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). For details on proposed changes, visit the NCQA website.

Quality Assurance 52

Quality Assurance Medicaid Medicare Quality of Care 52

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

DECEMBER 18, 2024

We need to connect with the communities and individuals directly impacted by inequities, expand health care services to address unmet social needs and continue to evolve the measures we use to hold health care organizations accountable for ensuring people achieve the highest possible quality of care.

Quality Assurance 52

Quality Assurance Accountability Quality Improvement Pharmaceuticals 52

NCQA

JULY 31, 2024

We are hopeful that developing and deploying multiple measures of behavioral health network adequacy can improve access and quality of care,” says Seibert. HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). Expand and provide sustainable support for crisis services. “We

Quality Assurance 52

Quality Assurance Regulations Quality of Care Medicaid 52

NCQA

DECEMBER 20, 2024

Quality Measurement OUD is a complex condition requiring multifaceted interventions and multiple measures to evaluate quality of care effectively. We need two types of quality measures: measures that focus on clinical information to help clinicians provide better care and measures that can inform payment models.

Quality Assurance 52

Quality Assurance Primary Care Patient Experience Integration 52

NASHP

MARCH 14, 2022

States may consider creating standards and programmatic requirements to ensure that palliative care services conform to state Medicaid expectations. licensed hospice providers), with quality assurance provisions and any licensing updates necessary to ensure team competencies for non-hospice care.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

NCQA

NOVEMBER 13, 2024

Continue Learning With NCQA Additional NCQA courses related to our key themes: The Behavioral Health Care: Organizing for a Value-Based Landscape webinar is for anyone interested in behavioral health integration strategies to improve quality of care.

Quality Assurance 52

Quality Assurance Integration Quality of Care Population Health 52

NCQA

SEPTEMBER 17, 2024

HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS ® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). CMS Star Ratings Health plans should also be aware that NCQA discontinued the Electronic Clinical Data Distinction in our Health Plan Report Cards.

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

Home Health Care

AUGUST 30, 2024

The right partner can also be an asset going forward, offering access to capital markets or advising in areas such as IT, recruiting, or quality assurance to capture growth or implement necessary investments. These organizations often have similar objectives regarding employees, quality of care and access to care.

Home Care 57

Home Care Quality Assurance Accountability Quality of Care 57

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

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. A recent Health Affairs article reviewed opportunities to incorporate a palliative care benefit into ACOs.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

NASHP

AUGUST 23, 2021

RAEs support a local network of medical PCCM providers, deliver behavioral health services, coordinate members’ care across systems, and are accountable for the cost and quality of care delivered to Medicaid members. Colorado assigns almost all Medicaid participants to a RAE.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

NASHP

MARCH 29, 2024

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

Vie Healthcare

SEPTEMBER 13, 2023

And I mentioned about the child and family mental health checkup, but we have a whole measurement and assessment approach that is interwoven into what we call the Little Otter way, our clinical care. And this impacts not only communication with families but are rigorously looking at quality assurance and outcomes.

Telemedicine 52

Telemedicine Healthcare Prevention Quality Assurance 52

NASHP

MAY 8, 2023

Data: Cara James et al., “ Federal Action Is Needed to Improve Race and Ethnicity Data in Health Programs ” (Grantmakers In Health and National Committee for Quality Assurance, October 2021). Race, Ethnicity and Quality of Care: Inequalities and Incentives.” Source: Cara James et al., Appendix B. 2000d § 601.

Medicaid 52

Medicaid Regulations Prevention Medicare 52

NCQA

JULY 10, 2024

What is NCQA’s role in digital quality measurement? Our Healthcare Effectiveness Data and Information Set (HEDIS®) measures are used to evaluate the quality of care for more than 216 million people in the United States. The post NCQA Launches Digital Quality Hub appeared first on NCQA.

Quality Assurance 52

Quality Assurance Quality of Care Population Health Healthcare 52

Sheppard Health Law

OCTOBER 7, 2021

Related parties will be liable for unpaid state monetary penalties for citations and unpaid Quality Assurance Fees. Moreover, the sponsors of Section 650 also believe that transparency is urgently needed to improve quality of care and SB 650 would close the transparency loophole in existing laws.

Nursing 52

Nursing Quality Assurance Quality of Care Regulations 52