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 Healthy News: Winter / Spring 2000 Issue

NEWS UPDATES

Online Health News Resource

For more news about health realted topics, visit Medizine.com

Special Notice

Member Newsletter: Special Edition

The following disease management programs are available to assist you in managing your illness or future surgery. If you would like more information on any of our programs, please feel free to call our case management department at (225) 763-4560. We have registered nurses that are available to answer your questions and send you written materials.

Heart Failure (CHF)
Diabetes
Chronic Obstructive Pulmonary Disease (COPD)\
Pneumonia
Joint Replacement (Pre-operative Program)
Transplant
Depression
Hematology-Oncology
Stroke (CVA)
High Risk Pregnancy

Gulf South Health Plans does makes utilization management (UM) decisions based solely on the appropriateness of the care or service requested. The Plan does not specifically reward for issuing denials, nor does it offer incentives to encourage inappropriate underutilization.


The 1999 CAHPS 2.0 Member Satisfaction Survey Results Have Just Arrived!!

Survey Question
Response
Mean
Gulf South’s Rating
Q6. With the choices your health plan gave you, how much of a problem, if any, was it to get a personal doctor or nurse you are happy with?
Not a problem
61.3
70.6
Q8. We want to know your rating of your personal doctor or nurse. (scale of 0-10, 0 being the worst and 10 being the best)
8, 9, 10
71.7
73.5
Q12. We want to know your rating of the specialist you saw most often in the last 12 months, including a person doctor if he or she is a specialist. (scale 0 –10, 0 being the worst and 10, being the best)
8, 9, 10
75.2
77.4
Q24. In the last 12 months, how much of a problem if any, was it to get the care you or a doctor believed necessary?
Not a problem
80.4
84.1
Q33. We want to know your rating of all your health care in the last 12 months from all doctors and other health providers.
8, 9, 10
70.3
74.7
Q47. We want to know your rating of all your experience with your health plan. (scale of 0 – 10, 0 being the worst and 10 being the best)
8, 9, 10
57.0
65.6
Q48. In general, how would you rate your overall health now?
Excellent or Very Good
58.6
54.6