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Showing results for "plans".

21. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - The public wants quality reports to be fair so that they are not judging plans or providers on things … In the testing of candidate measures for HEDIS 3.0, people in focus groups did not think that health plans … alternative is to have a more general statement covering all measures that describes the way that health plans … EXAMPLE: How Plans or Providers Can Influence the Measure Title: Keeping Patients Safe Sponsor:

22. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - The Business Case for CLAS in Managed Care There is a plausible business case for plans to begin CLAS … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in linguistic competence. … Step 3: Identify Points of Contact for Members of Managed Care Plans. … parts of the planning process, while other plans will be new to linguistic competency and may choose

23. Strategies for Improving CAHPS Health Plan Survey Scores (Webcast) | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/news-and-events/events/webinar-041316.html
    February 01, 2017 - for Healthcare Research and Quality (AHRQ) featured innovative strategies used by two Medicaid health plans … Speakers from health plans in Ohio and Oregon highlighted the specific improvement strategies they implemented … CAHPS Ambulatory Care Improvement Guide , a comprehensive and free resource for medical groups, health plans

24. Major Health Plan Quality Measurement Sets | Agency for Healthcare Research and Quality
    www.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

25. Chapter 7. What’s Next? | Agency for Healthcare Research and Quality
    www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
    June 01, 2014 - Develop focused action plans. Communicate action plans and deliverables. … Implement action plans. Track progress and evaluate impact. Share what works. … Step # 4: Communicate Action Plans and Deliverables Once action plans have been developed, the plans … , deliverables, and expected outcomes of the plans need to be communicated. … Step # 5: Implement Action Plans Implementing action plans is one of the hardest steps.

26. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
    January 15, 2014 - Growing role of health plans What is a sponsor report? … How do the ACAP Plans utilize the ACAP sponsor report? … ACAP’s 58 Plans are in 25 States 31 Medicaid Managed Care and Traditional Enrollment 1999 - 2011 … operate SNPs  10 ACAP plans operate Managed Long-Term Care Plans  18 ACAP plans will participate … are doing as a group  Also allows individual health plans to benchmark against other plans and national

27. Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans | Agency for Healthcare Research and Quality
    www.ahrq.gov/takeheart/training/module-2/index.html
    December 01, 2022 - Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans   YouTube embedded … www.youtube-nocookie.com/embed/IJQC58AGQD0 Video: Systems Change: Laying the Foundation, Leadership, and Action Plans … (1:05:01) Slides:  Systems Change: Laying the Foundation, Leadership, and Action Plans (PDF, 2 MB) … Implementation Guide:  Systems Change: Laying the Foundation, Leadership, and Action Plans (PDF, 296

28. Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi8.html
    January 01, 2013 - States in the neonatal central line-associated bloodstream infection (NCLABSI) project have completed plans … These plans highlight a continued desire to monitor and report out on rate data and focus on safety culture … These new State clinical leads have also completed plans to spread the success of the NCLABSI project

29. 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/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
    January 01, 2016 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans Excelling on CAHPS: … So, all of the health plans in Minnesota are actually HMOs. … Most of the health plans in Minnesota do not. … ALL Kids is not treated separately from the other plans offered by Blue Cross. … All health plans use a survey vendor of some kind.

30. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
    July 01, 2019 - Planning Culturally and Linguistically Appropriate Services Guide for Managed Care Plans To … address shifting demographic trends in health care, this guide offers health plans an approach to … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop

31. Medicare Version of the Health Plan Survey | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/hp/about/Medicares-CAHPS-HP-Survey.html
    December 01, 2023 - The Medicare Survey includes versions for Medicare Advantage plans (including PPOs), Prescription Drug … Plans, and the fee-for-service program.

32. Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Bakdash (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-2023hcbs-survey-webcast-bakdash.pdf
    June 02, 2025 - Experience with Condition- Specific Care • Cancer Care • Mental Health Care Experience with Health Plans … • Health Plans • Dental Plans • Home and Community- Based Services 8 CAHPS Surveys CAHPS Surveys … Experience with Condition- Specific Care • Cancer Care • Mental Health Care Experience with Health Plans … • Health Plans • Dental Plans • Home and Community- Based Services 9 Uses for CAHPS Surveys

33. Strategic Plan | Agency for Healthcare Research and Quality
    www.ahrq.gov/cpi/about/mission/strategic-plan/index.html
    January 01, 2018 - Strategic Plan Information on the Agency's strategic plans. … AHRQ Strategic Plan —Information on the Agency's strategic plans.

34. 2016 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_hp-chartbook.pdf
    January 01, 2016 - Plan Survey Database 2016 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … Plan Survey Database 2016 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … The total number of respondents and plans by state are presented by population. … Adult Medicare Respondents Plans Respondents Plans Respondents Plans Respondents Plans Alabama 423 … Adult Medicaid Child Medicaid CHIP Adult Medicare Respondents Plans Respondents Plans Respondents Plans

35. Final Progress Report: Helping Elders Include Quality in Health Plan Choice (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/uhrig-report.pdf
    January 01, 2024 - What health insurance plans do you have to supplement Medicare? … What should you think about as you compare health insurance plans? … Health insurance plans and costs can change How do you use this guide? … Which health plans help you stay healthy? … value (cost and benefits) than Medigap plans.

36. Improvement Data | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/improvement-data.html
    July 01, 2021 - As such, plans will have to work together to achieve overall improvement in the region to receive the … and future plans for improving care has been developed and is ready for implementation. … Barriers Baseline information was to be collected by the State from Michigan Medicaid health plans … through 2018, increases were seen in the performance rates for two collaborating health plans, Plan … Rates for all health plans decreased in 2019.

37. 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

38. Reporting CAHPS Survey Results to Non-Consumers | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/consumer-reporting/guidelines/results/index.html
    March 01, 2016 - decisionmakers, accrediting bodies (e.g., NCQA), policymakers (e.g., regulators or legislators), health plans … If you plan to provide reports to individual plans or providers with detailed data for their own organization … For example, consider whether participating health plans or providers should receive reports before your

39. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
    June 01, 2018 - For example: General Motors provides its employees with report cards rating health plans' quality … receive and only allows high-performance plans to retain those funds. … The United Auto Workers requires all health plans serving its members to be accredited by the NCQA. … In other areas, health plans are being overwhelmed by conflicting and redundant requests. … compared with 32.6 percent in plans in the South Central region of the country ( NCQA, 1997 ).

40. Measuring the Quality of Health Plans | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
    March 01, 2016 - Measuring the Quality of Health Plans The practice of measuring and reporting quality at the