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Showing results for "plans".

41. TO (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.docx
    May 25, 2016 - Plans for future activities (if applicable). How does this tool relate to others? … If yes, describe in the space provided the plans for further implementation. … Determine whether internal and external communication plans need to be developed. … |_| Yes |_| No If yes, what are the plans for further implementation? b. … Briefly describe ideas for internal and external communication plans:

42. Offer Information on How Healthcare Costs and Quality Relate | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/explain/share-info/offer-info.html
    June 01, 2019 - But there are two problems with this kind of information: First, insurance plans almost always pay … differences in charges across facilities may have no relationship at all to what they negotiate with plans … People who have high-deductible health plans are more interested in the full price since they may be

43. Patient Safety and Quality Improvement | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/index.html
    January 01, 2024 - Reports Collections of professional and academic publications, reports, and National Action Plans … Health Affairs Medical Liability National Academy of Medicine Reports National Action Plans … medical errors and promoting patient safety, measuring health care quality, consumer assessment of health plans

44. CAHPS Dental Plan Survey | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cahps/surveys-guidance/dental/index.html
    March 01, 2018 - The CAHPS Dental Plan Survey is a standardized questionnaire that asks adult enrollees in dental plans … organizations interested in assessing, improving, and reporting on the quality and value offered by dental plans

45. Module 3: The Primary Care Landscape (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-3-primary-care-landscape.pdf
    September 01, 2015 - Most plans required to cover preventive services free of charge. … Medicare Advantage, Medicaid Managed Care, and some plans for State employees and retirees. … Managed care plans versus indemnity (FFS) plans. … In contrast to managed care plans, indemnity plans, which are sometimes called FFS plans, typically … Therefore, indemnity plans can expose patients to greater financial risk than managed care plans.

46. Highlight Consumer Rights, Protections, and Ways To Complain | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/explain/share-info/highlight.html
    September 01, 2019 - If you are rating health plans, for example, it will be important to stress member’s rights to appeal … the organizations in your State or community that take responsibility for complaints about the health plans … your State or locality if you have problems with your Medicare benefits, including Medicare Advantage plans

47. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-closing-slides.pdf
    March 15, 2016 - /quality-improvement/improvement-guide/improvement-guide.html Next Webcast: Strategies for Health Plans … ET • Webcast will feature innovative strategies used by two health plans to significantly improve their … Session To Ask a Question CAHPS Ambulatory Care Improvement Guide Next Webcast: Strategies for Health Plans

48. Delivering Quality Reports in Print | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/distribute/media/printed-report.html
    September 01, 2019 - EXAMPLE: A Brochure for Medicaid Beneficiaries Title: A Guide to Michigan Medicaid Health Plans: Quality … Michigan Department of Health and Human Services publishes a brochure with summary scores for Medicaid plans … process is automatic (i.e., if consumers do not have to take any action to re-enroll in their current plans

49. Tool 13: ED Care Plan (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
    May 01, 2015 - Description This tool provides an ED care plan template and examples of ED care plans. … Create care plans for patients after they have most recently presented (e.g., create care plans for the … Schedule regular interdisciplinary meetings to discuss and finalize care plans. … Aim to discuss and finalize a minimum of four care plans per hour meeting. … Recommend weekly or biweekly meetings to review and discuss care plans.

50. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
    August 01, 2017 - 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 … To go beyond tracking, innovative plans put in place programs to match members with providers who can … To maximize the impact of programs targeted at racial and ethnic minorities, plans can also develop

51. Build Trust in the Sponsor of a Health Care Quality Report | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/explain/communicate/trust.html
    December 01, 2022 - the public is wary, and legitimately so, about the sources of data on the performance of health care plans … Since many health plans, hospitals, medical groups, and other providers advertise their quality, consumers

52. About the CAHPS Program and Surveys | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cahps/about-cahps/index.html
    April 01, 2024 - range of interactions that patients have with the healthcare system, including their care from health plans … develop surveys that ask consumers and patients to report on and evaluate their experiences with health plans … professionals, public and private purchasers of healthcare, healthcare accreditation organizations, health plans

53. Comparing Health Plan and Provider Quality Scores to Each Other | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/translate/compare/choose/compare-providers.html
    January 01, 2023 - Since people will generally be making choices from among the plans/providers in your community (and hopefully … The plans and providers themselves are going to be particularly interested in how they compare to each

54. Timing Promotion of a Quality Report for Maximum Impact | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/distribute/promote/timing.html
    March 01, 2016 - clear timeframe for decisionmaking, such as open enrollment periods for commercial and Medicare health plans … the report by consumers making decisions, it is also valuable to describe how individual providers or plans … If you have done a “dry run” by distributing comparative data to providers or plans before releasing … Learn about sharing data with providers or plans before making it public in How Will You Gain the Trust … of Providers or Plans .

55. CAHPS: Assessing Healthcare Quality From the Patient's Perspective (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/cahps-program-brief.pdf
    July 01, 2022 - CAHPS program in response to concerns about the lack of good information about the quality of health plans … The program expanded beyond its original focus on health plans to address a range of healthcare services … and meet the various needs of healthcare professionals and administrators, consumers, health plans … Other surveys ask enrollees about their experiences with health plans and related programs. … https://www.ahrq.gov/cahps/about-cahps/cahps-program/index.html 2 Enrollee Experience With Health Plans

56. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - For health plans, the number of people with outstanding customer service problems can be significant. … health plans reported "never" or "sometimes" when asked whether the plan's customer service gave them … the information or help they needed. 1 Most health plans and physician practices have some sense of … National quality monitoring of Medicare health plans: the relationship between enrollees’ reports and … Factors affecting response rates to the Consumer Assessment of Health Plans Study survey.

57. What Are the Objectives for Your Health Care Quality Report? | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/plan/objectives.html
    November 01, 2018 - Consumer choice : Support and motivate consumers to Make more informed decisions among competing plans … Shop for plans or providers.

58. CAHPS Patient Experience Surveys and Guidance | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cahps/surveys-guidance/index.html
    August 01, 2023 - Other surveys ask enrollees about their experiences with health plans and related programs. … Health Care (Experience of Care and Health Outcomes (ECHO)) Enrollee Experience With Health Plans

59. The CAHPS Program | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cahps/about-cahps/cahps-program/index.html
    April 01, 2023 - October 1995 in response to concerns about the lack of good information about the quality of health plans … Over time, the program has expanded beyond its original focus on health plans to address a range of healthcare … services and settings to meet the various needs of healthcare consumers, purchasers, health plans, providers

60. Oral, Linguistic, and Culturally Competent Services | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/ncepcr/tools/cultural-competence/index.html
    August 01, 2019 - Oral, Linguistic, and Culturally Competent Services Guides for Managed Care Plans … contractor from AHRQ's Integrated Delivery System Research Network to develop two guides for managed care plans