DHS 120.23 Note Note: The bureau of health information was renamed the bureau of health information and policy.

DHS 120.23(1)(b) (b) Databases of other department agencies, including those of the division of health care financing and the bureau of quality assurance.

DHS 120.23 Note Note: The bureau of quality assurance was renamed the division of quality assurance.

DHS 120.23(1)(c) (c) Databases of other state agencies, including the office of the commissioner of insurance for information related to health plan finances, market conduct, complaints and grievances, and quality indicators.

DHS 120.23(1)(d) (d) Other private sector information available through various websites.

DHS 120.23(1)(e) (e) Federal databases, including those of the health care financing administration.

DHS 120.23(2) (2) Contents. The consumer guide shall contain information on all of the following:

DHS 120.23(2)(a) (a) How to find and choose a doctor, hospital, health care plan, nursing home or other health care provider.

DHS 120.23(2)(b) (b) How to get health insurance or enroll in medicare, medical assistance, badgercare or family care and where to go with health care coverage or payment questions or problems.

DHS 120.23(2)(c) (c) Where to learn about specific conditions, illnesses or injuries.

DHS 120.23(2)(d) (d) Other websites and related information sources that provide information on health care questions.

DHS 120.23(3) (3) Report dissemination. The department shall make available from the department’s website an electronic version of the consumer guide at no charge. The department shall distribute a paper, summary version of the consumer guide at no charge to the governor, the legislature and a board-approved list of individuals and agencies. The department shall make the paper, summary version of the consumer guide available for purchase by others.

DHS 120.23(4) (4) Suggested use of the consumer guide. Some suggestions for using the report are as follows:

DHS 120.23(4)(a) (a) Health care plan. If available to the department, the following types of data for individual health care plans shall be contained in the consumer guide and may supplement consumers’ age, health status, mobility and financial resources as important factors consumers should consider when selecting a health care plan:

DHS 120.23(4)(a)1. 1. Health plan costs, such as premium per member.

DHS 120.23(4)(a)2. 2. Affiliations of specific physicians, clinics or hospitals.

DHS 120.23(4)(a)3. 3. Satisfaction of enrollees with access to providers.

DHS 120.23(4)(a)4. 4. Satisfaction of enrollees with service locations.

DHS 120.23(4)(a)5. 5. Measures of financial strength, such as profit margins and administrative versus medical costs.

DHS 120.23(4)(a)6. 6. Clinical process and outcome measures, such as those required for accreditation by the national committee for quality assurance or participation in the Wisconsin medical assistance program.

DHS 120.23(4)(a)7. 7. History and trend information on complaints and grievances.

DHS 120.23(4)(a)8. 8. Consumer satisfaction core measures from the consumer assessment of health plans or other satisfaction surveys.

DHS 120.23(4)(a)9. 9. Accreditation status.

DHS 120.23(4)(a)10. 10. Years of operating experience.

DHS 120.23(4)(a)11. 11. Location of plans, service area of plan by county.

DHS 120.23(4)(a)12. 12. Health plan product lines.

DHS 120.23(4)(b) (b) Health care provider.

DHS 120.23(4)(b)1. 1. If available to the department, the following information about a physician and a health care provider specified in s. DHS 120.15 (1) shall be contained in the consumer guide and may supplement other factors such as the consumer’s age, health status, mobility and financial resources as important factors consumers might consider when selecting a health care provider:

DHS 120.23(4)(b)1.a. a. Active status information.