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The commission is charged with entering into contracts with the National Academy of Sciences (NAS) to create a Key National Indicators System, providing advice and oversight for the system, and coordinating with Federal government users and information providers to assure relevant and high-quality data. The NAS, in its annual Report to Congress ...
(The Center Square) – Michigan will be one of four states participating in a new Centers for Medicare & Medicaid Services program. The Innovation in Behavioral Health Model will allow for ...
Numerous studies have shown the target age group gained private health insurance relative to an older group after the policy was implemented, with an accompanying improvement in having a usual source of care, reduction in out-of-pocket costs of high-end medical expenditures, reduction in frequency of Emergency Department visits, 3.5% increase ...
The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
Many managed care programs are based on a panel or network of contracted health care providers. Such programs typically include: A set of selected providers that furnish a comprehensive array of health care services to enrollees; Explicit standards for selecting providers; Formal utilization review and quality improvement programs;
There are over 100 key outcome indicators in the survey that are designed to gather valid and reliable data across five broad domains: individual outcomes; family outcomes; health, welfare and rights; staff stability; and system performance. The survey has three components; background data, and two interview sections.
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