PL 002.pdf
PDF 43 KB Posted
- Attached to
- MANAGED CARE SECRET SHOPPER SURVEYS
- Solicitation number
- 5400026950
- Issued by
- Richland County, Columbia City, South Carolina
About this file
This document appears to be a report summarizing the results of internal and external pilot studies conducted to evaluate provider participation rates and call accuracy for a state project. The internal pilots were conducted over three periods in 2024, with the final pilot achieving a 75% answer rate and 92% accuracy in confirming Medicaid managed care organization (MCO) acceptance. The external pilot data, collected in the first quarter of state fiscal year 2024, included 702 provider contacts across three different MCOs, with varying levels of confirmed MCO acceptance. The report does not provide details on the overall scope or objectives of the state project, pricing terms, funding sources, or contract duration.
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Text version
PL 002 - Historical Data and Pilot Effort Results
Internal Pilots are three Separate pilots
• Internal Pilot Jan 2024 - 67 NPIs, 82% answer rate, 72% Accuracy Percentage (accepting Medicaid), Length of Call not collected
• Internal Pilot March 2024 - 51 NPIs, 60% answer rate, 77% Accuracy rate (Avg of confirming MCO acceptance), Average of 5.8 Minute Length of call (including no answers)
• Internal Pilot April 2024 - 61 NPIs, 75% answer rate, 92% Accuracy rate (Avg of confirming MCO acceptance), Average of 5.5 Minute Length of Call (including no answers)
External is one study broken into 3 MCOs
• External Data SFY24 Q1 on MCO 1 - 282 Providers, Answer Rate not available, 137 Confirmed Accepting specific MCO, Length of Call not collected
• External Data SFY24 Q1 on MCO 2 - 141 Providers, Answer Rate not available, 52 Confirmed Accepting specific MCO, Length of Call not collected
• External Data SFY24 Q1 on MCO 3 - 279 Providers, Answer Rate not available, 146 Confirmed Accepting specific MCO, Length of Call not collected
File details come from the government source that posted it. Updated .