04610nam 22005053u 450 991109006650332120251116211957.00-8330-8241-8(CKB)3710000000213057(EBL)1680681(OCoLC)879298241(MiAaPQ)EBC1680681(EXLCZ)99371000000021305720141013d2014|||| u|| |engur|n|---|||||txtrdacontentcrdamediacrrdacarrierFinal Report Evaluation of Tools and Metrics to Support Employer Selection of Health PlansSanta Monica RAND Corporation20141 online resource (92 p.)Description based upon print version of record.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 Purposes3.4 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 Science6.2 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 SourcesDecision 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 Care9.3 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; ReferencesThe 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.Health insurance -- United StatesHealth maintenance organizations -- United StatesHealth insurance -- United States.Health maintenance organizations -- United States.368.38368.38/200973Mattke Soeren851848Van Busum Kristin R1973362Martsolf Grant1181978AU-PeELAU-PeELAU-PeELBOOK9911090066503321Final Report4740858UNINA02988nam 22006855 450 99669687720331620260102122736.03-032-09569-7978303209569510.1007/978-3-032-09569-5(CKB)44770128800041(MiAaPQ)EBC32470786(Au-PeEL)EBL32470786(DE-He213)978-3-032-09569-5(OCoLC)1569199958(EXLCZ)994477012880004120260102d2026 u| 0engur|||||||||||txtrdacontentcrdamediacrrdacarrierApplications of Medical Artificial Intelligence 4th International Workshop, AMAI 2025, Held in Conjunction with MICCAI 2025, Daejeon, South Korea, September 23, 2025, Proceedings /edited by Shandong Wu, Behrouz Shabestari, Lei Xing1st ed. 2026.Cham :Springer Nature Switzerland :Imprint: Springer,2026.1 online resource (682 pages)Lecture Notes in Computer Science,1611-3349 ;162063-032-09568-9 This book constitutes the refereed proceedings of the 4th International Workshop on Applications of Medical Artificial Intelligence, AMAI 2025, held in conjunction with MICCAI 2025, in Daejeon, South Korea on September 23, 2025. The volume includes 37 papers which were carefully reviewed and selected from 61 submissions. The AMAI 2025 workshop created a forum to bring together researchers, clinicians, domain experts, AI practitioners, industry representatives, and students to investigate and discuss various challenges and opportunities related to applications of medical AI.Lecture Notes in Computer Science,1611-3349 ;16206Computer visionApplication softwareArtificial intelligenceEducationData processingSocial sciencesData processingComputer VisionComputer and Information Systems ApplicationsArtificial IntelligenceComputers and EducationComputer Application in Social and Behavioral SciencesComputer vision.Application software.Artificial intelligence.EducationData processing.Social sciencesData processing.Computer Vision.Computer and Information Systems Applications.Artificial Intelligence.Computers and Education.Computer Application in Social and Behavioral Sciences.006.37Wu Shandong1784745Wu646092MiAaPQMiAaPQMiAaPQBOOK996696877203316Applications of Medical Artificial Intelligence4519895UNISA