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81. Appendix B: Example Components of the Conceptual Model | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapb.html
    February 01, 2014 - Market structures: Market concentration vs. fragmentation (e.g., among hospitals, health insurance plans … Examples of External Incentives Payment methods from payors (primarily commercial health insurance plans … provide benefits to organizations that have it, e.g.: Is negotiating leverage between health insurance plans

82. Section 8.B, Eligible Population and Performance Rates (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-section-8b.pdf
    April 30, 2018 - 6.0% 760 11,456 6.8% 197 2,509 Max 9.4% 1,852 24,161 10.6% 520 7,356 The overall rate for health plans … Eligible population size for health plans ranged from 123 children to 2,582 children. Table #.

83. How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
    April 01, 2015 - by the national evaluation team in spring 2012 and spring 2014 with staff at State agencies, health plans … and CHIP to national benchmarks, (2) identify variation in practices’ performance across regions or plans … and (3) track changes in performance over time. 4 In addition, Massachusetts used data that health plans … it was a landmark document because it will [allow us to] compare the various Medicaid Managed Care plans … Source: Interviews with staff at State agencies, health plans, and consumer groups.

84. 2023 CAHPS Health Plan Survey Database Chartbook (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
    January 01, 2023 - Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans … Table 2. 2023 Survey Versions By Enrollee Population Population Survey Version Number of Plans Number … Medicaid or CHIP health plans or enrollee populations. … These percentile scores are calculated at the plan level and represent the percentage of plans that … There are also times when certain health plans are excluded from percentile calculations.

85. How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
    September 08, 2015 - generate reports for State-level stakeholders, such as the staff at child-serving agencies and health plans … the national evaluation team in spring 2012 and spring 2014 with staff at State agencies, health plans … and (3) track changes in performance over time.4 In addition, Massachusetts used data that health plans … was a landmark document because it will [allow us to] compare the various Medicaid managed care plans … Source: Interviews with staff at State agencies, health plans, and consumer groups. aThe Alaska Medicaid

86. Using the Core Set of Quality Measures | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/policymakers/chipra/demoeval/childhealth/index.html
    March 01, 2019 - States are using the measures to produce performance reports for providers, families, managed care plans … reports for families √     √ √   √ √   Produce performance reports for managed care plans … How did stakeholders (health plans, providers, and consumers) use these measures?

87. Step 1: Form a Project Team | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-a-Project-Team.html
    December 01, 2019 - representatives of funding organizations or stakeholders with some operational responsibility, such as health plans … to use CAHPS survey results (e.g., incorporating them into existing [or planned] efforts to select plans … or providers, informing target audiences about the quality of those plans or providers); Deciding

88. The CAHPS Program | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/cahps/about-cahps/cahps-program/index.html
    April 01, 2023 - October 1995 in response to concerns about the lack of good information about the quality of health plans … Over time, the program has expanded beyond its original focus on health plans to address a range of healthcare … services and settings to meet the various needs of healthcare consumers, purchasers, health plans, providers

89. Using Mass Media To Spread Messages About a Quality Report | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
    September 01, 2019 - How do the providers or plans you rate respond to your efforts? … sensitive area; you don't want the focus of the report to be on the conflicts you may be having with health plans … How are the health plans or providers in your community doing overall? … Over time, from one report to the next, are providers and plans improving?

90. Policy Projects | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
    October 01, 2014 - The investigators will audit dossier submissions at three selected health plans that have adopted formulary … What is the potential for dossier information to mislead health plans? … Is there evidence that drug companies are submitting the same information to multiple plans?

91. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: CC-5 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-5.pdf
    December 17, 2010 - List of entity types currently using measure: Medicaid MMCs (Health plans reporting to HEDIS: 55 … For all ages combined, 42.5% of Medicaid health plans had followup within 7 days (bottom region: South

92. CAHPS Research Meetings | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/cahps/news-and-events/research-meetings/index.html
    January 01, 2024 - meeting represented a variety of healthcare organizations, including physician groups, hospitals, health plans … agencies that use CAHPS surveys, experts in patient-centered care, and other stakeholders such as health plans … In additional to CAHPS researchers, participants included representatives of health systems, health plans

93. Introduction | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/introduction.html
    July 01, 2021 - disease surveillance, and quality improvement efforts within the state and among Medicaid and CHIP health plans … Health plans may use the measure for public reporting and quality improvement efforts within the organization

94. Comparing Health Plan and Provider Quality Scores to Each Other | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/talkingquality/translate/compare/choose/compare-providers.html
    January 01, 2023 - Since people will generally be making choices from among the plans/providers in your community (and hopefully … The plans and providers themselves are going to be particularly interested in how they compare to each

95. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2) | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
    February 01, 2020 - (for both the Clinician & Group Survey and the Health Plan Survey (for Medicaid, CHIP, and Medicare plans … For example, the score shown for the 75th percentile is the score where 75 percent of the sites or plans … This type of analysis can be conducted with data from multiple groups, sites, or plans. … Data for analyses came 122 health plans that administered the Health Plan Adult Medicaid Survey. 5. … Health plans and providers typically have access to or can easily gather various types of administrative

96. Consumer Assessment Surveys | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/policymakers/measurement/consumer-assessment/index.html
    September 01, 2012 - First launched in October 1995, the program has expanded beyond its original focus on health plans to … of health care services and meet the information needs of health care consumers, purchasers, health plans

97. Managing a CAHPS Survey Project | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/cahps/surveys-guidance/helpful-resources/managing/index.html
    May 01, 2022 - and schedule in mind as you formulate and adjust your project design helps you to maintain feasible plans … Size of the Survey How many health plans or provider organizations are you including? … calls with the project team and the vendor to discuss their progress, next steps, any problems, and plans

98. Categorizing High and Low Performance in Quality Reports | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/talkingquality/translate/compare/categorize.html
    December 01, 2022 - Some sponsors worry about creating a report which clearly signals levels of performance across plans … This would reinforce the idea that there is no meaningful variation across health plans and providers … When Does A Plan Differ Significantly from Other Plans?

99. Medical Home Transformation in Pediatric Primary Care--What Drives Change? (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
    April 01, 2015 - families to identify goals and care strategies, which were incorporated into individualized care plans … • Parents reported that the care plans were very helpful in easing family stress, enhancing their … Two practices reported success in using EHR for care plans and that reporting was within reach. … Two practices reported success in using EHR for care plans and that reporting was within reach.

100. FECC Surveys (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-mailed-survey.pdf
     March 09, 2018 - may have created for your child: shared care plans, emergency care plans, and transition care plans … We are interested in your experiences, if any, with these different types of plans. 29. … the main provider may have created for your child: shared care plans, emergency care plans, and transition … care plans. … We are interested in your experiences, if any, with these different types of plans. 29.