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However, there is another mechanism through which quality of care could improve provider finances: increased demand. If patients are responsive to star ratings or physicians who refer patients are sensitive to star ratings, better measuredquality can increase provider revenue. due to bonus payments.
As a health economist who likes to think about the world in a quantitative manner, I do whatever I can to measurequality in a numeric manner. Thus, if I was visiting a primary care physician (PCP) and needed some specialist care, I would want the PCP to refer me to the specialist with the best quality ratings.
STEP 7: Identify QualityMeasures Palliative care can contribute to improved outcomes on HEDIS qualitymeasures commonly used by state Medicaid programs, such as Plan All-Cause Readmissions and Emergency Department Utilization, and on CAHPS patientexperiencemeasures.
Ratings are based on three types of qualitymeasures: Measures of clinical quality from HEDIS and the Health Outcomes Survey (HOS). Measures of patientexperience using the Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ). NCQA considers plans with 4.5
Ultimately, when you think about that term, at its core, patient-centered care is about ensuring that healthcare systems and all of their processes are fundamentally designed around the patient’s needs or their experiences or their preferences I should say. And usually it is a step-wise approach.
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