Dec. 22, 2025
Through the annual Qualified Health Plan Enrollee Experience Survey, our PPO and HMO 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.
Key findings on the 2025 survey included:
Performing well
From PPO members:
- Getting Needed Care - Getting care, tests or treatment
- Care Coordination - Doctors were informed about specialist care
Rating of Health Care
Opportunities for improvement
From PPO members:
- Getting Needed Care - Getting specialist appointment
- Rating of Specialist
From HMO members:
- Care Coordination - Doctors were informed about specialist care
- Getting Needed Care - Getting specialist appointment and care/tests/treatment
- Getting Care Quickly - Getting routine and urgent care
- How Well Doctors Communicate - Doctor showed respect
- Rating of Health Care
How you may impact results: A sample of our members will complete the 2026 QHP survey. 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.