Health Plan's Multifaceted Strategy Involving Care Coordination, Disease Management and Physician Incentives Leads to Better Outcomes and Reduced Costs for Medicare Advantage Enrollees
HealthSpring's Partnership for Quality program offers bonuses to physician practices and onsite care coordination and disease management support, leading to significantly better outcomes and reduced costs for Medicare Advantage enrollees.
Medicaid Managed Care Plan Offers Patient-Specific, Pay-for-Performance Program, Leading to Improvements in Immunization Rates and Diabetes Care
A Medicaid managed care plan offers a patient-specific pay-for-performance program tailored to the needs of both large and small practices serving vulnerable populations, leading to improvements in immunization rates and diabetes care.
Medical Home Features Small Panels, Long Visits, Outreach, and Caregiver Collaboration, Leading to Less Staff Burnout, Better Access and Quality, and Lower Utilization
A patient-centered medical home features smaller panel sizes and longer visits, pre- and postvisit outreach and care management, close communication and collaboration between physicians and other caregivers, upgrades to and better use of existing technology, and the elimination of productivity-based bonuses, leading to less staff burnout, fewer ambulatory sensitive admissions and emergency department visits, higher physician satisfaction, and improvements in access to and quality of care.
Monthly Text Messages Increase Compliance With Recommended Blood Glucose Testing in Medicaid Managed Care Enrollees With Diabetes
A Medicaid managed care organization uses cell phone text messaging to remind members with type 2 diabetes to get regular blood glucose testing, leading to a significant increase in the percentage of members receiving tests on a regular basis.
State Legislation Promotes Use of Shared Decisionmaking Through Demonstration Project, Learning Collaborative, and Recognition of Decision Aids as Informed Consent
Multiple pieces of legislation in Washington state are starting to have an impact on use of shared decisionmaking in clinical practice, including a mandated demonstration project, recognition of use of decision aids as informed consent in malpractice cases, and formation of a learning collaborative.
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Improving Asthma Care for Children Toolkit: Best Practices in Medicaid Managed Care
This toolkit provides strategies to improve asthma care tested by a diverse group of health plans serving Medicaid consumers.
FAIR Health Consumer Cost Lookup
FAIR Health Consumer Cost Lookup is a free tool that consumers can use to get an estimate of how much health care providers charge for medical and dental services in their area.
This Web site helps uninsured and underinsured consumers in California navigate the application process for discounted care from hospitals.
New York Regional Health Care Report Card
This online report allows health care consumers to compare the cost and quality of commercial health insurance plans by county in New York and New Jersey.
Health Insurer Pandemic Influenza Planning Checklist
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.