About AultCare

At AultCare, You Matter.

For 36 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 remain 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 navigating the healthcare system. AultCare is proud to support its members and serve as a trusted resource in the community.

 

Accreditation

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September 22, 2020

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.

Volunteering

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We volunteer because You Matter.

The surrounding community has been a great supporter of AultCare since the beginning. As a thank you, it is part of our mission to giveback through our AultCaring in the Community initiative. Every year, our employees donate their time and energy to volunteer at local non-profit organizations. These efforts can create a significant impact on our community, and our ‘You Matter’ mentality helps to guide our actions.

Below is a collection of pictures that feature our employees hard at work at the different volunteer sites. To learn more about each organization and how you could volunteer with them, scroll down and click on the organization's logos.

 


Gallery

Commitment to Quality

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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: ‍

  • 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. View the Results.

Scholarship

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The 2021 AultCare Service and Leadership Scholarship embodies the importance of initiative, advocacy, merit, and quality. At AultCare, superior service and leadership are two qualities we value deeply. We promote these qualities within our employees and our community. This year, we recognized local high school students that uphold the characteristics of strong service and leadership. By honoring these students, AultCare can share the value of service-oriented leadership with the community. AultCare awarded 40 scholarships for$500.00 to deserving students from high schools within our five-county market. To be considered for the award, students needed to be a high school senior pursuing a two or four-year degree, have a 3.0 or higher GPA, and participate on a sports team. We congratulate our 2021 recipients and wish them luck with their futures!

Download the list of Scholarship Recipients (PDF)

Recognition

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Is award-winning superior quality and care important when selecting a healthcare plan? Join AultCare award winners locally and nationally.

 

AultCare Named for Best Customer Care in Ohio
AultCare received the 2006/2007 Customer Care Award for Ohio from National Research Corporation (NRC). The award was 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.

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
In 2005, Aultman Hospital and AultCare were 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.

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. To have a healthcare plan recognized for superior claims processing is a plus.

Ranked Among Ohio’s Elite Organizations
AultCare and Aultman Hospital were both selected, along with only 34 other organizations in the business, education, government, healthcare, and not-for-profit sectors to receive the Ohio Award for Excellence, the highest quality based award in the state.

The Ohio Award for Excellence recognized AultCare for continuous measurable improvement and utilizing outstanding processes to reach customer-focused performance excellence.

AultCare Again Named Northeast Ohio’s Number One Health Insurer
In 2003 and 2004, residents in northeast Ohio 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 its recognition of high levels of excellence.

Patient Safety

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Ask Me 3™

AultCare recognizes the value of patient safety for our employers and members and is committed to providing our members and providers with information about the safety of healthcare.

One of the safety programs that AultCare has initiated for our members is the Ask Me 3™ Program. This program is located at National Patient Safety Foundation and is a trademark of the Partnership for Clear Health Communication. It is a coalition of national organizations that are working together to promote awareness and solutions around the low health literacy and its effect on health outcomes.

This program was selected by AultCare to increase the level of communication between the physician and their patients.

For additional information on this program go to their website.

If you would like additional information or ideas for improving patient safety, visit the websites listed below: