Home Health Care

AUGUST 4, 2023

Yet while home-based care providers certainly have many excellent, technical questions, one sits above all others: How will the expansion of HHVBP affect their reimbursement? Since CMS standardized it in 2018, Quality Assurance and Performance Improvement program, or QAPI, has served as a guiding light for home-based care providers.

Medicare 85

Medicare Performance improvement Quality Assurance Quality Improvement 85

NCQA

NOVEMBER 15, 2024

About Health Plan Ratings and Public Comment NCQA’s Health Plan Ratings evaluate the quality of care provided by commercial, Medicare Advantage and Medicaid health plans. HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Quality Assurance 52

Quality Assurance Medicaid Medicare Quality of Care 52

NASHP

MARCH 14, 2022

Successful home-based palliative care programs cite an engagement rate of 35%. For length-of-stay estimates, consider using the CMMI Medicare Choices Model of community-based pre-hospice services, with an average length of stay of 99 days. States can also elect to identify and limit billing to specific types of providers/settings (e.g.,

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

NCQA

JULY 31, 2024

Many of our HEDIS measures are used in quality reporting and value-based purchasing by Medicare, Medicaid and commercial insurance plans. We are hopeful that developing and deploying multiple measures of behavioral health network adequacy can improve access and quality of care,” says Seibert.

Quality Assurance 52

Quality Assurance Regulations Quality of Care Medicaid 52

NCQA

SEPTEMBER 17, 2024

This year, 1,019 commercial, Medicare and Medicaid health plans earned a rating from NCQA. Highlights and Results Here are some key takeaways from our analysis of the Health Plan Ratings data: Increase in Highly Rated Plans Three commercial and two Medicare plans earned a 5-star rating—a slight increase from last year.

Quality Assurance 52

Quality Assurance Medicaid Medicare Patient Experience 52

HIT Consultant

JANUARY 9, 2023

Fortunately, new technology can help health plans boost plan performance while promoting better care and early detection of chronic illnesses. The Star Rating system, which measures the quality of care and member satisfaction in privately managed Medicare plans, helps consumers compare the benefits and costs of different plans.

Quality Assurance 52

Quality Assurance Medicare Medicaid Quality of Care 52

HIT Consultant

JUNE 28, 2022

Health plans also have a vested interest in strengthening care navigation and coordination for at-risk members, given the opportunities to improve quality of care and life while reducing care costs. Here are four considerations for health plans on ways to become “data connectors” for health equity.

Quality Assurance 52

Quality Assurance Population Health Medicaid Hospitals 52