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 MINNEAPOLIS, Sept. 14 /PRNewswire/ -- Medica, one of Minnesota's largest managed care organizations, today released its report card on performance data to the community. The first of its kind, the report card is a working model of accountability in Minnesota health care.
 Developed by Minnetonka-based United HealthCare Corp. and Medica, the report card provides employers and consumers with information to help them make informed health care purchasing decisions based on plan performance. The Medica report card quantifies the plan's performance in four major areas of accountability: consumer satisfaction, quality of care, administrative efficiencies and cost reduction.
 "The report card is a valuable accountability tool which purchasers, payers and policymakers can us to assess Medica's performance," said K. James Ehlen, M.D., Medica chairman and chief executive officer. "We will also use it with our participating providers both to identify our strengths and to target areas where opportunities for improvement exist."
 The four report card categories were selected to reflect the major critical areas of optimal health care delivery: to reduce overall costs and spending; to improve the quality of care, including access; to lower administrative costs and improved efficiencies; and, to safeguard consumer satisfaction. Twenty-eight key performance indicators, drawn from more than 200 currently reviewed by the plan, were selected to measure plan performance in those categories.
 1. Consumer Satisfaction -- Medica scores were obtained through Gallup-commissioned telephone surveys of stratified random samples of 500 Medica Choice members. Overall satisfaction with Medica was 93 percent, with perceived quality of physician care at 95 percent and satisfaction with access to providers at 92 percent.
 2. Quality of Care -- Quality indicators include measures for preventive care as well as care for chronic and acute conditions.
 The report card suggests that Medica's member education programs are making a positive impact on the number of members who take advantage of preventive care services, such as pediatric immunizations, mammography, pap smears and eye exams for diabetics.
 A key indicator with a desired low incidence is cesarean section rate. Medica's C-section rate of 17 percent was 4.8 percentage points lower than comparative national data. Since C-sections are the most common surgical procedure performed in the United States, a difference of only a few percentage points makes a significant difference.
 3. Administrative Efficiency -- Efficient administration means the health plan can direct maximum resources to patient care. Although no publicly reported comparative data was found for the key indicators in this category and no common definitions currently exist to define or report costs in administration, Medica is reporting its data in this important area.
 Electronic submission for physician claims was 68.7 percent and for pharmacy claims, 97.2 percent. Medica's administrative costs are $9.03 per member/per month.
 4. Cost Reduction -- Achieving and maintaining affordable health care is a critical goal for Medica. Cost reduction measures must reflect both savings in the system and to the purchaser.
 Medica's average annual premium price trend has decreased from 11.5 percent in 1991 to 10.9 percent in 1992 to 9.6 percent in first quarter 1993. Utilization rates for 1992 were 237 hospital days per 1,000 members, 58 admits per 1,000 members and an average length of stay of 4.1 days.
 The Medica report card will continue to be issued on an annual basis. "Medica welcomes the opportunity to publicly present our performance data for Minnesotans," said Ehlen. "We look forward to working with other health plans to assure that data is collected and disseminated in comparable and understandable formats to the benefit of all participants in the health care system."
 Medica is one of Minnesota's largest managed care organizations with more than 550,000 health plan members enrolled through over 4,000 employer groups in almost every county in the state. Medica's mission is to be the leader in improving the quality, affordability and accessibility of health care for Minnesotans.
 -0- 9/14/93
 /CONTACT: Linda M. Lee, vice president, communications, 612-936-5976 or K. James Ehlen, M.D., chairman of the board, 612-936-1929, both of Medica/

CO: Medica; United HealthCare Corporation ST: Minnesota IN: HEA SU:

DS-AL -- MN006 -- 1641 09/14/93 09:37 EDT
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Publication:PR Newswire
Date:Sep 14, 1993

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