LEADER 04577nam 22004813u 450 001 9910465376803321 005 20210112003919.0 010 $a0-8330-8241-8 035 $a(CKB)3710000000213057 035 $a(EBL)1680681 035 $a(OCoLC)879298241 035 $a(MiAaPQ)EBC1680681 035 $a(EXLCZ)993710000000213057 100 $a20141013d2014|||| u|| | 101 0 $aeng 135 $aur|n|---||||| 200 10$aFinal Report$b[electronic resource] $eEvaluation of Tools and Metrics to Support Employer Selection of Health Plans 210 $aSanta Monica $cRAND Corporation$d2014 215 $a1 online resource (92 p.) 300 $aDescription based upon print version of record. 327 $aCover; 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 327 $a3.4 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 327 $a6.2 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 327 $aDecision 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 327 $a9.3 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 330 $aThe 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. 606 $aHealth insurance -- United States 606 $aHealth maintenance organizations -- United States 608 $aElectronic books. 615 4$aHealth insurance -- United States. 615 4$aHealth maintenance organizations -- United States. 676 $a368.38 676 $a368.38/200973 700 $aMattke$b Soeren$0851848 701 $aVan Busum$b Kristin R$0982295 701 $aMartsolf$b Grant$0982296 801 0$bAU-PeEL 801 1$bAU-PeEL 801 2$bAU-PeEL 906 $aBOOK 912 $a9910465376803321 996 $aFinal Report$92242058 997 $aUNINA LEADER 03836oam 2200709I 450 001 9910778960503321 005 20230725054405.0 010 $a1-136-82124-4 010 $a1-283-44270-1 010 $a9786613442703 010 $a0-203-83028-8 010 $a1-136-82125-2 024 7 $a10.4324/9780203830284 035 $a(CKB)2550000000078988 035 $a(EBL)668568 035 $a(OCoLC)773564484 035 $a(SSID)ssj0000592099 035 $a(PQKBManifestationID)12283423 035 $a(PQKBTitleCode)TC0000592099 035 $a(PQKBWorkID)10729207 035 $a(PQKB)10636048 035 $a(MiAaPQ)EBC668568 035 $a(Au-PeEL)EBL668568 035 $a(CaPaEBR)ebr10527667 035 $a(CaONFJC)MIL344270 035 $a(OCoLC)719515238 035 $a(EXLCZ)992550000000078988 100 $a20180706d2011 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aNarrative developments from Chaucer to Defoe /$fedited by Gerd Bayer and Ebbe Klitgard 210 1$aNew York :$cRoutledge,$d2011. 215 $a1 online resource (281 p.) 225 1 $aRoutledge studies in Renaissance literature and culture ;$v11 300 $aDescription based upon print version of record. 311 $a1-138-84994-4 311 $a0-415-87948-5 320 $aIncludes bibliographical references and index. 327 $aIntroduction / Ebbe Klitgard and Gerd Bayer -- The encoding of subjectivity in Chaucer's Wife of Baths tale and Pardoner's tale / Ebbe Klitgard -- The representation of mind from Chaucer to Aphra Behn / Monika Fludernik -- Writing selves: early modern diaries and the genesis of the novel / Miriam Nandi -- Chaucer's Parliament of fowls and his pre-text of narration / William Quinn -- From hell: a mirror for magistrates and the late Elizabethan female complaint -- Telling tales: the artistry of Lady Mary Wroth's Urania / Rahel Orgis -- The early English novel in Antwerp: the impact of Jan van Doesborch / Robert Maslen -- Narrative and poiesis: Defoe, Ovid, and transformative writing / Gabrielle Starr -- The prenovel: theory and the archive / Goran Stanivukovic -- Paratext and genre: making seventeenth-century readers / Gerd Bayer -- Narrative and gossip in Chaucer's Troilus and Criseyde / Neil Cartlidge -- Transubstantiation, transvestism, and the transformative power of Elizabethan prose fiction / Christina Wald. 330 $aThis collection analyzes how narrative technique developed from the late Middle Ages to the beginning of the 18th century. Taking Chaucer's influential Middle English works as the starting point, the original essays in this volume explore diverse aspects of the formation of early modern prose narratives. Essays focus on how a sense of selfness or subjectivity begins to establish itself in various narratives, thus providing a necessary requirement for the individuality that dominates later novels. 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