Top box scores display the percentage of respondents reporting the most positive response for a composite, rating, or question item at the respondent level. Top box scores are presented for several practice characteristics, such as region, physician specialty, provider type, practice ownership, survey completion mode and physicians working each week.
Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys ask consumers about their experiences with health care. The CAHPS program at the U.S. Agency for Healthcare Research and Quality (AHRQ) supports the development and promotion of CAHPS surveys, toolkit materials, and comparative databases, and provides technical assistance to users.
AHRQ’s CAHPS Database receives data voluntarily submitted by survey users that have administered the CAHPS Health Plan Survey. The CAHPS dataset aggregates the data to facilitate comparisons of CAHPS survey results by users and other interested organizations.
This dataset from the Chartbook presents summary-level results for the CAHPS Health Plan Survey 5.0 version for the following health plan enrollee populations: Adult Medicaid, Child Medicaid, and Medicare Managed Care.
In addition, selected trend results for 9 years during the period from 2007-2016 are presented for the Adult and Child Medicaid, CHIP and Medicare populations. (Note that no results are available for 2012 because of a lapse in the support contract for the CAHPS Database.)
Trend data for the Adult and Child Medicaid and Medicare enrollee populations are presented for 2007 to 2016. Trend data for the CHIP enrollee population are presented for 2011 to 2016. Although the number and mix of health plans within each enrollee population vary slightly from year to year, there has been a fairly consistent level of participation during this time span within the Adult Medicaid, Child Medicaid, and Medicare populations. The number of plans and respondents shown in each table provides some indication of the variation in the data sources from year to year. And although the CAHPS Health Plan Survey instrument changed slightly during this period with the transition from the 4.0 to the 5.0 version, changes to individual question items were very minor, and there were no changes in the rating questions or the definition of the composites.
**Comparisons Over Time:**
This dataset presents composite and rating top-box scores for the Adult and Child Medicaid, CHIP and Medicare populations for 9 years during the period 2007 to 2016. As shown in the data values following the comparative results presented for each enrollee population, there has been a steady improvement in scores for most composites and ratings across each population for the years available for reporting.
Notes: (1) There are no results available for 2012 because of a lapse in the support contract for the CAHPS Database. Notes: (2) From 2007-2011, the Database reported Adult Medicaid version 4.0. From 2013-2016, the Database reported version 5.0 for Adult Medicaid. (3) From 2007-2011, the Database reported Child Medicaid version 4.0. From 2013-2016, the Database reported version 5.0 for Child Medicaid. (4) In 2011, the Database reported CHIP Medicaid version 4.0. From 2013-2016, the Database reported version 5.0 for CHIP Medicaid. (5) From 2007-2016, the Database collected Medicare version 4.0 only.
**Highlights from this comparison include the following:**
1. The highest scoring composite across all populations is How Well Doctors Communicate. The lowest scoring composite is Getting Needed Care.
2. The highest scoring rating across all populations is Personal Doctor. The lowest scoring overall rating for Medicaid and CHIP populations is Health Care. The lowest scoring overall rating for Medicare is Health Plan.
3. Scores for the Child Medicaid and CHIP populations are higher than those for the Adult Medicaid population for all composites and ratings except for the CHIP Health Plan Information and Customer Service composite.
4. Scores for the Medicare population are higher than those for the other populations for the Getting Needed Care composite and the ratings for Personal Doctor and Specialist.