NCQA

NOVEMBER 13, 2024

We need better definitions of auditing and reporting for quality measures and downstream reporting to other systems, such as population health. Organizations can get involved in the digital community by accessing free resources through the HL7 Da Vinci Project and NCQA’s Digital Quality Hub.

Quality Assurance 52

Quality Assurance Integration Quality of Care Population Health 52

HIT Consultant

JUNE 28, 2022

They possess the resources to disseminate this information to providers for broader discussions around population health. 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.

Quality Assurance 52

Quality Assurance Population Health Medicaid Hospitals 52

NASHP

AUGUST 23, 2021

From 2015 to 2018, Colorado Medicaid operated the enhanced primary care medical provider (PCMP-E) program, which rewarded those PCCM providers (referred to in Colorado as PCMPs) that met at least five of nine enhanced factors with a $0.50 PMPM increase in their regular PMPM rates. Colorado assigns almost all Medicaid participants to a RAE.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

NASHP

MAY 8, 2023

Source: Centers for Medicare & Medicaid Services Health Disparities : Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations. Rhode Island Department of Health, 2021. Source: Cara James et al.,

Medicaid 52

Medicaid Regulations Prevention Medicare 52

NCQA

JULY 10, 2024

Streamlining data collection (from health plans, electronic health records and other sources) by leveraging standards will reduce the overall burden, and distributing quality measures and content digitally will democratize access to insights about care to any organization, rapidly and cost-effectively.

Quality Assurance 52

Quality Assurance Quality of Care Population Health Healthcare 52