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Showing results for "plans".

61. Offer Information on How Healthcare Costs and Quality Relate | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/talkingquality/explain/share-info/offer-info.html
    June 01, 2019 - But there are two problems with this kind of information: First, insurance plans almost always pay … differences in charges across facilities may have no relationship at all to what they negotiate with plans … People who have high-deductible health plans are more interested in the full price since they may be

62. Highlight Consumer Rights, Protections, and Ways To Complain | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/talkingquality/explain/share-info/highlight.html
    September 01, 2019 - If you are rating health plans, for example, it will be important to stress member’s rights to appeal … the organizations in your State or community that take responsibility for complaints about the health plans … your State or locality if you have problems with your Medicare benefits, including Medicare Advantage plans

63. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - For health plans, the number of people with outstanding customer service problems can be significant. … health plans reported "never" or "sometimes" when asked whether the plan's customer service gave them … the information or help they needed. 1 Most health plans and physician practices have some sense of … National quality monitoring of Medicare health plans: the relationship between enrollees’ reports and … Factors affecting response rates to the Consumer Assessment of Health Plans Study survey.

64. Roadmap for Implementing Pediatric Quality Measures for Performance Improvement | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
    September 01, 2021 - It is intended for use by states, health plans, hospitals, and other providers embarking on a quality … “High improving” plans were defined as those that exhibited improvement rates in the top 25th percentile … Worked individually with the participating plans to compare baseline performance rates to the national … AHRQ Practice Facilitation Handbook: Creating Quality Improvement Teams and QI Plans . … Collaborating Medicaid Health Plans. Collaborating Health Systems/Sickle Cell Clinics.

65. Timing Promotion of a Quality Report for Maximum Impact | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/talkingquality/distribute/promote/timing.html
    March 01, 2016 - clear timeframe for decisionmaking, such as open enrollment periods for commercial and Medicare health plans … the report by consumers making decisions, it is also valuable to describe how individual providers or plans … If you have done a “dry run” by distributing comparative data to providers or plans before releasing … Learn about sharing data with providers or plans before making it public in How Will You Gain the Trust … of Providers or Plans .

66. Incorporating Infection Prevention and Control into an Emergency Preparedness Plan (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
    May 01, 2022 - Incorporating Infection Prevention and Control into an Emergency Preparedness Plan Emergency preparedness plans … events based on the facility’s geographic area (e.g., flooding, fire, epidemic, pandemic) and include plans … plan must also document who will contact these individuals and describe the primary and alternative plans

67. Patient Safety and Quality Improvement | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/index.html
    January 01, 2024 - Reports Collections of professional and academic publications, reports, and National Action Plans … Health Affairs Medical Liability National Academy of Medicine Reports National Action Plans … medical errors and promoting patient safety, measuring health care quality, consumer assessment of health plans

68. Sample Disaster Preparedness Letter to Families (doc file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/letter-emergency-contact.docx
    May 12, 2022 - like to have information for at least one other person we can contact during an emergency to share our plans … -- · If we experience an emergency, we will make every attempt to contact you and inform you of our plans

69. Evaluating the CHIPRA Quality Demonstration Grant Program: An Overview (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qtag-presentation.pdf
    September 01, 2015 - measures for children, continued  What States did - Worked with State-level stakeholders (health plans … Many States (for example, AK, FL, IL, MA, ME, NC, PA) used reports to 1) Compare performance of plans … agencies to national benchmarks 2) Identify variation in practices’ performance across regions, plans … learned - Quality monitoring activities can provide powerful incentives for networks and health plans

70. Step 3: Define Your Project Goals | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Define-Your-Project-Goals.html
    December 01, 2019 - the following: Raise employees' awareness and understanding of differences in the quality of the plans … organizations available to them; Encourage health benefits managers to identify and offer health plans … providers that perform well on the CAHPS measures; Help Medicaid recipients identify and select the plans

71. Delivering Quality Reports in Print | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/talkingquality/distribute/media/printed-report.html
    September 01, 2019 - EXAMPLE: A Brochure for Medicaid Beneficiaries Title: A Guide to Michigan Medicaid Health Plans: Quality … Michigan Department of Health and Human Services publishes a brochure with summary scores for Medicaid plans … process is automatic (i.e., if consumers do not have to take any action to re-enroll in their current plans

72. Search FAQs | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cahps/faq/index.html
    January 01, 2019 - Choosing questions to measure the quality of experience with medical care providers and health care plans … Psychometric properties of the Consumer Assessment of Health Plans Study (CAHPS) 2.0 adult core survey … Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument … The CAHPS Health Plan Survey Database no longer collects or reports data for commercial health plans. … To adjust the results to account for this difference in populations across plans.

73. 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
    January 01, 2022 - Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans … Table 2. 2022 Survey Versions For Enrollee Populations Population Survey Version Number of Plans … Health plans choose whether to participate in the database. … Medicaid or CHIP health plans or enrollee populations. … There are also times when certain health plans are excluded from percentile calculations.

74. About the CAHPS Program and Surveys | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cahps/about-cahps/index.html
    April 01, 2024 - range of interactions that patients have with the healthcare system, including their care from health plans … develop surveys that ask consumers and patients to report on and evaluate their experiences with health plans … professionals, public and private purchasers of healthcare, healthcare accreditation organizations, health plans

75. CAHPS Dental Plan Survey | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cahps/surveys-guidance/dental/index.html
    March 01, 2018 - The CAHPS Dental Plan Survey is a standardized questionnaire that asks adult enrollees in dental plans … organizations interested in assessing, improving, and reporting on the quality and value offered by dental plans

76. H3 Practice Survey, Part 2 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-part2-mw.pdf
    August 03, 2018 - the clinical quality of care provided by your practice or its clinicians publicly reported by health plans … 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 … your practice receive better contracts (for example, better payment, preferred status) with health plans

77. About the Measure | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
    July 01, 2021 - This measure can be easily aligned across state Medicaid programs, health plans, and health systems, … QMETRIC found for some health plans, available QI and case management resources are directed at other … For children who have dual enrollment in other health plans, their claims may not be complete since some … The new ICD-10-CM measure specification was then provided to each of three partner Medicaid health plans … Health plans have more ready access to their own claims and can use the measure on a more rapid basis

78. Build Trust in the Sponsor of a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/talkingquality/explain/communicate/trust.html
    December 01, 2022 - the public is wary, and legitimately so, about the sources of data on the performance of health care plans … Since many health plans, hospitals, medical groups, and other providers advertise their quality, consumers

79. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants Catalog of Tools | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/ncepcr/reports/grants-impact/tools/index.html
    October 01, 2023 - A profile of Idaho, one of North Carolina's four partner States, outlining its accomplishments and plans … profile of Maryland, one of North Carolina's four partner States, outlining its accomplishments and plans … profile of Montana, one of North Carolina's four partner States, outlining its accomplishments and plans … profile of West Virginia, one of North Carolina's four partner States, outlining its accomplishments and plans

80. 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 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
    January 01, 2013 - Lower scoring plans reported an average receipt rate of 67 percent, and higher reporting plans reported … Plans in the Northeast region of the United States have reported higher rates than plans in the South … plans at 13.21 percent and the 90th percentile plans at 58.33 percent.14 Concerns about this measure … The measure is reported to NCQA by 55 health plans across 17 States. … The core instrument is currently reported to NCQA by 38 health plans.