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teamstepps.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.
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teamstepps.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 .
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/letter-emergency-contact.docx
May 12, 2022 - like to have information for at least one other person we can contact during an emergency to share our plans … --
· If we experience an emergency, we will make every attempt to contact you and inform you of our plans
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teamstepps.ahrq.gov/talkingquality/resources/comparative-reports.html
December 01, 2016 - examples of web-based comparative reports for consumers on the quality and costs of care from health plans … Types of Comparative Report
Physicians
Surgical care
Hospitals
Health plans
Nursing homes
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teamstepps.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
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teamstepps.ahrq.gov/cahps/faq/index.html
January 01, 2019 - Choosing questions to measure the quality of experience with medical care providers and health care plans … Psychometric properties of the Consumer Assessment of Health Plans Study (CAHPS) 2.0 adult core survey … Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument … The CAHPS Health Plan Survey Database no longer collects or reports data for commercial health plans. … To adjust the results to account for this difference in populations across plans.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
January 01, 2022 - Insurance
Program (CHIP) Chartbook
What Enrollees Say About Their Experiences With Their
Health Plans … Table 2. 2022 Survey Versions For Enrollee Populations
Population Survey Version Number of Plans … Health plans choose whether to participate in the
database. … Medicaid or CHIP health
plans or enrollee populations. … There are also times when certain health plans are excluded from
percentile calculations.
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teamstepps.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
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teamstepps.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
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teamstepps.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
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
January 01, 2023 - Insurance Program (CHIP) Chartbook
What Enrollees Say About Their Experiences With Their
Health Plans … Table 2. 2023 Survey Versions By Enrollee Population
Population Survey Version Number of Plans Number … Medicaid or CHIP health plans or enrollee populations. … These percentile scores are calculated at
the plan level and represent the percentage of plans that … There are also times when certain health plans are excluded from percentile
calculations.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/cahps-improvement-guide.pdf
January 01, 2016 - Approach
The CAHPS Improvement Guide was first developed in the early 2000’s to support Medicare health plans … any organization providing
ambulatory care services either directly or indirectly—including health plans
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teamstepps.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
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teamstepps.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
September 01, 2019 - How do the providers or plans you rate respond to your efforts? … sensitive area; you don't want the focus of the report to be on the conflicts you may be having with health plans … How are the health plans or providers in your community doing overall? … Over time, from one report to the next, are providers and plans improving?
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teamstepps.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
October 01, 2014 - The investigators will audit dossier submissions at three selected health plans that have adopted formulary … What is the potential for dossier information to mislead health plans? … Is there evidence that drug companies are submitting the same information to multiple plans?
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teamstepps.ahrq.gov/cahps/news-and-events/research-meetings/index.html
January 01, 2024 - meeting represented a variety of healthcare organizations, including physician groups, hospitals, health plans … agencies that use CAHPS surveys, experts in patient-centered care, and other stakeholders such as health plans … In additional to CAHPS researchers, participants included representatives of health systems, health plans
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teamstepps.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
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teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
February 01, 2020 - (for both the Clinician & Group Survey and the Health Plan Survey (for Medicaid, CHIP, and Medicare plans … For example, the score shown for the 75th percentile is the score where 75 percent of the sites or plans … This type of analysis can be conducted with data from multiple groups, sites, or plans. … Data for analyses came 122 health plans that administered the Health Plan Adult Medicaid Survey.
5. … Health plans and providers typically have access to or can easily gather various types of administrative
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teamstepps.ahrq.gov/talkingquality/translate/compare/categorize.html
December 01, 2022 - Some sponsors worry about creating a report which clearly signals levels of performance across plans … This would reinforce the idea that there is no meaningful variation across health plans and providers … When Does A Plan Differ Significantly from Other Plans?
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teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/2-why-improve/index.html
February 01, 2020 - Examples of prominent forces driving improvement efforts among health plans include the following: … Health plans offered in the new Federal and State-based Health Insurance Marketplaces will be required … Health plans (such as Blue Cross Blue Shield of Massachusetts and HealthPlus of Michigan) and multi-stakeholder … particularly communication with providers, correlate with adherence to medical advice and treatment plans