Across
- 4. Reporting that enables the accessibility of health care networks to be accurately measure based on the geographic locations of health care providers relative to those of the members being served.
- 5. An expression of dissatisfaction logged by a member, a member's authorized representative or a provider concerning the administration of the plan and/or services received.
- 8. Optum Idaho is committed to this.
- 9. Projects designed to achieve, through ongoing measurements and intervention, significant improvement sustained over time.
- 11. How do we know if services are benefiting members?
- 13. A serious, unexpected occurrence involving a member that is believed to represent a possible Quality of Care Concern on the part of the provider or agency providing services, which has, or may have, detrimental effects on the member
- 14. How do we know how members are feeling about the services they receive?
Down
- 1. Quality of Care
- 2. Quality of Service
- 3. How is the member satisfaction survey completed?
- 6. Optum requires that network providers adhere to specific access standards for this.
- 7. Tool used to measure member and provider satisfaction
- 10. Optum Idaho measures this on a continual basis to ensure the needs of IBHP members and providers are being met.
- 12. Adverse Benefit Determination
