Results

Total Results: 988 records

Showing results for "plans".

1. Comparative Reports on Health Plans | Agency for Healthcare Research and Quality
   preventiveservices.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
   preventiveservices.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
   preventiveservices.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
   preventiveservices.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. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (Webcast) | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/cahps/news-and-events/events/20150317/webcast_03_17_15.html
   July 01, 2018 - CAHPS Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans … Two top-performing health plans shared how they have achieved high patient experience scores in the areas … ) Listen to the Webcast Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans … Health Plan Survey Database Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Internet Citation: Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans

6. Major Health Plan Quality Measurement Sets | Agency for Healthcare Research and Quality
   preventiveservices.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

7. National Action Plans | Agency for Healthcare Research and Quality
   preventiveservices.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

8. How Will You Pay for a Health Care Quality Report? | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/talkingquality/plan/pay.html
   November 01, 2018 - Possible sources include: Local health plans and providers. … Sharing Costs With Health Plans and Providers The most common strategy is to ask the health plans or … However, competitive forces and multiple demands in the health care industry are making some health plans … Read about strategies for addressing this response in How Will You Gain the Trust of Providers or Plans … Through this arrangement, health plans bear the cost of collecting data on their quality; the plans also

9. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
   preventiveservices.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

10. The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer Reporting (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/effects-costs-enrollees-vonglahn-20120101-transcript.pdf
    January 23, 2012 - The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer … www.talkingquality.ahrq.gov The Effects of Out-of-Pocket Costs on Enrollees’ Experiences With Health Plans … and their respective products, the HMO and PPO products offered by the plans. … And part of what we’re finding in these results is the plans are coming up short in that regard. … plans, or platinum plans, or gold plans -- plans that are categorized by the benefit design and the

11. Section 6: Strategies for Improving Patient Experience with Ambulatory Care | Agency for Healthcare Research and Quality
    preventiveservices.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

12. Considerations When Partnering with Health Care Organizations | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/talkingquality/plan/partners/healthcare-org.html
    July 01, 2011 - Health Care Organizations To help decide whether and how to collaborate with providers or plans … If, on the other hand, you wish to report on members’ experiences with health plans, you can get that … While you may still want to invite the health plans to participate in the development of the report, … For example, if you wish to report on the quality of medical groups, you may find that health plans are … Because of their contractual relationships, health plans can also help to exert pressure on providers

13. Section 1: About the CAHPS Ambulatory Care Improvement Guide | Agency for Healthcare Research and Quality
    preventiveservices.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?

14. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
    preventiveservices.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

15. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
    preventiveservices.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. Who Could Partner in a Health Care Quality Reporting Project? | Agency for Healthcare Research and Quality
    preventiveservices.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

17. Strategy 6N: Price Transparency | Agency for Healthcare Research and Quality
    preventiveservices.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.

18. Strategy 6E: Rapid Referral Programs | Agency for Healthcare Research and Quality
    preventiveservices.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.

19. Key Driver 5: Engage with Patients and Families in Evidence-Based Care and Quality Improvement | Agency for Healthcare Research and Quality
    preventiveservices.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

20. Celebrating 25 Years of the CAHPS Program | Agency for Healthcare Research and Quality
    preventiveservices.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