Improving Managed Health Care in California: Supporting documentation

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Publisher :
ISBN 13 :
Total Pages : 206 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Improving Managed Health Care in California: Supporting documentation by :

Download or read book Improving Managed Health Care in California: Supporting documentation written by and published by . This book was released on 1998 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Managed Health Care in California

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Publisher :
ISBN 13 :
Total Pages : 204 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Improving Managed Health Care in California by : California. Managed Health Care Improvement Task Force

Download or read book Improving Managed Health Care in California written by California. Managed Health Care Improvement Task Force and published by . This book was released on 1998 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Managed Health Care in California: Executive summary

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Publisher :
ISBN 13 :
Total Pages : 46 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Improving Managed Health Care in California: Executive summary by : California. Managed Health Care Improvement Task Force

Download or read book Improving Managed Health Care in California: Executive summary written by California. Managed Health Care Improvement Task Force and published by . This book was released on 1998 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Managed Health Care in California: Supporting documentation

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Publisher :
ISBN 13 :
Total Pages : 388 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Improving Managed Health Care in California: Supporting documentation by : California. Managed Health Care Improvement Task Force

Download or read book Improving Managed Health Care in California: Supporting documentation written by California. Managed Health Care Improvement Task Force and published by . This book was released on 1998 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt:

California Department of Health Care Services

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Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis California Department of Health Care Services by : California. Bureau of State Audits

Download or read book California Department of Health Care Services written by California. Bureau of State Audits and published by . This book was released on 2015 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medi-Cal Managed Care Program

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Publisher :
ISBN 13 :
Total Pages : 84 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Medi-Cal Managed Care Program by : California. Bureau of State Audits

Download or read book Medi-Cal Managed Care Program written by California. Bureau of State Audits and published by . This book was released on 2011 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Managed Health Care in California

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Publisher :
ISBN 13 :
Total Pages : 378 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Improving Managed Health Care in California by : California. Managed Health Care Improvement Task Force

Download or read book Improving Managed Health Care in California written by California. Managed Health Care Improvement Task Force and published by . This book was released on 1998 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Managed Health Care in California: Findings and recommendations

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Publisher :
ISBN 13 :
Total Pages : 212 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Improving Managed Health Care in California: Findings and recommendations by : California. Managed Health Care Improvement Task Force

Download or read book Improving Managed Health Care in California: Findings and recommendations written by California. Managed Health Care Improvement Task Force and published by . This book was released on 1998 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Care Without Coverage

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Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Smarter Way to Care

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Publisher : DIANE Publishing
ISBN 13 : 1437916430
Total Pages : 99 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis Smarter Way to Care by : Daniel W. Hancock

Download or read book Smarter Way to Care written by Daniel W. Hancock and published by DIANE Publishing. This book was released on 2009-09 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: The leaders of the State of Calif. have opened an important debate on health care, looking to solve the problem of its citizens who lack health care insurance. As California¿s single largest purchaser of health care, the Medi-Cal program is too big to be an afterthought in the debate on how to untie the knot of rising health costs, the lack of affordability, and the growing burden of cost-shifting on business. The sheer size of the Medi-Cal budget -- $37.7 billion and growing fast -- demands a smarter approach. Better by far for the state to focus on what the state is buying for its billions -- better for accountability to taxpayers and better for delivering promised health benefits to Calif.¿s poor and disabled, 6.6 million of whom are enrolled in Medi-Cal. Tables and graphs.

Options for Improving Timely Access to Care Reporting in California

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Publisher :
ISBN 13 :
Total Pages : 56 pages
Book Rating : 4.:/5 (111 download)

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Book Synopsis Options for Improving Timely Access to Care Reporting in California by : Jeanne S. Ringel

Download or read book Options for Improving Timely Access to Care Reporting in California written by Jeanne S. Ringel and published by . This book was released on 2019 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Timely access to care is an important element of a high-performing health care system. There is, however, very little evidence to inform metrics and appropriate benchmarks. Given the limitations of the literature, the state of California has taken the lead in developing metrics, standards, and a methodology for collecting the needed data for monitoring timely access to care in the state. The California Department of Managed Health Care (DMHC) has developed the Provider Appointment Availability Survey (PAAS), which health plans that offer products regulated by the department are required to implement. The PAAS methodology has changed over time to address issues with the data collection and reporting process, but the methodology is set to be finalized in January 2020. Health plans have faced numerous challenges in collecting and reporting this information. In this report the authors focus on two specific concerns with the methodology that have been raised by health plans and other stakeholders: the burden associated with the PAAS (particularly on providers) and a change in methodology between measurement years (MY) 2017 and 2018 that removed a question from the survey script and changed the way compliance is measured. Having conducted an environmental scan of timely access issues, undertaken discussions with stakeholders, and analyzed MY 2017 PAAS data for a subset of health plans, they use a multipronged approach to describe and document each of these issues and identify and assess potential solutions.

Health-Care Utilization as a Proxy in Disability Determination

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Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Managed Care Quality

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ISBN 13 :
Total Pages : 216 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Managed Care Quality by : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment

Download or read book Managed Care Quality written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1998 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Care and the Evaluation and Adoption of Emerging Medical Technologies

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Publisher : Rand Corporation
ISBN 13 : 0833043862
Total Pages : 94 pages
Book Rating : 4.8/5 (33 download)

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Book Synopsis Managed Care and the Evaluation and Adoption of Emerging Medical Technologies by : Steven Garber

Download or read book Managed Care and the Evaluation and Adoption of Emerging Medical Technologies written by Steven Garber and published by Rand Corporation. This book was released on 2000 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: New medical technologies--pharmaceuticals, medical devices, and procedures--often allow great improvements in the outcomes of medical care, but they are also widely believed to be a major cause of increasing costs. Selective adoption of new technologies is crucial in the quest to control health care costs while preserving or enhancing the quality of care. This report focuses on evaluation and adoption of innovative procedures and medical devices by managed care organizations (MCOs). The project had two primary objectives: (1) to understand current MCO processes for making coverage, medical-necessity, and payment decisions and how device developers and manufacturers prepare for and participate in these processes; and (2) to identify ways that private, voluntary action by the managed-care and medical-device industries might improve--for the benefit of society--these processes. The core data are from confidential interviews with eight companies that develop and manufacture medical devices and medical directors of nine MCOs. The findings should be of interest to medical-device developers and manufacturers, managed care organizations, public-policy makers, and researchers and analysts. A major impediment to socially appropriate adoption of emerging medical technologies is limited information about the performance of these technologies in day-to-day medical practice. The authors discuss prospects for improving four elements of information availability: --Developing better information before market introduction --Learning more from experience after market introduction --Evaluating and synthesizing clinical information --Disseminating information. They also discuss several other issues that warrant consideration: --Aligning private incentives of MCOs and payers with social values --Enhancing MCO capabilities to evaluate technologies and make decisions --Improving decisions by physicians --Reducing use of inappropriate or obsolete technologies --Reducing costs of decisionmaking for manufacturers and MCOs --Improving manufacturer understanding of the market environment --Helping MCOs and employers anticipate what is in the pipeline.

Health Professions Education

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Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

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Publisher : OECD Publishing
ISBN 13 : 9264805907
Total Pages : 447 pages
Book Rating : 4.2/5 (648 download)

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Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD

Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Registries for Evaluating Patient Outcomes

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Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 385 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.