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Showing results for "plans".

41. Strategies for Improving CAHPS Health Plan Survey Scores (Webcast) | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cahps/news-and-events/events/webinar-041316.html
    February 01, 2017 - for Healthcare Research and Quality (AHRQ) featured innovative strategies used by two Medicaid health plans … Speakers from health plans in Ohio and Oregon highlighted the specific improvement strategies they implemented … CAHPS Ambulatory Care Improvement Guide , a comprehensive and free resource for medical groups, health plans

42. Measuring the Quality of Health Plans | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
    March 01, 2016 - Project Resources About TalkingQuality Measuring the Quality of Health Plans … Page originally created February 2015 Internet Citation: Measuring the Quality of Health Plans

43. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-closing-slides.pdf
    March 15, 2016 - /quality-improvement/improvement-guide/improvement-guide.html Next Webcast: Strategies for Health Plans … ET • Webcast will feature innovative strategies used by two health plans to significantly improve their … Session To Ask a Question CAHPS Ambulatory Care Improvement Guide Next Webcast: Strategies for Health Plans

44. What Is the Environment for Reporting on Health Care Quality? | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/talkingquality/plan/environment.html
    June 01, 2016 - options (e.g., fee-for-service carriers, PPO plans, HMOs)? … For instance, some segments may have no choice among health plans or providers, while others have several … Questions to ask about local health plans: Do managed care plans dominate the market? What kinds? … Are the plans owned and managed at the National, regional or local level? … How have health plans and providers responded to previous attempt to report on quality (if any)?

45. Elements of an Evaluation Plan | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/talkingquality/assess/evaluation-plan.html
    January 01, 2023 - When you collect data about groups or organizations , you may also collect data on their Plans. … or use of providers (very difficult) How did providers and plans respond to the report? … Interviews with individual plans and providers Survey of plans or providers Did the reports … Interviews with individual plans and providers Survey of plans or providers With what results … Consider sharing your findings with the health plans or providers that were the subject of your report

46. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
    August 01, 2017 - 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 … To go beyond tracking, innovative plans put in place programs to match members with providers who can … To maximize the impact of programs targeted at racial and ethnic minorities, plans can also develop

47. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
    December 01, 2009 - Lower scoring plans reported an average receipt rate of 67 percent, and higher reporting plans reported … an average rate of 92 percent, suggesting considerable variation across plans. … The measure is currently reported to NCQA by 163 MMC health plans in 32 States. … Plans in the Northeast region of the United States have reported higher rates than plans in the South … The current reporting specifications are for health plans and providers.

48. Quality and Patient Safety Resources | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/resources/index.html
    December 01, 2022 - medical errors and promoting patient safety, measuring health care quality, consumer assessment of health plans … Health Literacy Universal Precautions Toolkit Pharmacy Health Literacy Center   National Action Plans … National Action Plans are developed with expert input to provide a framework for collaboration among

49. About NGC and NQMC | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/gam/about/index.html
    July 01, 2018 - by AHRQ in partnership with the American Medical Association and the American Association of Health Plans … (now America’s Health Insurance Plans [AHIP]). … mission was to provide physicians and other health care professionals, health care providers, health plans … The NQMC mission was to provide practitioners, health care providers, health plans, integrated delivery

50. PQMP Asthma ED Visit Quality Metric Key Driver Diagram (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
    March 10, 2021 - medications/devices • Increase care coordination services2 • Increase sharing of pediatric asthma action plans … health records can generate necessary reports • Quality measures are clearly articulated to health plans … systems issues and creating partnerships between healthcare providers, improvement partners health plans

51. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: CC-2 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-2.pdf
    December 14, 2010 - Reporting to HEDIS: N = 73 PLANS, 41% of which reported valid rates. … These plans represented 24 States. IMPORTANCE M. … x Yes No NR In 2007, average of 38.83% across Medicaid plans reporting. 10th percentile: 13.21%

52. Quality Improvement Strategies | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
    August 01, 2021 - Health Plan Incentives to Promote TCD Screening & Follow Up Financially incentivize Medicaid health plans … Refer to Measure Specification and Code Tables (PDF, 133.6 KB)  Develop process for health plans … on regularly scheduled basis Establish processes for health plans to share best practices for improving … List of state Medicaid health plans may be obtained from state Department of Health and Human Services … The state plans to use its financial incentives “lever” to encourage an environment for plans within

53. Medicare Version of the Health Plan Survey | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cahps/surveys-guidance/hp/about/Medicares-CAHPS-HP-Survey.html
    December 01, 2023 - The Medicare Survey includes versions for Medicare Advantage plans (including PPOs), Prescription Drug … Plans, and the fee-for-service program.

54. About the Measure | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/about.html
    September 01, 2021 - The measures were tested using data from 17 Medicaid managed care plans in a large, mid-Atlantic state … , as well as data from 73 commercial plans nationwide. … Updated specifications are published annually in HEDIS Volume 2: Technical Specifications for Health Plans … Retirement of the Use of Multiple Concurrent Antipsychotics in Children and Adolescents Measure for Health Plans … While this measure is no longer used in reporting programs, it remains important for plans to continue

55. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
    September 01, 2015 - Most plans required to cover preventive services free of charge. … Advantage, Medicaid Managed Care, and some plans for State employees and retirees. … Managed care plans versus indemnity (FFS) plans. … In contrast to managed care plans, indemnity plans, which are sometimes called FFS plans, typically … Therefore, indemnity plans can expose patients to greater financial risk than managed care plans.

56. Strategic Plan | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cpi/about/mission/strategic-plan/index.html
    January 01, 2018 - Organization & Contacts Strategic Plan Information on the Agency's strategic plans … AHRQ Strategic Plan —Information on the Agency's strategic plans.

57. Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
    January 01, 2016 - • In another study, the authors found that health plans have an effect on HEDIS® scores that is … For a pilot program, the state had health plans create a patient-level data flag linking patients … Stakeholder interactions •NCINQ asked participating health plans to categorize key data elements of … ◦ While health plans relied on rules or requirements (such as prior authorization) and feedback … Do health plans influence quality of care?.

58. Measures: Safe and Judicious Antipsychotic Use in Children and Adolescents (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p011-1-ef_0.pdf
    March 01, 2015 - The measures are intended for children enrolled in commercial health plans and/or Medicaid, with particular … data from States participating in the MEDNET project, Medicaid claims data from about 20 managed care plans … in one State, and data from about 70 commercial plans. … Testing indicated States and plans can collect and report the measures. … and provider Federal programs and have been adopted for reporting by Medicaid and commercial health plans

59. Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
    October 01, 2011 - Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic … Individualized Plans … Individualized plans of care (IPCs) are sometimes developed to improve care coordination. … Individualized Plans of C are 15 TABLE 1. … Details of Outcomes Associated With Written Individualized Plans of Care TABLE 3.

60. Reporting CAHPS Survey Results to Consumers | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cahps/consumer-reporting/index.html
    May 01, 2022 - examples of web-based comparative reports for consumers on the quality and costs of healthcare from health plans … The Effects of Out-of-Pocket Costs on Enrollees’ Experiences With Health Plans: Implications for Consumer