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1. CAHPS Health Plan Survey | Agency for Healthcare Research and Quality
   www.innovations.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.innovations.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.innovations.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. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (Webcast) | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/cahps/news-and-events/events/20150317/webcast_03_17_15.html
   July 01, 2018 - CAHPS Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health 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 … Internet Citation: Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans

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

6. Improvement Data | Agency for Healthcare Research and Quality
   www.innovations.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.

7. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
   www.innovations.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

8. Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary (pdf file)
   www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
   February 22, 2019 - 1 MEDNET state • Health plan analyses o 2009 claims data from 17 New York State Medicaid health plans … o 2013 claims data from 73 commercial health plans nationwide Study Population Our study population … Commercial plans had lower denominator sizes (Table 2c). … Among commercial plans, rates were slightly lower (i.e. better). … We focused on health plans, as there were low numbers of observations for states.

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

10. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.innovations.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

11. Quality Improvement Strategies | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
    July 01, 2021 - Plans 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 … The Multiple Concurrent Antipsychotics measure performance was already very good for most plans with … 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.

12. Key Driver Diagram | Agency for Healthcare Research and Quality
    www.innovations.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

13. PQMP Measure Implementation and Quality Improvement Toolkits | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/pqmp/implementation-qi/toolkits.html
    August 01, 2021 - They may be useful for State agencies, health plans, hospitals, and providers interested in implementing … Results from the Child HCAHPS survey may provide insights for patients, parents, hospitals, health plans … resources, and examples presented in this toolkit reflect efforts by State Medicaid agencies, health plans … They are intended to serve as options that States, plans, providers, and patients and their families … Health plans may use the measure for public reporting and quality improvement efforts.

14. 2016 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.innovations.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

15. 2019 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.innovations.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

16. The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer Reporting | Agency for Healthcare Research and Quality
    www.innovations.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

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

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

19. Introduction | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/introduction.html
    July 01, 2021 - resources, and examples presented in this toolkit reflect efforts by state Medicaid agencies, health plans … , and providers to choose from when working towards improvement; Actions health plans can take to make … improvements; and, Options that states, plans, providers, and patients and their families can apply … The intended audiences for this toolkit are health plans, medical practices and providers. … The key drivers, change ideas, and resources provided are intended to serve as options that states, plans

20. 2020 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.innovations.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