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How NCQA’s Work Supports This Goal NCQA created the Race and Ethnicity Stratification Learning Network to investigate the challenges and opportunities of using race and ethnicity data for qualityimprovement, to gather insights on how plans are overcoming challenges and to get an early look at HEDIS measures stratified by race and ethnicity.
It’s a step towards additional transparency and accountability, including state, payer and provider,” he told HHCN. “I Aside from the 80% provision, the proposal also establishes a new strategy for oversight, monitoring, qualityassurance and qualityimprovement for HCBS programs. and North Carolina.
Extreme care needs to be taken to ensure that qualityimprovement initiatives are implemented using strategies that do not exacerbate disparities in resources, quality of care, or resident outcomes. High-quality research is needed to advance the quality of care in nursing homes.
Performance measurement is a pillar of state Medicaid managed care qualityimprovement and oversight efforts, is often factored into plan payment, and supports public reporting.
ACO Accountable Care Organizations. NCQA National Committee for QualityAssurance. RAE Regional Accountable Entity. Rhode Island’s Medicaid Accountable Entities (similar to ACOs) may use funds earned through the Health System Transformation Project Incentive Fund to fund CHW services. Acronym Guide.
Payment to improve capabilities. Regional accountable entities. For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established qualityimprovement process. Using payment to create incentives to improve performance.
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