NCQA

JANUARY 15, 2025

But the screening rate was 55% for Medicaid plans, highlighting the need for more screening education and support. The good news is that unnecessary screenings reached an all-time low in 2023: 0.42% for commercial plans and 0.40% for Medicaid plans. Learn more by visiting the National Cancer Institutes website.

Quality Assurance 59

Quality Assurance Medicaid Quality of Care Population Health 59

HIT Consultant

SEPTEMBER 7, 2022

Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Code is written by humans who have unconscious biases, and those biases can creep into the algorithms of AI when Quality Assurance functions are not properly sensitized to detect them.

Population Health 98

Population Health Health Analytics Quality Assurance Medicaid 98

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance. NIH National Institutes of Health.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. million Medicaid participants. million Medicaid enrollees.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

HIT Consultant

APRIL 26, 2023

What You Should Know: – The National Committee for Quality Assurance (NCQA) today launched the Race and Ethnicity Stratification Learning Network, a free, interactive, online tool that offers data and best practices to help health plans improve how they collect race and ethnicity data on their enrollees.

Quality Assurance 52

Quality Assurance Quality Improvement Medicaid Medicare 52

NASHP

NOVEMBER 15, 2021

As states continue developing their health equity strategies, an emerging consideration is how commercial algorithms that are used by states’ Medicaid managed care organizations to inform clinical care decisions may exhibit significant racial bias.

Quality Assurance 52

Quality Assurance Medicaid Population Health Prevention 52

Health Dialog

SEPTEMBER 17, 2018

The National Committee for Quality Assurance (NQCA) includes certified or evidence-based decision aids as an element of provider support in the most recent population health management accreditation standards.

Quality Assurance 40

Quality Assurance Population Health Patient Experience Medicaid 40