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Innovations
Health Plan and Psychiatric Hospitals Reduce Readmissions by Reviewing Data and Developing Strategies to Improve Postdischarge Care 4/9/2014
A partnership between a health plan and psychiatric hospitals focuses on sharing of quarterly data, case reviews, and deployment of specific strategies to improve postdischarge care, leading to significant reductions in readmissions, inpatient days, and costs.
Medicaid Plan Offers Diabetic Patients Access to Fitness Facilities and Coaching, Leading to Weight Loss and Improvements in Cholesterol and Blood Glucose 4/9/2014
Medicaid managed care enrollees with type 2 diabetes receive free access to YMCA facilities and have regular meetings with nurses, dietitians, and personal trainers that focus on diet, exercise, and other aspects of disease self-management, leading to weight loss and improvements in body mass index, cholesterol, and blood glucose control.
Interactive Workshops Enhance Access to Health Education and Screenings, Improve Outcomes for Low-Income and Minority Women 3/26/2014
Interactive educational workshops enhance access to health screenings for low-income and minority women, leading to improved health outcomes for those with diabetes.
Mailed Reminders to Heart Attack Patients Improve Compliance With Beta Blocker Medication Regimen 3/26/2014
Four health maintenance organizations send two reminder letters to encourage recent heart attack patients to take their beta blocker medication as prescribed and to renew their prescriptions as needed.
Pharmacist-Led, Grocery Store–Based Medication Review Reduces Falls and Enhances Compliance for Medicare Managed Care Members 3/12/2014
A plan-sponsored, pharmacist-led prescription and over-the-counter medicine review program at a local supermarket chain helps identify potentially harmful medication interactions, reduces falls, and enhances medication compliance among Medicare beneficiaries.
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QualityTools
Health Insurer Pandemic Influenza Planning Checklist 3/12/2014
The Health Insurer Pandemic Influenza Planning identifies important, targeted activities health insurers can do now to prepare for a pandemic. This checklist is organized according to business-related, employee-related, and communications-related activities.
Designing and Implementing Medicaid Care Management Programs: A User’s Guide 12/18/2013
The Medicaid Care Management Guide helps States design, implement, and evaluate care management programs for the chronically ill.
Theory and Reality of Value-Based Purchasing: Lessons from the Pioneers 11/6/2013
This report summary provides early lessons on the scope, patterns, barriers, and possibilities of value-based purchasing.
Evaluating the Impact of Value-Based Purchasing: A Guide for Purchasers 10/9/2013
This guide was developed to be an evaluation tool for purchasers, particularly employers, in assessing their value-based purchasing (VBP) activities.
Medicare Prescription Drug Plan Finder 10/9/2013
This tool will help Medicare beneficiaries learn more about the new Medicare prescription drug coverage and enable them to find and compare prescription drug plans that meet their personal needs.

Last updated: April 09, 2014.