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  1. 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.
  2. 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.
  3. 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.
  4. 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
  5. 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
  6. 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.
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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