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1. CAHPS Health Plan Survey | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/cahps/surveys-guidance/hp/index.html
   April 01, 2024 - For over two decades, health plans, public and private purchasers, and other organizations have been … 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.

2. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
   July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … 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

3. Using CAHPS Health Plan Survey Data | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/cahps/surveys-guidance/hp/improve/index.html
   July 01, 2022 - 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. … Survey Scores Webcast: Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans

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

5. National Action Plans | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/patient-safety/reports/national-action-plans.html
   February 01, 2018 - Home Patient Safety Reports National Action Plans … Health Affairs Medical Liability National Academy of Medicine Reports National Action Plans … Safety News and Events Education & Training Resources National Action Plans … National Action Plans National Action Plans are developed with expert input to provide a framework … February 2018 Page originally created February 2018 Internet Citation: National Action Plans

6. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
   March 01, 2020 - Interventions The variety of strategies available to help health plans reduce linguistic, cultural, … At a minimum, health plans should collect information on race, ethnicity, and preferred language through … As part of the Healthcare Effectiveness Data and Information Set (HEDIS), plans routinely report on the … To go beyond tracking, innovative plans put in place programs to match members with providers who can … Health plans can also reward providers for contributing to the linguistic diversity of their networks

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

8. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
   July 01, 2019 - What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in linguistic competence. … Purpose of This Guide This guide helps plans address shifting demographic trends by: Offering an … 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

9. 2016 CAHPS Health Plan Survey Database Chartbook (pdf file)
   www.cpsi.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

10. 2019 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2019_hpchartbook.pdf
    January 01, 2019 - Plan Survey Database 2019 Chartbook What Consumers Say About Their Experiences With Their Health Plans … Health Plan Survey Database 2019 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

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

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

13. Section 1: About the CAHPS Ambulatory Care Improvement Guide | Agency for Healthcare Research and Quality
    www.cpsi.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?

14. 2020 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
    January 01, 2020 - Plan Survey Database 2020 Chartbook What Consumers Say About Their Experiences With Their Health Plans … Health Plan Survey Database 2020 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … of all U.S. health plans or enrollee populations. … Impact of COVID-19 Pandemic Eighty percent or more of health plans submitting to the 2020 CAHPS Health … Although the number and mix of health plans within each enrollee population vary slightly from year to

15. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
    www.cpsi.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

16. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.cpsi.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

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

18. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    www.cpsi.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: Massachusetts

19. 2018 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.cpsi.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

20. 2014 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.cpsi.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