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1. Comparative Reports on Health Plans | Agency for Healthcare Research and Quality
   www.ahrq.gov/talkingquality/resources/comparative-reports/health-plans.html
   December 01, 2022 - Comparative Reports on Health Plans 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. … , as well as reports to learn more about the overall performance of Maryland health plans.

2. National Action Plans | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/reports/national-action-plans.html
   February 01, 2018 - National Action Plans The work of AHRQ and other Federal agencies is guided by work groups, committees … National Action Plans National Action Plans are developed with expert input to provide a framework

3. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (Webcast) | Agency for Healthcare Research and Quality
   www.ahrq.gov/cahps/news-and-events/events/20150317/webcast_03_17_15.html
   July 01, 2018 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (Webcast) March … This Webcast highlighted success stories from Medicaid and Children's Health Insurance Program (CHIP) 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

4. How Will You Gain the Trust of Health Care Providers or Plans? | Agency for Healthcare Research and Quality
   www.ahrq.gov/talkingquality/plan/gain-trust.html
   November 01, 2018 - How Will You Gain the Trust of Health Care Providers or Plans? … health plan quality, for instance, have relied on sources of publicly available data rather than the 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

5. CAHPS Health Plan Survey | Agency for Healthcare Research and Quality
   www.ahrq.gov/cahps/surveys-guidance/hp/index.html
   March 01, 2025 - Plan Survey is a tool for collecting standardized information on enrollees' experiences with health plans … 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.

6. Using CAHPS Health Plan Survey Data | Agency for Healthcare Research and Quality
   www.ahrq.gov/cahps/surveys-guidance/hp/improve/index.html
   July 01, 2022 - Sponsors of this survey include health plans, private purchasers, State agencies that purchase and regulate … 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.

7. Module 20: Creating Quality Improvement Teams and QI Plans (pdf file)
   www.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.

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

9. Key Driver Diagram | Agency for Healthcare Research and Quality
   www.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

10. The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer Reporting (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/effects-costs-enrollees-vonglahn-20120101-transcript.pdf
    June 02, 2025 - 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. Considerations When Partnering with Health Care Organizations | Agency for Healthcare Research and Quality
    www.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

12. Data Sources and Limitations | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/cahps-database/comparative-data/2017-health-plan-chartbook/data-sources-limitations.html
    October 01, 2017 - Database by various survey sponsors, including State Medicaid agencies, CHIP programs, individual health plans … from data submitted directly to the CAHPS Database by State Medicaid agencies and individual health plans … , and a limited number of plans may choose to participate, the submitting organizations are not representative … of all U.S. health plans or enrollee populations. 1 Estimates based on these voluntarily submitted … The Medicare results are based on a representative sample of all Medicare Advantage health plans.

13. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
    www.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.

14. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/chsp/ma-plans.pdf
    March 01, 2019 - Provider-Offered Medicare Advantage Plans Among U.S. … 2016 1 Comparative Health System Performance Initiative Provider-Offered Medicare Advantage Plans … HMO plans are most common, followed by PACE. 12% of systems (N=626) Program of All-Inclusive Care … 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.

15. The IHA Bundled Episode Payment and Gainsharing Demonstration | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
    August 01, 2018 - demonstration and evaluation grant to develop and implement a bundled payment program, including health plans … Under this approach, a group of providers receives a fixed payment from participating health plans. … Ultimately, only three of the six health plans and two of the five hospitals signed contracts, as did … clinical care redesign (by providers) and automated claims processing (by health plans). … Lack of trust, driven by competing interests: Participating health plans, hospitals, and physicians

16. Let Consumers Select Health Plans or Providers To Compare | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/translate/web/pathways/health-plans.html
    October 01, 2015 - Let Consumers Select Health Plans or Providers To Compare Most sponsors aim to provide information … on all the health plans or providers in their market area. … This works best if you can list all the plans or providers on the equivalent of one computer screen so … www.qualitycheck.org/consumer/searchQCR.aspx Also in "Creating Pathways for Users" Select Health Plans

17. 54. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide54.html
    October 01, 2014 - (both Medication and counseling) should be included as a paid or covered benefit by health benefits plans … dependence treatments (both medication and counseling) as a paid or covered benefit by health insurance plans … effective in the Guideline should be included as covered services in public and private health benefit plans

18. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
    www.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

19. Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
    June 02, 2025 - 1 MEDNET state • Health plan analyses o 2009 claims data from 17 New York State Medicaid health plans … o 2013 claims data from 73 commercial health plans nationwide Study Population Our study population … Commercial plans had lower denominator sizes (Table 2c). … Among commercial plans, rates were slightly lower (i.e. better). … We focused on health plans, as there were low numbers of observations for states.

20. Johns Hopkins HealthCare Uses AHRQ Resources to Promote Health Literacy and Measure Patient Experience | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201604.html
    May 01, 2016 - patient engagement videos and brochures are used by Johns Hopkins HealthCare (JHHC) affiliated health plans—Priority … Partners, Johns Hopkins Employer Health Programs, and Johns Hopkins US Family Health Plans—to promote … CAHPS)® Adult Commercial Health Plan 5.0 survey each year to assess patients' experiences with health plans … can help patients more clearly understand their medical conditions and how to follow their treatment plans