-
www.innovations.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumtrin.html
October 01, 2014 - issues in these environments, and building collaborative relationships with the leaders of the two study plans … Future Plans: The grantee will complete the data collection and analysis for Aim #2 and develop a manuscript
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-8a.pdf
January 01, 2011 - eliminated if the entire 95% CI for the rate of reported claims for
appendicitis in managed care plans … FFS: Fee-for-Service, or plans that report claims as FFS, such as Primary Care Case Management … MC: Managed Care, capitated comprehensive managed care plans
Matched Case-Control Groups: Children … WY 31 0.0566% 27 0 243 0 0.00% 0.00% NA
*States marked “NA” do not have any managed care health plans
-
www.innovations.ahrq.gov/talkingquality/translate/compare/choose/top-performers.html
March 01, 2016 - Providers and plans may be somewhat less resistant, especially if comparisons are internal only, since … Also in "Choosing a Comparator"
Comparing Health Plans and Providers to Each Other
Comparing to a
-
www.innovations.ahrq.gov/talkingquality/translate/compare/choose/average.html
March 01, 2016 - Report Card compares the performance of each health plan to the average performance of all the health plans … Available at http://www.phc4.org/default.htm
Also in "Choosing a Comparator"
Comparing Health Plans
-
www.innovations.ahrq.gov/cpi/centers/oms/index.html
January 01, 2021 - initiatives; and conducts complex organizational and management analyses and develops major proposals and plans … implementation of major administrative programs including the Agency's ethics program, Continuity of Operations Plans
-
www.innovations.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - multi-stakeholder coalition of healthcare organizations first convened by America's Health Insurance Plans … that can be used to gather and report information on consumers’ experiences with providers and health plans
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
December 01, 2019 - and providers, we have many examples of how health plans have used HEDIS measures to
design quality … In reporting of HEDIS® ECDS measures, health plans report to NCQA which type of data source
was used … The measure is reported
annually by Medicaid and by commercial and Medicare plans.
2. … Health plan*: Can compare quality of care among health plans. … method, however some health plans are still developing their methods and
strategies.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-nc.pdf
November 14, 2015 - Are there plans to apply for
Stage 2 incentive payments?
Yes
No
Maybe
Unknown
14. … At your practice, are there plans for installing a
new EHR/EMR system within the next 18 months? … clinical quality of care provided
by your practice or its clinicians publicly reported
by health plans … , did your practice
receive better contracts (e.g., better payment,
preferred status) with health plans … your practice or
the individual physicians in your practice receive
additional income from health plans
-
www.innovations.ahrq.gov/talkingquality/measures/setting/health-plan/databases.html
July 01, 2015 - Each year, hundreds of health plans, government agencies, and purchasers agree to include results of … The CDS includes data on closed insurance complaints, licensing, and finances for health plans and other
-
www.innovations.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
October 01, 2015 - of States in a large number of projects may have attracted greater contributions by States, health plans … The period between grant award and submission of the plan allowed the States to refine their proposed plans … As a result, in certain key respects, some States’ operational plans differed significantly from their … could consider including standards for evaluability as part of the process for approving operational plans … communication between State-based and national evaluation teams to encourage them to develop evaluation plans
-
www.innovations.ahrq.gov/pqmp/about/what-is-pqmp.html
September 01, 2021 - The Department of Health and Human Services (HHS) is working closely with States, health plans, and providers … child health quality measures in alignment with other quality measures collected by States, health plans
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/vt-spotlight.pdf
July 01, 2015 - Demonstration staff worked with State agencies,
practices, and health plans to identify child-focused … partnerships engage a broad group of
stakeholders, such as pediatric providers, hospitals, health
plans … • Vermont plans to continue making the electronic registry
available for practices.
-
www.innovations.ahrq.gov/talkingquality/resources/writing/tip4.html
May 01, 2015 - How do health plans affect quality of care?
Common myths. … Health plans can't influence what my doctor does.
True or false statements.
-
www.innovations.ahrq.gov/policymakers/chipra/overview/background/appendix-a5.html
December 01, 2009 - Dan Hecht
Ohio Department of Job and Family Services, Office of Ohio Health Plans
17. … Kilstein
Director of Quality Management and Operational Support, Association for Community Affiliated Plans
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
January 20, 2006 - possible misunderstandings are avoided;
Prepare the team for the flow of the day’s patients, contingency plans … It is used to reinforce plans that are already in place for treating patients and to assess the need … to revise plans. … and environmental cues, diagnosis of issues—using information to make decisions and develop action plans
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-florida-state-snapshot.pdf
January 01, 2018 - delayed because of concerns that doing
so would breach the confidentiality of some health and
dental plans … initially planned to establish two-way electronic
communication between child-serving practices, health
plans … These plans were delayed, however, due to
incompatibility across stakeholders’ health information … that are tailored to different stakeholder groups
including State and Federal policymakers, health plans
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
January 01, 2020 - Examples of such units include health plans, hospitals, provider groups, clinics, sites of care, and … Sample Size Requirements
Number of entities (e.g., health plans or providers). … Two health plans are merged that were formerly separate and were treated as such in the survey. … • The macro checks that there are plans in all subcodes after the usable data set is made. … This could cause some plans to be
declared 1- or 3-star plans when they were respectively below or above
-
www.innovations.ahrq.gov/talkingquality/distribute/timing/index.html
March 01, 2016 - States often designate a specific time each year when existing Medicaid beneficiaries can change health plans … Similarly, some health plans that provide members with information about available physicians include … While both employers and public programs typically allow beneficiaries to change plans at a prescribed
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - share what led the organization to conduct this fall prevention initiative and how senior leadership plans … Develop hospital-specific action plans or revamp your current action plans for your Fall Prevention Program … They discussed plans for rolling out a new risk-based assessment process systemwide. … For example, are staff individualizing care plans according to risk factors found on risk assessment? … Slide 31
Say: What are your plans to keep this prevention effort going long term?
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-fullreport.pdf
December 01, 2019 - and providers, we have many examples of how health plans have used
HEDIS measures to design quality … In reporting of HEDIS® Electronic Clinical Data System (ECDS) measures, health plans report
to NCQA … The measure is reported annually by
Medicaid and by commercial and Medicare plans.
2. … Health plan*: Can compare quality of care among health plans. … method,
however some health plans are still developing their methods and strategies.