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Showing results for "plans".

1. Patient-Centered Care Plans | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/patient-centered-care-plans
   June 01, 2022 - Plans should specify the type and intensity of services to be delivered. … Care plans should be made through a collaborative, shared decision-making process between patient and … Progress is monitored and plans are changed as needed. … Rather than relying on separate medical and behavioral health care treatment plans, a shared plan of … patient-centered care plans.

2. Person-Centered Care Plans | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/person-centered-care
   January 01, 2025 - Actively engage your patients in developing their care plans. … Plans should specify the type and intensity of services to be delivered and treatment goals they target … The care plans incorporate the patient's treatment goals. … Progress is monitored and plans are changed as needed. … Rather than relying on separate medical and behavioral health care treatment plans, a shared plan of

3. Comparative Reports on Health Plans | Agency for Healthcare Research and Quality
   www.ahrq.gov/talkingquality/resources/comparative-reports/health-plans.html
   December 01, 2022 - Comparative Reports on Health Plans The following reports are examples of comparative information … on the quality of health plans. … Report Title: Health Plan Report Card Website: https://reportcards.ncqa.org/health-plans . … Additional topics are included in the rating for plans that cover prescription drugs. … , as well as reports to learn more about the overall performance of Maryland health plans.

4. National Action Plans | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/reports/national-action-plans.html
   February 01, 2018 - National Action Plans The work of AHRQ and other Federal agencies is guided by work groups, committees … National Action Plans National Action Plans are developed with expert input to provide a framework

5. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (Webcast) | Agency for Healthcare Research and Quality
   www.ahrq.gov/cahps/news-and-events/events/20150317/webcast_03_17_15.html
   July 01, 2018 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (Webcast) March … This Webcast highlighted success stories from Medicaid and Children's Health Insurance Program (CHIP) plans … Two top-performing health plans shared how they have achieved high patient experience scores in the areas … Listen to the Webcast Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans … Health Plan Survey Database Chartbook: What Consumers Say About Their Experiences with Their Health Plans

6. How Will You Gain the Trust of Health Care Providers or Plans? | Agency for Healthcare Research and Quality
   www.ahrq.gov/talkingquality/plan/gain-trust.html
   November 01, 2018 - How Will You Gain the Trust of Health Care Providers or Plans? … health plan quality, for instance, have relied on sources of publicly available data rather than the plans … View Health Care Organizations as an Audience Start by regarding the providers and plans as one of … While you may be designing it for consumers, the reality is that providers and plans are typically the … Research on report card use demonstrates that not only do providers and plans pay attention to the data

7. CAHPS Health Plan Survey | Agency for Healthcare Research and Quality
   www.ahrq.gov/cahps/surveys-guidance/hp/index.html
   March 01, 2025 - Plan Survey is a tool for collecting standardized information on enrollees' experiences with health plans … plans for high-quality care. … To support consumers in assessing the quality of health plans and choosing the plans that best meet their … To identify the strengths and weaknesses of health plans and target areas for improvement. … Plans, and the fee-for-service program.

8. Using CAHPS Health Plan Survey Data | Agency for Healthcare Research and Quality
   www.ahrq.gov/cahps/surveys-guidance/hp/improve/index.html
   July 01, 2022 - Sponsors of this survey include health plans, private purchasers, State agencies that purchase and regulate … To inform consumers about enrollee experience with health plans. … and different kinds of health plans. … Improve Enrollee Experience Many health plans use their Health Plan Survey results to identify strengths … Several resources are available to support health plans in this effort.

9. Module 20: Creating Quality Improvement Teams and QI Plans (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
   September 01, 2015 - Module 20: Creating Quality Improvement Teams and QI Plans Primary Care Practice Facilitation … Curriculum Module 20: Creating Quality Improvement Teams and QI Plans Agency for Healthcare … Creating Quality Improvement Teams and QI Plans Prepared for: Agency for Healthcare Research and … Module 20: Creating Quality Improvement (QI) Teams and QI Plans Appendix 20 A. … Creating Quality Improvement (QI) Teams and QI Plans Appendix 20 B.

10. Section 6: Strategies for Improving Patient Experience with Ambulatory Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/index.html
    March 01, 2023 - How Health Plans Can Drive Improvements at the Medical Group Level References Download Section … For some strategies, both health plans and provider groups have a role to play, even if one is more " … Health plans, for example, can equip providers with the skills, tools, and information systems they can … Appendix 6b discusses three ways in which health plans can harness reporting and purchasing strategies … Health plans that own physician practices and/or employ physicians, and those that have an exclusive

11. Key Driver Diagram | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/key-driver.html
    September 01, 2021 - Health plans had systems in place for using care management to improve care for chronic diseases, but … Clinic performance data was shared and improvement plans were developed. … Health Plan Insights Health plans have many competing priorities. … This means incentives are provided to the health plans to focus improvement efforts on those specific … The state will use financial incentives to create an environment for plans within a specific Medicaid

12. The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer Reporting (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/effects-costs-enrollees-vonglahn-20120101-transcript.pdf
    June 02, 2025 - The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer … www.talkingquality.ahrq.gov The Effects of Out-of-Pocket Costs on Enrollees’ Experiences With Health Plans … and their respective products, the HMO and PPO products offered by the plans. … And part of what we’re finding in these results is the plans are coming up short in that regard. … plans, or platinum plans, or gold plans -- plans that are categorized by the benefit design and the

13. Considerations When Partnering with Health Care Organizations | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/plan/partners/healthcare-org.html
    July 01, 2011 - Health Care Organizations To help decide whether and how to collaborate with providers or plans … If, on the other hand, you wish to report on members’ experiences with health plans, you can get that … While you may still want to invite the health plans to participate in the development of the report, … For example, if you wish to report on the quality of medical groups, you may find that health plans are … Because of their contractual relationships, health plans can also help to exert pressure on providers

14. Data Sources and Limitations | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/cahps-database/comparative-data/2017-health-plan-chartbook/data-sources-limitations.html
    October 01, 2017 - Database by various survey sponsors, including State Medicaid agencies, CHIP programs, individual health plans … from data submitted directly to the CAHPS Database by State Medicaid agencies and individual health plans … , and a limited number of plans may choose to participate, the submitting organizations are not representative … of all U.S. health plans or enrollee populations. 1 Estimates based on these voluntarily submitted … The Medicare results are based on a representative sample of all Medicare Advantage health plans.

15. Innovations in health information technology : effective new solutions from America’s health insurance plans | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/innovations-health-information-technology-effective-new
    January 01, 2023 - Innovations in health information technology : effective new solutions from America’s health insurance plans … Innovations in Health Information Technology Effective New Solutions from America’s Health Insurance Plans … America’s Health Insurance Plans Providing health benefits to over 200 million Americans.

16. Technical Architecture of ONC-Approved Plans For Statewide Health Information Exchange | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/technical-architecture-onc-approved-plans-statewide-health
    January 01, 2023 - Technical Architecture of ONC-Approved Plans For Statewide Health Information Exchange … ONC-approved state plans for HIE were reviewed for descriptions and depictions of statewide HIE technical … Review was complicated by non-standard organizational elements and technical terminology across state plans

17. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief7-ma-plans.pdf
    March 01, 2019 - Provider-Offered Medicare Advantage Plans Among U.S. … Health Systems, 2016 1 Provider-Offered Medicare Advantage Plans Among U.S. … HMO plans are most common, followed by PACE. 12% of systems (N=626) Program of All-Inclusive … Across systems of all sizes, HMO plans are more common than PACE or other plans. … In our work, we used all plans in the MA Plan Directory.

18. Provider-Offered Medicare Advantage Plans Among U.S. Health Systems, 2016 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/chsp/ma-plans.pdf
    March 01, 2019 - Provider-Offered Medicare Advantage Plans Among U.S. … 2016 1 Comparative Health System Performance Initiative Provider-Offered Medicare Advantage Plans … HMO plans are most common, followed by PACE. 12% of systems (N=626) Program of All-Inclusive Care … Across systems of all sizes, HMO plans are more common than PACE or other plans. … In our work, we used all plans in the MA Plan Directory.

19. The IHA Bundled Episode Payment and Gainsharing Demonstration | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
    August 01, 2018 - demonstration and evaluation grant to develop and implement a bundled payment program, including health plans … Under this approach, a group of providers receives a fixed payment from participating health plans. … Ultimately, only three of the six health plans and two of the five hospitals signed contracts, as did … clinical care redesign (by providers) and automated claims processing (by health plans). … Lack of trust, driven by competing interests: Participating health plans, hospitals, and physicians

20. Let Consumers Select Health Plans or Providers To Compare | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/translate/web/pathways/health-plans.html
    October 01, 2015 - Let Consumers Select Health Plans or Providers To Compare Most sponsors aim to provide information … on all the health plans or providers in their market area. … This works best if you can list all the plans or providers on the equivalent of one computer screen so … www.qualitycheck.org/consumer/searchQCR.aspx Also in "Creating Pathways for Users" Select Health Plans