultCare - award winners locally and nationally.



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 health care to your family and that we have successfully incorporated quality improvements of our processes.

Our Full PPO Accredited 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 health care you receive from us.
NCQA®


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.

AultCare is excited to announce CORE certification has been achieved through CAQH.

CORE is the Committee on Operating Rules for Information Exchange. CORE certification allows AultCare to exchange certain benefit and eligibility information electronically with any provider using a standard set of rules.

This is the first CORE certification group. AultCare becomes a charter member of a select, national group of participants.







AultCare Named for Best Customer Care in Ohio

AultCare has received the 2006/2007 Customer Care Award for Ohio from National Research Corporation (NRC). The award is given as a result of a consumer survey ranking AultCare with the highest member satisfaction in the state.

"Our employees work hard to listen and get answers for our members. And this award is proof that we're focusing on the right things," said AultCare President and CEO Rick Haines. "Our 97% client retention rate and our history of service awards are testa ment to our team's customer service focus. We're very proud that our regional health care plan is receiving a state-wide award."

The award was determined by member satisfaction measured in the annual NRC Healthcare Market Guide study. The winning plans named by consumers rank highest in their state. More than 200,000 households representing 400,000 covered lives in the contiguous 48 states and the District of Columbia were surveyed.






J.D. Power & Associates

Aultman Hospital and AultCare are the first combined hospital and health plan in the nation to be recognized by J.D. Power & Associates for providing both hospital patients and health plan members with an outstanding patient and member experience.
< br> J.D. Power & Associates is widely recognized as the “voice of consumers.”Imagine having a healthcare plan that has been awarded J.D. Power’s highest form of recognition.

AultCare is among the elite as only 20% of all combined hospital and healthcare plans are even eligible to be recognized by J.D. Power.

After surveying a random sample of members, it was determined that AultCare exceeded the national benchmark study score for overall member satisfaction. The criterion was based on six key areas of experience:
  1. Provider choice
  2. Claims processing
  3. Information provided
  4. Preventative care services
  5. Approval process
  6. Customer service interaction
AultCare scored extremely well in the most critical of all areas: claims processing. In an age of challenging healthcare plans, codes, restrictions and paperwork, to be linked with a healthcare plan recognized for superior claims processing is a bonus.

There is a reason that AultCare has a 98% retention rate. Excellence.





AultCare Again Named Northeast Ohio’s Number One Health Insurer

For the second straight year, residents in northeast Ohio have selected AultCare to receive the Wilson Rx Award, naming AultCare the number one overall health insurer in the Cleveland metropolitan market (including Akron and Canton).

The Wilson Rx Award focuses on various aspects Of service, including patient satisfaction, with health plans. The Wilson Rx Award is acknowledged nationally as a welcome addition to the industry because of it’s recognition of high levels of excellenc e.




Ranked Among Ohio’s Elite Organizations

AultCare and Aultman Hospital were both selected, along with only 34 other organizations in the business, education, government, health care and not-for-profit sectors to receive the Ohio Award for Excellence, the highest quality based award in the state.< br>
The Ohio Award for Excellence recognizes AultCare for continuous measurable improvement and utilizing outstanding processes to reach customer-focused performance excellence.






Primetime Health Plan is State’s Best Six Years Running

For the 6th straight year, AultCare’s PrimeTime Health Plan is the most highly rated Medicare Advantage HMO in the state of Ohio. The ratings, based on core composite scores of the CAHPS (Consumer Assessment of Health Plans Study) survey, is the fede ral government’s very own survey which measures overall health plan satisfaction as perceived by PrimeTime members.

The results continue to show that PrimeTime Health Plan is, and always has been, a superb choice for health care coverage among our area’s seniors and Medicare beneficiaries.




AultCare is a fully accredited URAC Health Provider.

URAC accreditation is recognized and accepted by many different segments of the health care industry and numerous government agencies as a measurement of AultCare’s commitment to quality.

The URAC seal is a visible pledge to provide top quality care and service to our members, clients and providers.

          


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