1.

Record Nr.

UNINA9910465376803321

Autore

Mattke Soeren

Titolo

Final Report [[electronic resource] ] : Evaluation of Tools and Metrics to Support Employer Selection of Health Plans

Pubbl/distr/stampa

Santa Monica, : RAND Corporation, 2014

ISBN

0-8330-8241-8

Descrizione fisica

1 online resource (92 p.)

Altri autori (Persone)

Van BusumKristin R

MartsolfGrant

Disciplina

368.38

368.38/200973

Soggetti

Health insurance -- United States

Health maintenance organizations -- United States

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di contenuto

Cover; Title page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; 1. Introduction; 1.1 Background: The Role of Employers Under the National Quality Strategy; 1.2 Purpose of the Report; 2. Technical Approach; 2.1 Development of Conceptual Framework; 2.2 Environmental Scan; 2.3 Expert Panel Meeting; 2.4 Interviews with Employers and Business Coalition Representatives; 3. Conceptual Framework; 3.1 Understanding the Anatomy of a Health Plan; 3.2 Defining Care Processes for Measurement Purposes; 3.3 Defining Outcomes for Measurement Purposes

3.4 Measuring Quality of Health Care4. Provider-Facing Structural Characteristics of Health Plans; 4.1 Network Management; 4.2 Payment Arrangements; 5. Member-Facing Structural Characteristics of Health Plans; 5.1 Customer Service; 5.2 Cost-Sharing Provisions; 5.3 Care Management; Products and Services for Chronic Condition Management; Products and Services for Curative Care; Products and Services for Health Promotion; 5.4 Evaluation of Member-Facing Characteristics of Health Plans; 6. Process Measures; 6.1 Safe Practices; Definition; State of Measurement Science



6.2 Adherence to Evidence-Based Care GuidelinesDefinition; State of Measurement Science; 6.3 Overuse of Medical Services; Definition; State of Measurement Science; 6.4 Evaluation of Current State of Process Quality Measurement; 7. Outcomes Measures; 7.1 Medical Outcomes; Definition; State of Measurement Science; 7.2 Patient-Centeredness; Definition; State of Measurement Science; 7.3 Efficiency; Definition; State of Measurement Science; 7.4 Evaluation of Current State of Outcomes Measurement; 8. State of Practice in Employer Decisionmaking About Health Plans; 8.1 Information Sources

Decision ToolsEmployer Coalitions; Benefits Consultants; Evaluation of Tools and Resources to Support Employer Decisionmaking; 8.2 Decision Criteria for Health Plan Selection; Cost Is the Primary Driver; Employers Aim to Ensure Network Adequacy; General Reputation of Plans Influences Purchasing Decisions; Quality of a Health Plan Is Rarely Factored Explicitly into Decisions; Quality-Enhancing Products and Services Are Considered Low Priority; 9. Conclusions; 9.1 Current State of Measurement Science; 9.2 Current State of Employer Decision Tools Regarding Quality of Care

9.3 Current State of Employer Decision Process for Quality of Care9.4 Implications for Research Agenda; Appendix A: Description of Summary of Benefits and Coverage and Glossary of Terms; Appendix B: Description of Search Strategies and Tools; Appendix C: Descriptions of Quality Measurement and Reporting Organizations; Appendix D: Descriptions of Quality Measurement and Reporting Organizations; References

Sommario/riassunto

The Affordable Care Act places strong emphasis on quality of care as a means to improve outcomes for Americans and promote the financial sustainability of our health care system. This report attempts to help employers understand the structural differences between health plans and the performance dimensions along which plans can differ, as well as to educate employers about available tools that can be used to evaluate plan options.



2.

Record Nr.

UNINA9910790236003321

Autore

Klein Herbert S.

Titolo

A population history of the United States / / Herbert S. Klein [[electronic resource]]

Pubbl/distr/stampa

Cambridge : , : Cambridge University Press, , 2012

ISBN

1-107-23035-7

1-139-41152-7

1-280-68514-X

9786613662088

1-139-42288-X

1-139-41986-2

1-139-05995-5

1-139-42191-3

1-139-41782-7

1-139-42395-9

Edizione

[Second edition.]

Descrizione fisica

1 online resource (xiii, 285 pages) : digital, PDF file(s)

Classificazione

HIS036000

Disciplina

304.60973

Soggetti

United States Population History

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Title from publisher's bibliographic system (viewed on 05 Oct 2015).

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Machine generated contents note: Introduction; 1. Paleo-Indians, Europeans, and the settlement of America; 2. Colonization and settlement of North America; 3. The Early Republic to 1860; 4. The creation of an industrial and urban society, 1860-1914; 5. The evolution of a modern population, 1914-1945; 6. Transitions: the baby boom and bust and the new new immigrants, 1945-1970; 7. A modern industrial society, 1970-2010.

Sommario/riassunto

The first full-scale, one-volume survey of the demographic history of the United States has been fully updated here. From the arrival of humans in the Western Hemisphere to the current century, Klein analyses the basic demographic trends in the growth of the pre-conquest, colonial and national populations. From the origin and distribution of the Native Americans to late 20th century changes in



family structure, fertility and mortality, this updated edition incorporates recent research, including data from the 2010 census. In this definitive study, Klein explores regional patterns of fertility and mortality, trends in births, deaths and international and internal migrations, comparing them with contemporary European developments. The profound impact of historic declines in disease and mortality rates on the population structure of the late-20th century is explained, while the more recent urbanisation and rise of suburbia are examined within the context of new massive international migrations on North American society.