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  1. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0245-testing-report.pdf
    January 01, 2014 - , including plans with integrated delivery systems and non-integrated plans. … These plans had searchable coded fields for documenting PHQ results in their EHRs. … (4 plans) 18-64 25823 7876 30.5 25.3 – 33.3 65+ 243 72 29.6 18.8 – 34.5 Medicaid (5 plans) 18-64 … % Medicare (4 plans) 18-64 1005 71 7.1 3.7 – 9.0 65+ 2617 288 11.0 7.7 – 13.0 Commercial (4 plans … (4 plans) 18-64 25823 3771 14.6 12.1 – 15.6 65+ 243 40 16.5 10.0 – 20.5 Medicaid (5 plans) 18-64
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2017_hp-chartbook.pdf
    January 01, 2017 - Plan Survey Database 2017 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … Plan Survey Database 2017 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … of all U.S. health plans or enrollee populations1. … Although the number and mix of health plans within each enrollee population vary slightly from year to … The number of plans and respondents shown in each table provides some indication of the variation in
  3. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/state-key-drive-diagram.pdf
    January 29, 2021 - to Promote TCD Screening & Follow Up Strategies • Financially incentivize Medicaid health plans … with sickle cell disease, including increasing TCD screening rates • Develop process for health plans … care, including increasing TCD screening rates • Provide performance feedback to Medicaid health plans … on regularly scheduled basis • Establish processes for health plans to share best practices for
  4. www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/opm-specific-plan-nqs2014.pdf
    January 01, 2014 - Improvement in Health Care National Strategy for Quality Improvement in Health Care 2014 Agency Specific Plans … National Strategy for Quality Improvement in Health Care 2014 Agency Specific Plans National Quality … recognized as “exemplary” for performance on quality metrics in 2013, and 6 plans achieved “most … FEHB plans selected early elective delivery, readmission prevention, antibiotic use, and judicious … All FEHB plans measured on 7-day followup after behavioral health hospitalization to address needs
  5. www.ahrq.gov/news/newsletters/e-newsletter/653.html
    February 01, 2019 - Analysis Concludes Medicare Drug Plans Should Eliminate Barriers to Opioid Use Disorder Treatment … All-Cause Hospital Readmissions, 2010-2016. ) Today's Headlines: Analysis Concludes Medicare Drug Plans … Analysis Concludes Medicare Drug Plans Should Eliminate Barriers to Opioid Use Disorder Treatment Eliminating … In 2018,generic buprenorphine tablets were covered by all plans. … And about three-fourths of plans covered brand-name and generic versions of buprenorphine-naloxone, which
  6. www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
    July 01, 2021 - Access to Quality Behavioral Health Care: Health Plan Examples (PDF). ( America’s Health Insurance PlansPlans also tested strategies to engage youth and family in their QI work. … Worked individually with the plans participating in the collaborative to compare baseline performance … only one of the plans was able to realize an improvement in performance. … participating in the collaborative, other plans in NY, and plans reporting nationally.
  7. www.ahrq.gov/ncepcr/tools/pf-handbook/mod14-trainers.html
    March 01, 2022 - Practice Facilitation Handbook Module 14 Trainer’s Guide: Creating Quality Improvement Teams and QI Plans … Creating Quality Improvement Teams and QI Plans Module 14 Trainer’s Guide: Creating Quality Improvement … Teams and QI Plans Module 15. … Discuss (15 minutes) What are your experiences developing QI plans for organizations and your lessons
  8. www.ahrq.gov/cahps/quality-improvement/improvement-guide/1-about/index.html
    February 01, 2020 - the CAHPS surveys in ambulatory settings has created a demand for practical strategies that health plans … The family of CAHPS surveys includes instruments designed to assess patient experience with health plans … , including Medicare, Medicaid and commercial plans. … To be accredited by the National Committee for Quality Assurance, health plans must submit the results … What benefits does it offer to patients, providers, and plans? How has it been implemented?
  9. www.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
    July 01, 2022 - admission Denominator: # of patients admitted GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients transferred GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients discharged GOAL: >90% ACTUAL: [insert current compliance] Insert plans
  10. www.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
    July 01, 2022 - admission Denominator: # of patients admitted GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients transferred GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients discharged GOAL: >90% ACTUAL: [insert current compliance] Insert plans
  11. www.ahrq.gov/es/patient-safety/settings/hospital/match/table-4.html
    July 01, 2022 - admission Denominator: # of patients admitted GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients transferred GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients discharged GOAL: >90% ACTUAL: [insert current compliance] Insert plans
  12. www.ahrq.gov/es/patient-safety/settings/hospital/match/table-2.html
    July 01, 2022 - admission Denominator: # of patients admitted GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients transferred GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients discharged GOAL: >90% ACTUAL: [insert current compliance] Insert plans
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
    January 01, 2019 - The collaborative helped participating plans develop approaches to aggregate disparate data sources … Plans’ lack of access to providers’ EHRs made it difficult to capture screening results necessary to … ◦ Health plans in the NCINQ collaborative were able to use a variety of strategies to aggregate … using state data and scores calculated by plans using their own data. … in the collaborative, other plans in the state, and plans nationally
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sca-key-drive-diagram.pdf
    January 29, 2021 - Diagram Establish contact and messaging system with SCA patients, families, providers, and health plans … Process for clinic to create notarized care plans to identify authorized caregivers. … Feedback on SCA quality measure performance to health plans and providers. … State Medic aid program, health plans, and clinics use population health management strategies. … Strong individualized partnerships across families, clinics, and health plans. FIGURE.
  15. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_hpchartbook.pdf
    January 01, 2018 - Plan Survey Database 2018 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … Plan Survey Database 2018 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … of all U.S. health plans or enrollee populations0F1. … Although the number and mix of health plans within each enrollee population vary slightly from year to … The number of plans and respondents shown in each table provides some indication of the variation in
  16. www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/2016_acl-agencyspecificplan.pdf
    January 01, 2016 - National Strategy for Quality Improvement in Health Care 2015 Agency-Specific Plans National … Strategy for Quality Improvement in Health Care 2016 Agency-Specific Plans 1 The … In addition, ACL supports States in implementing comprehensive plans to support family caregivers. … State policies and programs which support consumer control and choice is a critical focus for State Plans … Quality Framework National Strategy for Quality Improvement in Health Care 2016 Agency-Specific Plans
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/6-improvement-strategies.pdf
    March 01, 2017 - Improvement Guide The CAHPS Ambulatory Care Improvement Guide is a comprehensive resource for health plans … 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 … ambulatory surveys address issues outside of the direct control of health plans, because the locus … How Health Plans Can Drive Improvements at the Medical Group Level 6b.1.
  18. www.ahrq.gov/sites/default/files/2024-12/romano-report.pdf
    January 01, 2024 - Do consumers actually use quality information in choosing health plans and providers, and if so, how … to better-rated plans among those who switch. … Our objective was to change observable consumer behavior (e.g., selection of health plans and medical … The largest participating plans were Kaiser (359,208 enrollees), Health Net (225,771 enrollees), and … because they belonged to one of four plans that were no longer offered.
  19. www.ahrq.gov/news/newsletters/e-newsletter/878.html
    August 01, 2023 - If Enhanced Tax Credits Expire, Off-Marketplace ACA-Compliant Silver Plans May Reduce Premiums for High-Income … higher incomes searching for individual insurance may consider purchasing Affordable Care Act–compliant plans … silver plans was more than 11 percent lower than similar on-marketplace plans. … Bronze and gold plans tended to have higher premiums off-marketplace. … , but few would have access to off-marketplace bronze and gold plans with lower premiums than those available
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
    January 01, 2014 - Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Plan Survey Database 2014 Chartbook: What Consumers Say About Their Experiences with Their Health Plans … Although the number and mix of health plans within each population sector vary slightly from year to … The number of plans and respondents shown in each table provides some indication of the variation in

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