Tag Archives: NCQA

From Diabetes Management to Medical Home Recognition: The Health Coach’s Changing Role

Areas like diabetes management are not just the domain of physicians or case managers; today, health coaches often provide patients with diabetes the necessary tools and resources to manage it, says Alicia Vail, RN, a health coach at Ochsner Health … finish reading From Diabetes Management to Medical Home Recognition: The Health Coach’s Changing Role

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7 Roles of a Clinic-Based Health Coach

To succeed in a value-driven system, healthcare organizations need to shift primary responsibility for health management to the individuals it serves. Clinic-based health coaches can help implement this by providing patients with the necessary tools, skills and resources to help … finish reading 7 Roles of a Clinic-Based Health Coach

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NCQA Ranks Kaiser Permanente Number One in 13 of 43 Quality Measures

Kaiser Permanente ranked number one in 13 out of 43 effectiveness of care measures, according to the 2013 NCQA Quality Compass® data. Out of nearly 500 commercial health plans in the nation, no other health plan received more than five … finish reading NCQA Ranks Kaiser Permanente Number One in 13 of 43 Quality Measures

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4 Out of 5 Marketplace Health Plans Hold NCQA Accreditation

Almost 85 percent of the health plans offered in the Health Insurance Marketplaces that launched last week are accredited by the National Committee for Quality Assurance (NCQA). NCQA experienced a surge of nearly 60 health plan organizations seeking accreditation prior … finish reading 4 Out of 5 Marketplace Health Plans Hold NCQA Accreditation

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Consumer Reports: In Annual Health Plan Rankings, Nonprofits Leading the Pack

Nonprofit health plans topped the annual health plan ranking list from the NCQA, according to Consumer Reports, which published the list. For the third straight year, the nonprofit Harvard Pilgrim Health Care’s HMO in New England was the leading health … finish reading Consumer Reports: In Annual Health Plan Rankings, Nonprofits Leading the Pack

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HEDIS Releases 35 New Measures for ACOs

HEDIS has released 35 new technical specifications for ACOs for 2013, detailed guidance that will help ACOs collect and report their quality performance in standardized ways, according to the NCQA, which published the measures. The 35 measures for ACOs are … finish reading HEDIS Releases 35 New Measures for ACOs

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Seeking Medical Home Recognition? New Video from NCQA, Merck Provides Tips

Merck and NCQA have produced a new educational video for primary care practices seeking patient-centered medical home (PCMH) recognition. Designed to help primary care clinicians intent on improving patient care, the video, entitled “Transitioning Your Practice to the Patient-Centered Medical … finish reading Seeking Medical Home Recognition? New Video from NCQA, Merck Provides Tips

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Key Challenges of Transforming to a Medical Home Model

Establishing a team-based care environment is key toward transforming to a medical home model, says Dr. Paul Kaye, medical director at Taconic IPA. Revamping and improving on patient accessbility, and scheduling and improving existing documentation procedures are also key challenges … finish reading Key Challenges of Transforming to a Medical Home Model

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4 Desired Outcomes of Embedded Case Management

Provider and member satisfaction is key when discussing desired outcomes of embedded case management practices, particularly from a regulatory viewpoint, says Charlene Schlude, RN, CCM, director of case management at Capital District Physicians Health Plan (CDPHP). Evaluating the medical cost … finish reading 4 Desired Outcomes of Embedded Case Management

Posted in Case Managers, Case Managers and the Patient Experience, Comprehensive Primary Care Programs, Embedded Case Manager, Healthcare Quality and Access, Patient Satisfaction | Tagged , , , | Leave a comment

Crystal Run Healthcare Among First Early Adopters Seeking NCQA ACO Accreditation

Crystal Run Healthcare is one of six early adopters seeking ACO accreditation from the National Committee for Quality Assurance (NCQA) since the agency launched the accreditation program in November. By signing on for early adoption, these six organizations commit to … finish reading Crystal Run Healthcare Among First Early Adopters Seeking NCQA ACO Accreditation

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