USFHP Report Card

  • Prevention and Wellness
    • USFHP offers discounts for health and wellness services not covered by TRICARE®. We offer these discounts through robust networks of vendors. Services include: naturopathic care, massage therapy, eyeglasses, fitness club memberships, vitamins and supplements, walking trackers, activity planners, online food journals, and more.
  • Disease Management
    • Some of our network providers are nationally accredited for working with patients who have diabetes and heart disease.
    • US Family Health Plan has low rates of readmissions and emergency room visits. Nationally recognized health care consultants say USFHP is “well managed.”
    • We have nurse advocates who help patients with complex conditions to coordinate their care. When a patient moves from the hospital to home or to another care facility, the nurse advocates are there to help. They will work closely with the network providers. This service helps ensure our patients are getting the care they need.
  • Health Plan Performance/USFHP Report Card
    • We answer 90% of customer service calls within 30 seconds.
    • 99% of claims are paid within 30 days.
    • We make referral authorizations within 24–48 hours.
    • US Family Health Plan wants to measure how well they are doing. To do this, we use a tool called the Healthcare Effectiveness Data and Information Set (HEDIS®).
    • HEDIS data reporting helps us monitor our performance for diabetes care, cardiovascular care, cancer screening and access to care:
      • Of the many health plans using the HEDIS tool, USFHP ranks in the top 25% in these areas.
      • USFHP is in the top 10% for colon and breast cancer screening.
  • Superior Satisfaction
    • An annual survey shows an overall satisfaction rating with USFHP of 93.1%. (The survey is done by an independent vendor that is certified by the NCQA. The vendor uses CAHPS® survey methods, i.e. patients experience reporting.)
  • Enhanced Access
    • Are you interested in learning how well we manage patient care compared to national benchmarks?
  • Click here to access the full 2016 USFHP report card.

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