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Showing results for "plans".

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. Managed Care | Agency for Healthcare Research and Quality
   www.ahrq.gov/topics/managed-care.html
   Care The Medical Expenditure Panel Survey tracks costs of health insurance, including managed care plans

3. Health Insurance | Agency for Healthcare Research and Quality
   www.ahrq.gov/topics/health-insurance.html
   private and public sector employers to collect data on the number and types of private health insurance plans … offered, benefits associated with these plans, annual premiums, annual contributions by employers and

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. After 20 Years of Improving America’s Healthcare, AHRQ Makes Bold Plans for Future Successes | Agency for Healthcare Research and Quality
   www.ahrq.gov/news/blog/ahrqviews/bold-plans-future-successes.html
   October 01, 2019 - posts from AHRQ leaders After 20 Years of Improving America’s Healthcare, AHRQ Makes Bold Plans … As we begin to put in place exciting plans for AHRQ’s future initiatives, we are mindful of the agency

6. 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

7. 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

8. 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.

9. 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.

10. National Committee for Quality Assurance Incorporates AHRQ Research Into Beta Blocker Therapy Indicator | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/coe0602.html
    October 01, 2014 - HEDIS is a standardized tool used by over 400 health plans to measure and report their performance. … To explore this issue further among CAQH's member health plans, CAQH conducted its own research based … on claims data from member plans. … This new measure will help focus all reporting health plans on this important quality area. … CAQH is a not-for-profit alliance of health plans and networks.

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. Agency-Specific Plans | Agency for Healthcare Research and Quality
    www.ahrq.gov/workingforquality/reports/agency-specific-progress.html
    April 01, 2017 - Agency-Specific Plans The Department of Health and Human Services (HHS) created a template to guide … agencies in the development of agency-specific quality strategic plans, with broad, recommended categories … to create consistency across the plans and ensure alignment with the National Quality Strategy (NQS) … future efforts to implement the NQS; and discussed the methodology for evaluating these efforts. 2016 Plans … Administration (SAMHSA) 2016 (PDF, 217 KB) Indian Health Service (IHS) 2013 (PDF, 162 KB) 2015 Plans

14. 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

15. 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

16. Creating Quality Improvement (QI) Teams and Plans in Primary Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/tools/facilitation/qi-teams.html
    November 01, 2018 - Creating Quality Improvement (QI) Teams and Plans in Primary Care Resource: Creating Quality Improvement … Teams and QI Plans  (PDF, 1.1 MB, 25, including 10 pages of planning templates pages) Part of an

17. How Will You Pay for a Health Care Quality Report? | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/plan/pay.html
    November 01, 2018 - reduce costs and spread them across multiple parties (including other sponsors and participating health plans … 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 … 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

18. The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer Reporting | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/news-and-events/podcasts/effects-out-of-pocket.html
    March 01, 2016 - The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer … for PPOs and HMOs and the implications for reporting survey results across different types of health plans

19. 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
    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

20. 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