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Showing results for "plans".

121. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
     December 01, 2009 - In 2008, 129 health plans across 30 States reported valid data to NCQA. … The measure is currently reported to NCQA by 108 MMC health plans in 28 States. … Measure specifications are available for reporting by health plans and providers. … The measure is currently reported to NCQA by 73 MMC health plans across 24 States. … plans at 13.21 percent and the 90th percentile plans at 58.33 percent. 14 Concerns about this measure

122. CAHPS Item Sets for People with Mobility Impairments | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/mobility/index.html
     February 01, 2021 - ask patients who have mobility impairments about their experiences with care and services from health plans … Compare their experiences to those of similar people receiving care from other health plans or medical … Survey or the CAHPS Clinician & Group Survey, sponsors such as State agencies, other purchasers, health plans

123. Delivering Health Care Quality Reports on the Web | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/media/web-report.html
     September 01, 2019 - the prevention or treatment of specific diseases, as well as the Web sites of report sponsors, health plans … Web-based report, users can better manage quality information by picking a limited number of providers or plans … For employers that handle enrollment online or health plans that offer online information about hospitals … Personnel Management URL: https://www.opm.gov/healthcare-insurance/healthcare/plan-information/compare-plans … Health Benefits program offers enrollees access to Web-based information they can use to compare health plans

124. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix E (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
     January 01, 2019 - for 434 MA plans. … In our work, we used all plans in the MA Plan Directory, including local coordinated care plans, section … 1876 cost contracts, section 1833 health care prepayment plans, demonstration plans, PACE plans, regional … coordinated care plans, and private fee- for-service plans. … /Medicare/Health-Plans/HealthPlansGenInfo/index.html.

125. Examples of How States Use Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-8.html
     December 01, 2017 - show Health Plan Employer Data and Information Set (HEDIS®) measures, Consumer Assessment of Health Plans … survey instrument to conduct annual consumer satisfaction surveys of beneficiaries enrolled in health plans … The consumer-oriented brochure, "Guide to Michigan Medicaid Plans," is another Michigan Department of … The report includes information on plans serving commercial, Medicaid, and the State's SCHIP (Child Health … Return to Contents Ohio Medicaid Managed Care Customer Satisfaction Survey Ohio's Health Plans,

126. Private Sector Efforts in Value-Based Purchasing and Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
     June 01, 2018 - GTE found that in 1995, its high performance managed care plans had hospital costs that were 11.5 percent … On the other hand, low performance managed care plans had costs that were 3.6 percent above the national … Employees receive report cards on plans so that they can choose a plan based on cost and quality. … GM also works with its plans to develop quality improvement strategies and facilitate the sharing of … A comparison of care in seven health plans.

127. Categorizing High and Low Performance in Quality Reports | Agency for Healthcare Research and Quality
     www.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?

128. Introducing the CAHPS Outpatient Mental Health Survey Webcast - CLOSING (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/06-outpt-mhs-webcast-closing.pdf
     June 02, 2025 - Survey (ECHO): A Consumer Survey to Collect Ratings of Behavioral Health Care Treatment, Outcomes and Plans … Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans. … Use of consumer ratings for quality improvement in behavioral health insurance plans.

129. Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
     October 01, 2017 - the Centers for Medicare & Medicaid Services (CMS) to assess members’ experiences with the health plans … Health plans that have implemented this strategy generally report provider-specific information on the … 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 … that offered the program to enrollees of plans in similar geographic regions that did not.

130. HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
     December 01, 2012 - List of Tables Technical Appendix   HCBS may be offered through Medicaid State plans … States may offer a number of different HCBS waiver plans, and HCBS waiver plans may fall under different

131. Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How? | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/webinars/progress-update.html
     May 01, 2024 - April 23, webinar speakers shared an update on the National Action Alliance's progress and discussed plans

132. Timing Promotion of a Quality Report for Maximum Impact | Agency for Healthcare Research and Quality
     www.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 .

133. Exhibit 10. Facilitating Communication Among Patients, Family Members, and the Care Team | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex10.html
     July 01, 2018 - physicians' behaviors; the relationship was less pronounced with patients. 183 Using shared care plans … / daily goals sheets 186-187 Shared care and daily care plans—engaging patients and family members … in plans typically used by providers Patient, nurse, physician This literature review did not

134. Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/index.html
     August 01, 2023 - Reports Collections of professional and academic publications, reports, and National Action Plans

135. Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
     April 01, 2023 - Health plans have a vested interest in helping members gain access to this type of immediate advice and … The Intervention Health plans can put in place a variety of programs designed to provide immediate, … In addition to a regular phone line, plans also provide a separate number compatible with devices that … Many health plans have had 24-hour nurse advice lines in place for years. … Plan leaders should routinely monitor the performance of these plans and, as necessary, make changes

136. Step 3: Define Your Project Goals | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Define-Your-Project-Goals.html
     December 01, 2019 - the following: Raise employees' awareness and understanding of differences in the quality of the plans … organizations available to them; Encourage health benefits managers to identify and offer health plans … providers that perform well on the CAHPS measures; Help Medicaid recipients identify and select the plans

137. Uses of Quality Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
     June 01, 2020 - Provides information needed to manage health plans, providers, and other vendors and contractors. … Allows comparison of plan or program performance with that of other plans or programs in the State or … your program management strategy, here are some questions to consider: How do you monitor health plans … Health plans. Advocates. Consumers. Each audience has its own: Characteristics. … Providers or plans welcome the opportunity for a practice year without adverse consequences.

138. Proactive Care Planning for COVID-19 | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/proactive-planning.html
     February 01, 2021 - This information will allow clinicians to create plans for care that will honor each individual's preferences

139. Teaching Implementation Planning | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
     January 01, 2024 - both important and challenging, and recommend that the Change Team think about broad sustainability plans … at the start and refine these plans once implementation has begun. … Sustainability plans must be adapted as you learn what is working and what isn't, since the changes that … Teams may not know enough about their organization's plans for TeamSTEPPS to create an implementation … with a team will be able to gather thoughts from the exercise that can be generalized to their own plans

140. Give People a Reason To Look at a Health Care Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/explain/communicate/reason.html
     November 01, 2018 - consumers and patients should pay attention to health care quality information when choosing health plans … Some plans/providers do a better job than others. … We know how to measure the health care different plans/providers deliver accurately and fairly. … While your doctors have a big influence on your care, health plans, hospitals, nurses, other clinicians … If you are reporting on hospitals, health plans, large medical groups, and other large-scale organizations