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Quality matters

At Aetna Better Health® of Kentucky, we take care of the whole you. So our program team works with your doctor to make sure you're getting the highest standard of care. Together, we're committed to giving you the best health care experience possible. Our survey scores speak for themselves.

Providing you with quality service

Providing you with quality service

Our goal is to get you the highest quality care when you need it. We partner with local providers who understand your needs. And we’re continually accredited by the National Committee for Quality Assurance (NCQA). We get that accreditation for scoring high on:

 

Healthcare Effectiveness Data and Information Set (HEDIS®) scores

At Aetna Better Health of Kentucky, our goal is to improve access to quality health care for our members. We provide a broad network of providers and community organizations to achieve improved health outcomes. HEDIS scores help us see if we’re meeting our goals. You can learn more about HEDIS on the NCQA website and view our latest HEDIS results below.

 

Learn more about HEDIS

2020 HEDIS results (PDF)

Member satisfaction surveys

Any information that is shared with us on our Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys is kept private. We use the results of those surveys to improve the ways we take care of our members. You can view our member satisfaction survey results by calling Member Services at 1-855-300-5528 (TTY: 711) or by checking out the links below:

Our goals and objectives

Our goals and objectives

Our Quality Improvement program includes the following goals:

 

  • To effectively promote and build quality into the daily operations and policies of the health plan
  • To continually check and assess your needs, care and services, to ensure you’re receiving quality care at the right time
  • To find opportunities for improvement and act on them
  • To encourage patient safety through seasonal member communications (for example, flu mailers)
  • To ensure Aetna Better Health of Kentucky meets or exceeds the highest standards of quality by following local, state and federal regulatory requirements and accreditation standards
  • To find opportunities for improvement and act on them
  • To provide support for the nonmedical drivers of health, like transportation, food and housing support

Our services

Our services

Our Quality Improvement program provides many services, which include: 

 

  • Offering supplemental benefits to encourage wellness, including a preventive care incentive program
  • Sending you helpful postcards and newsletters about your health
  • Reviewing primary care physician (PCP) and obstetrician/gynecologist (Ob/Gyn) offices to make sure they meet Kentucky state standards
  • Reviewing the quality of our services
  • Reminding you and your provider about preventive health care
  • Measuring your satisfaction with your provider and with your health care services
  • Monitoring phone calls to make sure that your call is answered quickly and that you get the correct information
  • Working with your doctor to make sure they get all the information they need from us to provide you with quality care
  • Reviewing the quality of our services
  • Offering population health services, including education about chronic illnesses and one-on-one support for social determinants of health

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Do you have any questions?

If you want to learn more about our Quality Improvement program, you can call us at 1-855-300-5528 (TTY: 711).

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