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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-147-antipsychotics-testing-summary.pdf
February 22, 2019 - 1 MEDNET state
• Health plan analyses
o 2009 claims data from 17 New York State Medicaid health plans … o 2013 claims data from 73 commercial health plans nationwide
Study Population
Our study population … Commercial plans had lower
denominator sizes (Table 2c). … Among commercial plans, rates were slightly lower (i.e. better). … We focused on health plans, as there were low numbers of observations for states.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-149-testing-summary.pdf
February 22, 2019 - 1 MEDNET state
• Health plan analyses
o 2009 claims data from 17 New York State Medicaid health plans … o 2013 claims data from 73 commercial health plans nationwide
Study Population
Our study population … Commercial plans had lower
denominator sizes (Table 2c). … Among commercial plans, rates were slightly lower (i.e. better). … We focused on health plans, as there were low numbers of observations for states.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
February 22, 2019 - 1 MEDNET state
• Health plan analyses
o 2009 claims data from 17 New York State Medicaid health plans … o 2013 claims data from 73 commercial health plans nationwide
Study Population
Our study population … Commercial plans had lower
denominator sizes (Table 2c). … Among commercial plans, rates were slightly lower (i.e. better). … We focused on health plans, as there were low numbers of observations for states.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
January 15, 2014 - Growing role of health plans
What is a sponsor report? … How do the ACAP Plans utilize the
ACAP sponsor report? … ACAP’s 58 Plans are in 25 States
31
Medicaid Managed Care and Traditional Enrollment
1999 - 2011 … operate SNPs
10 ACAP plans operate Managed Long-Term
Care Plans
18 ACAP plans will participate … are doing as a group
Also allows individual health plans to
benchmark against other plans and national
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www.ahrq.gov/talkingquality/measures/setting/health-plan/measurement-sets.html
December 01, 2022 - More than 90 percent of health plans—HMOs, POS plans, and PPOs—use HEDIS to measure performance. … HEDIS is one component of NCQA's accreditation process, although some plans submit HEDIS data without … HEDIS enables consumers and purchasers to compare health plan performance to other plans and to national … Data source: You can obtain HEDIS results directly from health plans or by purchasing access to NCQA … employees, beneficiaries); however, sponsors typically get this information directly from the health plans
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
June 01, 2014 - Develop focused action plans.
Communicate action plans and deliverables. … Implement action plans.
Track progress and evaluate impact.
Share what works. … Step # 4: Communicate Action Plans and Deliverables
Once action plans have been developed, the plans … , deliverables, and expected outcomes of the plans need to be communicated. … Step # 5: Implement Action Plans
Implementing action plans is one of the hardest steps.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-2023hcbs-survey-webcast-bakdash.pdf
June 20, 2024 - Experience
with
Condition-
Specific Care
• Cancer Care
• Mental Health
Care
Experience
with Health
Plans … • Health Plans
• Dental Plans
• Home and
Community-
Based Services
8
CAHPS Surveys
CAHPS Surveys … Experience
with
Condition-
Specific Care
• Cancer Care
• Mental Health
Care
Experience
with Health
Plans … • Health Plans
• Dental Plans
• Home and
Community-
Based Services
9
Uses for CAHPS Surveys
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www.cpsi.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
www.talkingquality.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
www.cahps.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
www.innovations.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
www.healthcare411.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
www.qualitymeasures.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
ce.effectivehealthcare.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
healthcare411.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
monahrq.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
cahps.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Plans and their providers are subject to major cost constraints, so they are understandably concerned … In addition, plans may feel that their current approach to the provision of services is adequate and … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Planning Culturally and Linguistically Appropriate Services
Guide for Managed Care Plans
To … address shifting demographic trends in health
care, this guide offers health plans an approach to … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
-
meps.ahrq.gov/data_files/publications/st29/stat29.pdf
January 01, 2001 - Statistical Brief #29: Employee Choice in Employer-Sponsored Health Insurance Plans: 2001
Statistical … among plans. … Together, exclusive and preferred provider plans are referred to as managed care plans. … Any provider plans
were the type least likely to be offered (15.6%). … However, just like preferred provider plans, exclusive provider
plans were offered more frequently in
-
pcmh.ahrq.gov/talkingquality/measures/setting/health-plan/measurement-sets.html
December 01, 2022 - More than 90 percent of health plans—HMOs, POS plans, and PPOs—use HEDIS to measure performance. … HEDIS is one component of NCQA's accreditation process, although some plans submit HEDIS data without … HEDIS enables consumers and purchasers to compare health plan performance to other plans and to national … Data source: You can obtain HEDIS results directly from health plans or by purchasing access to NCQA … employees, beneficiaries); however, sponsors typically get this information directly from the health plans