Quality and Performance Measurement

This workshop will provide practical, hands-on information about health data sources and tools now available as well as provide an opportunity for State CHIP Program implementors and evaluators, Congressional staff, and Federal officials to work together to decide how best to evaluate the progress of CHIP. 1998.Dec_.evaluating.CHIP_.how_.to_.pdf 17.8 MB  

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  • Publications

    States play numerous, complex roles in assuring the quality of health care provided to their citizens. They license and regulate commercial, or private, managed care plans (which now serve 40 million Americans), operate and oversee Medicaid managed care programs, and administer managed health benefits for state employees and retirees. As consumer and provider concerns over […]

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    May 24, 2012 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    How can states help primary care providers (PCPs) and community service providers coordinate care? In NASHP’s third Assuring Better Child Health and Development learning collaborative (ABCD III), five state teams (AR, IL, OK, OR, and MN) have piloted projects to systematize care coordination between PCPs of young children with potential developmental delay and community providers, […]

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  • Publications

    Managed care offers health care purchasers and providers an important opportunity to improve the quality of health care that individuals receive. At the same time, devising and implementing managed care quality accountability arrangements represents a major challenge for purchasers generally and for Medicaid purchasers in particular. This paper, prepared for the National Academy for State […]

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  • Publications

    Spurred by the success they perceive in managed care for women and children, states are turning to managed care delivery systems for older persons and persons with disabilities who qualify for Medicaid if they receive supplemental security income (SS1) payments or are determined to be eligible as medically needy. 1996.Sep_.assuring.quality.care_.managed.care_.older_.disabilities.pdf 1.5 MB  

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  • Publications

    Many agencies at the State level have regulatory authority over managed care plans operating in the private and public sectors. How can those agencies better coordinate, eliminate duplication, reduce administrative cost and improve quality of care? Several factors suggest a need for improved interagency collaboration: more and more health plans are (or will be) enrolling […]

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    May 10, 2012 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    This paper reports on the experiences of two states, Colorado and Virginia, in their efforts to develop an interagency collaborative approach to the oversight of managed care entities generally, and Medicaid managed care entities in particular. The demonstration project was a year-long effort conducted by the National Academy for State Health Policy (NASHP), funded by […]

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  • Publications

    This Quality Improvement (QI) Primer is a compilation of insights and tools gathered over a two-year period as three states implemented a new approach for monitoring the quality of services under Medicaid managed care arrangements. Through funds made available from The Henry J. Kaiser Family Foundation, Minnesota, Ohio and Washington worked with the National Academy […]

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    April 25, 2012 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    Over the past several years, HCFA’s Medicare and Medicaid offices have been engaged in concurrent initiatives to design and implement standards and strategies for quality improvement under managed care arrangements. 1995.Apr_.quality.improvement.standards.processes.monitor.performance.managed.care_.plans_.pdf 10.1 MB  

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    April 23, 2012 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    Shared decision making (SDM)—a process that engages patients in a dialogue with their providers to help them select health care options that conform to their values and preferences—is receiving increased attention as a tool for improving quality and patient satisfaction, and addressing unwarranted variation in care. Building on NASHP’s analyses of state health system improvement […]

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