May 29, 2025
Through the annual Qualified Health Plan Enrollee Experience Survey, our members in marketplace health plans provide feedback on their experiences with their health plan and its contracted providers. The survey is a useful tool to assess service gaps and develop specific improvement strategies.
Summary of 2024 results: The overall health plan rating has not changed significantly since 2023. The response rate increased from 13% in 2023 to 15% in 2024. Key findings on the 2024 survey were:
Performing well
- Rating of health care
- Rating of specialist
- How well doctors communicate − showed respect
- Getting needed care − getting specialist appointment
Measures that showed improvement
- Cultural competence
- Getting care quickly
- Rating of personal doctor
- Care coordination
Measures needing improvement
- Getting needed care − getting care, tests or treatment
- Advising smokers and tobacco users to quit
- Discussing cessation strategies
How you may impact results: A sample of our members are currently completing the 2025 QHP survey. Learn about the survey topics and how you may impact results. Focusing on a positive patient experience may have benefits for your practice, including:
- Patient loyalty and growth
- Adherence to physician recommendations<
- Improving overall patient wellness and health outcomes
- Preventive care addressed more timely
- Strengthened patient-provider relationships and rapport
QHP survey method: The QHP survey asks a random sample of members enrolled in their health plan for at least six months about their experiences. Conducted through mail, phone and online, the survey takes approximately 12 minutes to complete. It emphasizes domains where providers have the most impact, such as access to care and care coordination. Learn more from the Centers for Medicare & Medicaid Services.