MetroPlus's HealthCare Plan

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[Health News]

MetroPlus Health Plan, Inc. has been rated the number one Medicaid Managed Care health plan in New York City based on indicators chosen by the New York State Department of Health (NYSDOH) and recently published in the NYSDOH 2010 Consumer’s Guide to Medicaid Managed Care in New York City.

The guide, based in part on quality ratings submitted by the health plans and a NY State Department of Health member satisfaction survey,
shows MetroPlus with an eighty-two percent overall rating, ranking it first among New York City’s ten Medicaid Managed Care plans. The ratings
are based on measures including plans’ preventive and well-care for adults and children; quality of care provided to members with illnesses
and patient satisfaction with access and service.

MetroPlus not only ranked first among New York City plans, the organization scored higher than all Medicaid Managed Care plans in New York State. “We put tremendous time and energy into our work,” said Arnold Saperstein, MD, President and CEO of MetroPlus, “and are therefore
particularly pleased to note that consumers report such a high level of overall satisfaction with MetroPlus Health Plan.”

In addition to Medicaid Managed Care, MetroPlus offers Child Health Plus and Family Health Plus to eligible people living in Manhattan,
Brooklyn, the Bronx and Queens, the Plan also operates Partnership in Care, a Special Needs Plan (SNP) for people with HIV and their families,
the largest such program in the U.S.  MetroPlus also offers four Medicare Advantage plans, including MetroPlus Choice Plan (HMO), a zero
premium plan. 

In operation for over 20 years, MetroPlus offers a vast network of primary care doctors and specialists, including many independent community providers. The Plan emphasizes member education by providing numerous health education resources, including an award-winning,
multilingual, quarterly member newsletter, and other strategies to help members get the most out of their health plan. MetroPlus’ robust case
management programs encourage members to partner with their providers to promote the best possible health outcomes.
Plan staff is drawn from the communities that MetroPlus serves and speaks over seventy languages. MetroPlus Health Plan, Inc. is a prepaid health services plan certified under Section 4403-a of the New York Public Health Law and a wholly-owned subsidiary of the New York City Health and Hospitals Corporation (HHC).

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