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41. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
    ce.effectivehealthcare.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.

42. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.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

43. Lessons from the Field: Identifying Measurement Challenges and Successes (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
    January 01, 2019 - The collaborative helped participating plans develop approaches to aggregate disparate data sources … Plans’ lack of access to providers’ EHRs made it difficult to capture screening results necessary to … ◦ Health plans in the NCINQ collaborative were able to use a variety of strategies to aggregate … using state data and scores calculated by plans using their own data. … in the collaborative, other plans in the state, and plans nationally

44. Sickle Cell Anemia Preventive Care Key Driver Diagram (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sca-key-drive-diagram.pdf
    January 29, 2021 - Diagram Establish contact and messaging system with SCA patients, families, providers, and health plans … Process for clinic to create notarized care plans to identify authorized caregivers. … Feedback on SCA quality measure performance to health plans and providers. … State Medic aid program, health plans, and clinics use population health management strategies. … Strong individualized partnerships across families, clinics, and health plans. FIGURE.

45. 2018 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ce.effectivehealthcare.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

46. Who Could Partner in a Health Care Quality Reporting Project? | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/talkingquality/plan/partners/index.html
    May 01, 2019 - In areas where several sponsors produce performance reports on overlapping sets of plans or providers … As a result, consumers often see conflicting information on the same plans or providers, further adding … Collaboration within a market also helps to ensure that local health plans and providers are not overly … Also visit: How Will You Gain the Trust of Providers or Plans? … While they may have been competitors, they also contracted with many of the same plans, had employees

47. Strategies for Improving Patient Experience with Ambulatory Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/6-improvement-strategies.pdf
    March 01, 2017 - Improvement Guide The CAHPS Ambulatory Care Improvement Guide is a comprehensive resource for health plans … 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 … ambulatory surveys address issues outside of the direct control of health plans, because the locus … How Health Plans Can Drive Improvements at the Medical Group Level 6b.1.

48. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ce.effectivehealthcare.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

49. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2014cahpshealthplanchartbook.pdf
    October 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

50. Strategy 6N: Price Transparency | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.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.

51. Strategy 6E: Rapid Referral Programs | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.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 … referrals, tests, and procedures, which increases satisfaction with care. 4 For providers, health 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.

52. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/overview/background/next-steps3.html
    December 01, 2009 - The measure is reported to NCQA by 55 health plans across 17 States. … For all ages combined, 42.5 percent of Medicaid health plans had followup within 7 days (bottom region … A challenge to feasibility of use by States and plans may be low numbers of children and adolescents … HEDIS CAHPS® 4.0H including supplements for children with chronic conditions and Medicaid Plans. … The core instrument is currently reported to NCQA by 38 health plans.

53. 2015 CAHPS Health Plan Survey Database Chartbook (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
    January 01, 2015 - Plan Survey Database 2015 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … Plan Survey Database 2015 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … Although the number and mix of health plans within each population vary slightly from year to year, … The number of plans and respondents shown in each table provides some indication of the variation in … Medicare Top-Box Scores 2007-2015 Medicare Top Box Scores Composites and Items Number of Plans

54. Patient Self-Management & Empowerment | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/health-literacy/improve/precautions/guide/selfmgmt.html
    September 01, 2020 - health by creating action plans. … Evidence that action plans make a difference can motivate a practice to start using them. … What might make it difficult for our practice to help patients make action plans? … Plan out the workflow involved in using action plans. … Explore which staff members can develop, follow up, and update action plans.

55. 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/compare/CAHPS-Database-2013-HP-Chartbook.pdf
    January 01, 2013 - Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … For 2013, 692 Medicaid and Medicare health plans are included covering 334,552 respondents and for 2011 … 763 health plans are included covering 348,237 respondents.

56. CAHPS Health Plan Survey Database | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/cahps-database/hp-database/index.html
    January 01, 2024 - including State Medicaid agencies, State Children's Health Insurance Programs (CHIP), and individual health plans … CAHPS Data Tools present data in four different ways: Overview: The number of respondents and health plans … Percentiles: The percentage of health plans that scored at or below a particular top box score.

57. Key Driver 5: Engage with Patients and Families in Evidence-Based Care and Quality Improvement | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/evidencenow/tools/keydrivers/engage-patients-families.html
    November 01, 2018 - Some patients will need support in the community to help them follow through on their plans. … and meeting their health goals   Patients may need help in following evidence-based care plans, such … decision-making techniques such as high quality decision aids, co-developing patient-centered care plans … Recognizing that support at home is often critical to following through on care plans, practices can … could take responsibility for identifying and reaching out to patients in its panel to reassess care plans

58. 2012 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_hp-chartbook.pdf
    January 01, 2013 - Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … For 2013, 692 Medicaid and Medicare health plans are included covering 334,552 respondents and for 2011 … 763 health plans are included covering 348,237 respondents.

59. Celebrating 25 Years of the CAHPS Program | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/about-cahps/25timeline.html
    April 01, 2024 - initiatives, and research findings. 1997 AHRQ releases the first CAHPS survey for health plans … AHRQ’s first standardized survey collects information on enrollees’ experiences with health plans . … Hundreds of health plans, purchaser groups, State agencies, and others have participated in this database … Originally, "CAHPS" was an acronym for "Consumer Assessment of Health Plans Study." … The CAHPS Ambulatory Care Improvement Guide offers advice and strategies to help health plans, medical

60. Understanding CAHPS® Surveys: A Primer for New Users Infographic (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-101-infographic.pdf
    February 01, 2019 - Experience with Condition- Specific Care Cancer Care Mental Health Care Experience with Health Plans … Health Plans Dental Plans Home and Community- Based Services Use of CAHPS Surveys Quality improvement