Why is the recall and eligibility period 12 months for commercially insured enrollees and 6 months for Medicaid and Medicare?
The CAHPS Consortium chose a 6-month eligibility period and corresponding reporting period for the Medicaid population because 6 months was found to be the shortest period for which plan members would have sufficient plan experience to report on. Thus, this is a balance between a time interval that would include a sample of health plan members with sufficient experience and a short enough recall period. CMS decided to adopt the 6-month interval for Medicare enrollees to maximize recall. However, a 6-month eligibility period does not work for the commercial sector because it only captures consumers who have been enrolled in their health plan for 12 months or more. This is because it takes about 5 months (May to October) to field the CAHPS Health Plan Survey and produce reports. Six months of enrollment before the beginning of the survey field period is about 2 months before the re-enrollment period for the plan. Thus, the only way to capture new enrollees is to use a shorter eligibility
Related Questions
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