Results

Total Results: over 10,000 records

Showing results for "plans".

21. Health Plan Patient Safety Initiatives | PSNet
    psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - Health plans have access to large amounts of administrative, claims, and cost data. … ’ focus on quality, health plans can play an important role in improving patient safety. … Health plans offer a means to finance healthcare expenses, and the plans determine which healthcare services … Sarah Mossburg: What are some ways that health plans can impact patient safety? … What are some of the biggest patient safety priorities for health plans today?

22. 54. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide54.html
    October 01, 2014 - (both Medication and counseling) should be included as a paid or covered benefit by health benefits plans … dependence treatments (both medication and counseling) as a paid or covered benefit by health insurance plans … effective in the Guideline should be included as covered services in public and private health benefit plans

23. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_intro.pdf
    March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans Excelling on CAHPS: … Lessons from Top-Performing Medicaid and CHIP Health Plans A Webcast Presented by the AHRQ CAHPS … • How CAHPS is used • Key factors contributing to high performance • Overcoming barriers • Plans … for sustainability • Take-home points for Medicaid and CHIP plans 12 Excelling on CAHPS: Lessons … from Top-Performing Medicaid and CHIP Health Plans CAHPS Webcast Series CAHPS Family of Surveys Our

24. Measures To Assess the Safe and Judicious Use of Antipsychotics in Children and Adolescents Field Test Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
    June 02, 2025 - 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.

25. Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children with Medical Complexity - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/cloud-care-feasibility-study-cloud-based-care-plans-children-medical-complexity/final-report
    January 01, 2023 - Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children with Medical Complexity - Final … Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children with Medical Complexity - Final … Project Name Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children With Medical

26. Johns Hopkins HealthCare Uses AHRQ Resources to Promote Health Literacy and Measure Patient Experience | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201604.html
    May 01, 2016 - patient engagement videos and brochures are used by Johns Hopkins HealthCare (JHHC) affiliated health plans—Priority … Partners, Johns Hopkins Employer Health Programs, and Johns Hopkins US Family Health Plans—to promote … CAHPS)® Adult Commercial Health Plan 5.0 survey each year to assess patients' experiences with health plans … can help patients more clearly understand their medical conditions and how to follow their treatment plans

27. Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet
    psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
    June 26, 2019 - Resource Critical Incident Reviews, Significant Adverse Event Reports and Action Plans … Citation Text: Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. … This report describes an investigation into a 5-year delay in action plans for critical incident reviews … Citation Citation Text: Critical Incident Reviews, Significant Adverse Event Reports and Action Plans

28. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - The public wants quality reports to be fair so that they are not judging plans or providers on things … In the testing of candidate measures for HEDIS 3.0, people in focus groups did not think that health plans … alternative is to have a more general statement covering all measures that describes the way that health plans … EXAMPLE: How Plans or Providers Can Influence the Measure Title: Keeping Patients Safe Sponsor:

29. Providing Oral Linguistic Services | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/cultural-competence/oralling.html
    July 01, 2019 - The Business Case for CLAS in Managed Care There is a plausible business case for plans to begin CLAS … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in linguistic competence. … Step 3: Identify Points of Contact for Members of Managed Care Plans. … parts of the planning process, while other plans will be new to linguistic competency and may choose

30. Care Coordination and Care Plans for Transitions Across Care Settings | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/care-coordination-plans/research

31. Strategies for Improving CAHPS Health Plan Survey Scores (Webcast) | Agency for Healthcare Research and Quality
    www.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

32. Major Health Plan Quality Measurement Sets | Agency for Healthcare Research and Quality
    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

33. Chapter 7. What’s Next? | Agency for Healthcare Research and Quality
    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.

34. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
    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

35. Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans | Agency for Healthcare Research and Quality
    www.ahrq.gov/takeheart/training/module-2/index.html
    December 01, 2022 - Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans   YouTube embedded … www.youtube-nocookie.com/embed/IJQC58AGQD0 Video: Systems Change: Laying the Foundation, Leadership, and Action Plans … (1:05:01) Slides:  Systems Change: Laying the Foundation, Leadership, and Action Plans (PDF, 2 MB) … Implementation Guide:  Systems Change: Laying the Foundation, Leadership, and Action Plans (PDF, 296

36. Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi8.html
    January 01, 2013 - States in the neonatal central line-associated bloodstream infection (NCLABSI) project have completed plans … These plans highlight a continued desire to monitor and report out on rate data and focus on safety culture … These new State clinical leads have also completed plans to spread the success of the NCLABSI project

37. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
    January 01, 2016 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans Excelling on CAHPS: … So, all of the health plans in Minnesota are actually HMOs. … Most of the health plans in Minnesota do not. … ALL Kids is not treated separately from the other plans offered by Blue Cross. … All health plans use a survey vendor of some kind.

38. Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary
    April 22, 2017 - Study Risk controls identified in action plans following serious incident investigations … Risk controls identified in action plans following serious incident investigations in secondary care: … Researchers in this study analyzed 126 action plans generated from serious event investigations at one … of proposed risk controls outlined in the plans were weak (focusing on individual rather than systemic … Risk controls identified in action plans following serious incident investigations in secondary care:

39. Planning Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
    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

40. Medicare Version of the Health Plan Survey | Agency for Healthcare Research and Quality
    www.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.