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  1. www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/communication-documents.pdf
    February 04, 2021 - Report patients that are lost to follow up, relocate, or require care management services Heath plans
  2. www.innovations.ahrq.gov/cahps/surveys-guidance/hospital/about/child_hp_survey.html
    February 01, 2024 - information on the quality of pediatric inpatient care, including patients, parents, hospitals, health plans … Hospitals, health plans, insurers, and policy makers can use the survey results for quality improvement
  3. www.innovations.ahrq.gov/cahps/quality-improvement/index.html
    October 01, 2023 - Improvement Guide The CAHPS Ambulatory Care Improvement Guide is a comprehensive resource for health plans … Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans .
  4. www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-massachusetts-state-snapshot.pdf
    January 01, 2018 - implementation guides on family engagement and measurement and tools for developing care teams and care plans … insured patients by linking data from several sources, including the 13 demonstration practices, health plans … developing data use agreements for accessing data from multiple sources (such as commercial health plans
  5. www.innovations.ahrq.gov/data/apcd/backgroundrpt/discuss.html
    April 01, 2017 - Liberty Mutual ) emphasized that certain plans are exempt from data submission requirements, although … Income Security Act statute that preempts State legislation pertains primarily to self-insured health plans … . 12 Because many employer-sponsored plans across the Nation are self-insured, this potential gap is
  6. www.innovations.ahrq.gov/talkingquality/distribute/placement/channels.html
    January 01, 2023 - Friends and family members, for example, may recommend health plans, but physicians are more likely to … For example, if you have produced a report about the quality of local clinics, all health plans in the
  7. www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
    February 01, 2019 - The measure is intended for use by States and plans to target inappropriate prescribing practices and … • 2009 claims data from 17 New York State Medicaid health plans. 11 • 2013 claims data from … 73 commercial health plans nationwide. … In addition, rankings among measures in the antipsychotic measures set showed that plans and States … Health plan*: Can compare quality of care among health plans.
  8. www.innovations.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/overview.html
    August 01, 2021 - health/disease surveillance, and quality improvement efforts within the state and among Medicaid health plans … Health plans may use the measure for public reporting and quality improvement efforts within the organization … Care should be taken to ensure that children who enroll in different health plans across one year do
  9. www.innovations.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
    January 01, 2021 - offered—on an individualized basis and with an unprecedented degree of certainty—strategies and care plans … We are at the precipice of a breakthrough in data-driven, technology-supported care plans that incorporate … C-suite executives to abandoned traditional fee-for-service business models for more comprehensive care plans
  10. www.innovations.ahrq.gov/talkingquality/assess/why-evaluate.html
    May 01, 2019 - Just as report sponsors hope that health care providers and plans will use data on quality to improve
  11. www.innovations.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/tab1.html
    October 01, 2015 - CHIOs engage in the development of County Health Improvement Plans and strategic prioritization processes … Multipayer PCMH initiative included several health plans.
  12. www.innovations.ahrq.gov/talkingquality/translate/web/pathways/measures.html
    October 01, 2015 - Ideally, the user of a report card should be able to select a small number of health plans or providers … Also in "Creating Pathways for Users" Select Health Plans or Providers To Compare Select Measures
  13. www.innovations.ahrq.gov/talkingquality/measures/understand/index.html
    July 01, 2018 - Web sites make it possible for health care consumers to share their personal experiences with health plans … To make sure that comparisons among providers and health plans are fair and that the results represent
  14. www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
    December 01, 2019 - These panels consisted of representatives from States, health plans, pediatricians, behavioral health … 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.
  15. www.innovations.ahrq.gov/cahps/news-and-events/news/index.html
    February 01, 2024 - Database includes 6,053 survey responses voluntarily submitted by State Medicaid agencies and managed care plans … Database includes 4,731 survey responses voluntarily submitted by State Medicaid agencies and managed care plans
  16. www.innovations.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
    May 01, 2014 - with staff at your local hospital and Emergency Department about the nursing home’s interest and plans
  17. www.innovations.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-demographics.pdf
    August 22, 2018 - the clinical quality of care provided by your practice or its clinicians publicly reported by health plans … in your practice, how often – if ever – are these data or reports about clinical quality from health plans … your practice receive better contracts (for example, better payment, preferred status) with health plans … did your practice or the individual clinicians in your practice receive additional income from health plans
  18. www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0238-technicalspecs.pdf
    October 01, 2019 - survey items is to assess the experiences of children with special health care needs with health plans
  19. www.innovations.ahrq.gov/policymakers/chipra/index.html
    March 01, 2019 - care quality measures for use by Medicaid and CHIP and other public and private programs, providers, plans … development of new measures for use by: Medicaid/CHIP programs Other public and private programs, plans
  20. www.innovations.ahrq.gov/news/newsletters/e-newsletter/888.html
    November 01, 2023 - that this updated systematic review from the Effective Health Care Program will be helpful to health plans … published in The American Journal of Managed Care finds that increased enrollment in Medicare Advantage plans

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