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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
January 15, 2014 - Growing role of health plans
What is a sponsor report? … How do the ACAP Plans utilize the
ACAP sponsor report? … ACAP’s 58 Plans are in 25 States
31
Medicaid Managed Care and Traditional Enrollment
1999 - 2011 … operate SNPs
10 ACAP plans operate Managed Long-Term
Care Plans
18 ACAP plans will participate … are doing as a group
Also allows individual health plans to
benchmark against other plans and national
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_intro.pdf
March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Excelling on CAHPS: … Lessons from
Top-Performing Medicaid and CHIP
Health Plans
A Webcast Presented by the AHRQ CAHPS … • How CAHPS is used
• Key factors contributing to high performance
• Overcoming barriers
• Plans … for sustainability
• Take-home points for Medicaid and CHIP plans
12
Excelling on CAHPS: Lessons … from Top-Performing Medicaid and CHIP Health Plans
CAHPS Webcast Series
CAHPS Family of Surveys
Our
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/key-driver.html
September 01, 2021 - Health plans had systems in place for using care management to improve care for chronic diseases, but … Clinic performance data was shared and improvement plans were developed. … Health Plan Insights
Health plans have many competing priorities. … This means incentives are provided to the health plans to focus improvement efforts on those specific … The state will use financial incentives to create an environment for plans within a specific Medicaid
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ce.effectivehealthcare.ahrq.gov/takeheart/training/module-2/index.html
December 01, 2022 - TAKEheart
Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans … www.youtube-nocookie.com/embed/IJQC58AGQD0
Video: Systems Change: Laying the Foundation, Leadership, and Action Plans … (1:05:01)
Slides: Systems Change: Laying the Foundation, Leadership, and Action Plans (PDF, 2 MB) … Implementation Guide: Systems Change: Laying the Foundation, Leadership, and Action Plans (PDF, 296 … Internet Citation: Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkits.html
August 01, 2021 - They may be useful for State agencies, health plans, hospitals, and providers interested in implementing … Results from the Child HCAHPS survey may provide insights for patients, parents, hospitals, health plans … resources, and examples presented in this toolkit reflect efforts by State Medicaid agencies, health plans … They are intended to serve as options that States, plans, providers, and patients and their families … Health plans may use the measure for public reporting and quality improvement efforts.
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ce.effectivehealthcare.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
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ce.effectivehealthcare.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
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ce.effectivehealthcare.ahrq.gov/cahps/news-and-events/podcasts/effects-out-of-pocket.html
March 01, 2016 - CAHPS
The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans … for PPOs and HMOs and the implications for reporting survey results across different types of health plans … Internet Citation: The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
September 01, 2015 - Module 20: Creating Quality Improvement Teams and QI Plans
Primary Care
Practice Facilitation … Curriculum
Module 20: Creating Quality Improvement
Teams and QI Plans
Agency for Healthcare … Creating Quality Improvement Teams and QI Plans
Prepared for:
Agency for Healthcare Research and … Module 20: Creating Quality Improvement (QI) Teams and QI Plans
Appendix 20 A. … Creating Quality Improvement (QI) Teams and QI Plans
Appendix 20 B.
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ce.effectivehealthcare.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?
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/introduction.html
July 01, 2021 - resources, and examples presented in this toolkit reflect efforts by state Medicaid agencies, health plans … , and providers to choose from when working towards improvement;
Actions health plans can take to make … improvements; and,
Options that states, plans, providers, and patients and their families can apply … The intended audiences for this toolkit are health plans, medical practices and providers. … The key drivers, change ideas, and resources provided are intended to serve as options that states, plans
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - For example:
General Motors provides its employees with report cards rating health plans' quality of … receive and only allows high-performance plans to retain those funds. … The United Auto Workers requires all health plans serving its members to be accredited by the NCQA. … In other areas, health plans are being overwhelmed by conflicting and redundant requests. … This progress will help assure that health plans will compete on the basis of quality, not just cost
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ce.effectivehealthcare.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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
January 01, 2016 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Excelling on CAHPS: … So, all of the health plans in Minnesota are actually HMOs. … Most of the health plans in Minnesota do not. … ALL Kids is not treated separately from the other plans offered
by Blue Cross. … All health plans use a survey vendor of some kind.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/state-key-drive-diagram.pdf
January 29, 2021 - to
Promote TCD Screening
& Follow Up
Strategies
• Financially incentivize Medicaid health
plans … with sickle cell disease,
including increasing TCD screening rates
• Develop process for health plans … care, including increasing TCD
screening rates
• Provide performance feedback to
Medicaid health plans … on regularly
scheduled basis
• Establish processes for health plans to
share best practices for
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0245-testing-report.pdf
January 01, 2014 - , including plans with integrated delivery systems and non-integrated plans. … These plans had searchable coded fields for documenting PHQ results in their
EHRs. … (4 plans)
18-64 25823 7876 30.5 25.3 – 33.3
65+ 243 72 29.6 18.8 – 34.5
Medicaid (5 plans)
18-64 … %
Medicare (4 plans)
18-64 1005 71 7.1 3.7 – 9.0
65+ 2617 288 11.0 7.7 – 13.0
Commercial (4 plans … (4 plans)
18-64 25823 3771 14.6 12.1 – 15.6
65+ 243 40 16.5 10.0 – 20.5
Medicaid (5 plans)
18-64
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-6.pdf
January 01, 2014 - , including plans with integrated delivery systems and non-integrated plans. … These plans had searchable coded fields for documenting PHQ results in their
EHRs. … (4 plans)
18-64 25823 7876 30.5 25.3 – 33.3
65+ 243 72 29.6 18.8 – 34.5
Medicaid (5 plans)
18-64 … %
Medicare (4 plans)
18-64 1005 71 7.1 3.7 – 9.0
65+ 2617 288 11.0 7.7 – 13.0
Commercial (4 plans … (4 plans)
18-64 25823 3771 14.6 12.1 – 15.6
65+ 243 40 16.5 10.0 – 20.5
Medicaid (5 plans)
18-64
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0244-testing-report.pdf
January 01, 2014 - , including plans with integrated delivery systems and non-integrated plans. … These plans had searchable coded fields for documenting PHQ results in their
EHRs. … (4 plans)
18-64 25823 7876 30.5 25.3 – 33.3
65+ 243 72 29.6 18.8 – 34.5
Medicaid (5 plans)
18-64 … %
Medicare (4 plans)
18-64 1005 71 7.1 3.7 – 9.0
65+ 2617 288 11.0 7.7 – 13.0
Commercial (4 plans … (4 plans)
18-64 25823 3771 14.6 12.1 – 15.6
65+ 243 40 16.5 10.0 – 20.5
Medicaid (5 plans)
18-64
-
ce.effectivehealthcare.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
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ce.effectivehealthcare.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