Health plan quality improvement strategy reporting under the Affordable Care Act: implementation considerations

Health plan quality improvement strategy reporting under the Affordable Care Act: implementation considerations

Collection:
Health Policy and Services Research
Contributor(s):
Hoo, Emma.
Lansky, David.
Roski, Joachim.
Simpson, Lisa.
Commonwealth Fund.
Publication:
[New York, N.Y.] : Commonwealth Fund, [2012]
Language(s):
English
Format:
Text
Subject(s):
Health Care Reform
Health Systems Plans
Information Dissemination -- methods
Insurance, Health
Quality Assurance, Health Care -- methods
Quality Improvement
Process Assessment (Health Care)
Reimbursement Mechanisms
Humans
United States
United States.
Genre(s):
Technical Report
Abstract:
The Affordable Care Act calls for the U.S. Secretary of Health and Human Services to issue quality improvement reporting requirements for employer group health plans, including self-insured plans, and individual plans, as well as for qualifying plans in health insurance exchanges. Health plans will need to report on their quality improvement activities regarding plan or coverage benefits and provider reimbursement structures that: improve health outcomes, prevent hospital readmissions, improve patient safety and reduce medical errors, and implement wellness and health promotion activities. Mindful of the opportunity to leverage existing plan reporting tools and achieve administrative efficiencies, this report summarizes key features of the eValue8 Health Plan Request for Information, National Committee for Quality Assurance accreditation, and Medicaid's external quality review process. The authors offer the National Quality Strategy as a framework for quality improvement reporting requirements to align efforts among health plans, health care providers, and health care purchasers.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Illustrations:
Illustrations
NLM Unique ID:
101583211 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101583211