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Showing results for "plans".

1. Comparative Reports on Health Plans | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/talkingquality/resources/comparative-reports/health-plans.html
   December 01, 2022 - The following reports are examples of comparative information on the quality of health plans … Report Title: Health Plan Report Card Website: https://reportcards.ncqa.org/health-plans . … Additional topics are included in the rating for plans that cover prescription drugs. … The scores for patient experience with health plans use CAHPS rating and composite measures. … , as well as reports to learn more about the overall performance of Maryland health plans.

2. CAHPS Health Plan Survey | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/cahps/surveys-guidance/hp/index.html
   April 01, 2024 - For over two decades, health plans, public and private purchasers, and other organizations have been … plans for high-quality care. … To support consumers in assessing the quality of health plans and choosing the plans that best meet their … To identify the strengths and weaknesses of health plans and target areas for improvement. … Plans, and the fee-for-service program.

3. How Will You Gain the Trust of Health Care Providers or Plans? | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/talkingquality/plan/gain-trust.html
   November 01, 2018 - About TalkingQuality How Will You Gain the Trust of Health Care Providers or Plans … View Health Care Organizations as an Audience Start by regarding the providers and plans as one of … While you may be designing it for consumers, the reality is that providers and plans are typically the … Research on report card use demonstrates that not only do providers and plans pay attention to the data … Keep them informed about your objectives and plans, including methods, schedule, progress, and issues

4. Using CAHPS Health Plan Survey Data | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/cahps/surveys-guidance/hp/improve/index.html
   July 01, 2022 - To inform consumers about enrollee experience with health plans. … and different kinds of health plans. … Improve Enrollee Experience Many health plans use their Health Plan Survey results to identify strengths … Several resources are available to support health plans in this effort. … Survey Scores Webcast: Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans

5. Major Health Plan Quality Measurement Sets | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/talkingquality/measures/setting/health-plan/measurement-sets.html
   December 01, 2022 - More than 90 percent of health plans—HMOs, POS plans, and PPOs—use HEDIS to measure performance. … HEDIS is one component of NCQA's accreditation process, although some plans submit HEDIS data without … HEDIS enables consumers and purchasers to compare health plan performance to other plans and to national … Data source: You can obtain HEDIS results directly from health plans or by purchasing access to NCQA … employees, beneficiaries); however, sponsors typically get this information directly from the health plans

6. National Action Plans | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/patient-safety/reports/national-action-plans.html
   February 01, 2018 - Home Patient Safety Reports National Action Plans … Health Affairs Medical Liability National Academy of Medicine Reports National Action Plans … Safety News and Events Education & Training Resources National Action Plans … National Action Plans National Action Plans are developed with expert input to provide a framework … February 2018 Page originally created February 2018 Internet Citation: National Action Plans

7. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
   March 01, 2020 - Interventions The variety of strategies available to help health plans reduce linguistic, cultural, … At a minimum, health plans should collect information on race, ethnicity, and preferred language through … As part of the Healthcare Effectiveness Data and Information Set (HEDIS), plans routinely report on the … To go beyond tracking, innovative plans put in place programs to match members with providers who can … Health plans can also reward providers for contributing to the linguistic diversity of their networks

8. Section 6: Strategies for Improving Patient Experience with Ambulatory Care | Agency for Healthcare Research and Quality
   ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/index.html
   March 01, 2023 - How Health Plans Can Drive Improvements at the Medical Group Level References Download Section … For some strategies, both health plans and provider groups have a role to play, even if one is more " … Health plans, for example, can equip providers with the skills, tools, and information systems they can … Appendix 6b discusses three ways in which health plans can harness reporting and purchasing strategies … Health plans that own physician practices and/or employ physicians, and those that have an exclusive

9. 2016 CAHPS Health Plan Survey Database Chartbook (pdf file)
   ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_hp-chartbook.pdf
   January 01, 2016 - Plan Survey Database 2016 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … Plan Survey Database 2016 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … The total number of respondents and plans by state are presented by population. … Adult Medicare Respondents Plans Respondents Plans Respondents Plans Respondents Plans Alabama 423 … Adult Medicaid Child Medicaid CHIP Adult Medicare Respondents Plans Respondents Plans Respondents Plans

10. 2019 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2019_hpchartbook.pdf
    January 01, 2019 - Plan Survey Database 2019 Chartbook What Consumers Say About Their Experiences With Their Health Plans … Health Plan Survey Database 2019 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … of all U.S. health plans or enrollee populations1. … Although the number and mix of health plans within each enrollee population vary slightly from year to … The number of plans and respondents shown in each table provides some indication of the variation in

11. Section 1: About the CAHPS Ambulatory Care Improvement Guide | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/1-about/index.html
    February 01, 2020 - the CAHPS surveys in ambulatory settings has created a demand for practical strategies that health plans … The family of CAHPS surveys includes instruments designed to assess patient experience with health plans … , including Medicare, Medicaid and commercial plans. … To be accredited by the National Committee for Quality Assurance, health plans must submit the results … What benefits does it offer to patients, providers, and plans? How has it been implemented?

12. 2020 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
    January 01, 2020 - Plan Survey Database 2020 Chartbook What Consumers Say About Their Experiences With Their Health Plans … Health Plan Survey Database 2020 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … of all U.S. health plans or enrollee populations. … Impact of COVID-19 Pandemic Eighty percent or more of health plans submitting to the 2020 CAHPS Health … Although the number and mix of health plans within each enrollee population vary slightly from year to

13. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/878.html
    August 01, 2023 - If Enhanced Tax Credits Expire, Off-Marketplace ACA-Compliant Silver Plans May Reduce Premiums for High-Income … higher incomes searching for individual insurance may consider purchasing Affordable Care Act–compliant plans … silver plans was more than 11 percent lower than similar on-marketplace plans. … Bronze and gold plans tended to have higher premiums off-marketplace. … , but few would have access to off-marketplace bronze and gold plans with lower premiums than those available

14. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2017_hp-chartbook.pdf
    January 01, 2017 - Plan Survey Database 2017 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … Plan Survey Database 2017 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … of all U.S. health plans or enrollee populations1. … Although the number and mix of health plans within each enrollee population vary slightly from year to … The number of plans and respondents shown in each table provides some indication of the variation in

15. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief7-ma-plans.pdf
    March 01, 2019 - Provider-Offered Medicare Advantage Plans Among U.S. … Health Systems, 2016 1 Provider-Offered Medicare Advantage Plans Among U.S. … HMO plans are most common, followed by PACE. 12% of systems (N=626) Program of All-Inclusive … Across systems of all sizes, HMO plans are more common than PACE or other plans. … In our work, we used all plans in the MA Plan Directory.

16. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - The public wants quality reports to be fair so that they are not judging plans or providers on things … In the testing of candidate measures for HEDIS 3.0, people in focus groups did not think that health plans … alternative is to have a more general statement covering all measures that describes the way that health plans … EXAMPLE: How Plans or Providers Can Influence the Measure Title: Keeping Patients Safe Sponsor: Massachusetts

17. 2018 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_hpchartbook.pdf
    January 01, 2018 - Plan Survey Database 2018 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … Plan Survey Database 2018 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … of all U.S. health plans or enrollee populations0F1. … Although the number and mix of health plans within each enrollee population vary slightly from year to … The number of plans and respondents shown in each table provides some indication of the variation in

18. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
    January 01, 2014 - Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Although the number and mix of health plans within each population sector vary slightly from year to … The number of plans and respondents shown in each table provides some indication of the variation in

19. Strategy 6N: Price Transparency | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6n-price-transparency.html
    March 01, 2020 - Health plans that have implemented this strategy generally report provider-specific information on the … Sources of Cost Data In addition to drawing from their own payment data, health plans can use data … To that end, plans offer secure Web-based portals where members log in to see not only their personal … In addition to sending the EOB in the mail, plans send notifications to members whenever a new EOB is … that offered the program to enrollees of plans in similar geographic regions that did not.

20. Strategy 6E: Rapid Referral Programs | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
    April 01, 2023 - ," 22 percent of adult enrollees in Medicaid health plans responded "never" or "sometimes." 2 While … In particular, they are not communicating well with the specialists, the health plans, or their patients … A referral expert would expedite insurance authorization by doing the following: 6 Knowing which plans … Making patient care easier under multiple managed care plans. Fam Prac Manag February 1998. … Comparative Data: Health Plans, Adult Medicaid Survey 5.0, 2014.