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Final Report [[electronic resource] ] : Evaluation of Tools and Metrics to Support Employer Selection of Health Plans
| Final Report [[electronic resource] ] : Evaluation of Tools and Metrics to Support Employer Selection of Health Plans |
| Autore | Mattke Soeren |
| Pubbl/distr/stampa | Santa Monica, : RAND Corporation, 2014 |
| Descrizione fisica | 1 online resource (92 p.) |
| Disciplina |
368.38
368.38/200973 |
| Altri autori (Persone) |
Van BusumKristin R
MartsolfGrant |
| Soggetto topico |
Health insurance -- United States
Health maintenance organizations -- United States |
| Soggetto genere / forma | Electronic books. |
| ISBN | 0-8330-8241-8 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| 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 |
| Record Nr. | UNINA-9910465376803321 |
Mattke Soeren
|
||
| Santa Monica, : RAND Corporation, 2014 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Final Report [[electronic resource] ] : Evaluation of Tools and Metrics to Support Employer Selection of Health Plans
| Final Report [[electronic resource] ] : Evaluation of Tools and Metrics to Support Employer Selection of Health Plans |
| Autore | Mattke Soeren |
| Pubbl/distr/stampa | Santa Monica, : RAND Corporation, 2014 |
| Descrizione fisica | 1 online resource (92 p.) |
| Disciplina |
368.38
368.38/200973 |
| Altri autori (Persone) |
Van BusumKristin R
MartsolfGrant |
| Soggetto topico |
Health insurance -- United States
Health maintenance organizations -- United States |
| ISBN | 0-8330-8241-8 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| 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 |
| Record Nr. | UNINA-9910786514503321 |
|
Mattke Soeren
|
||
| Santa Monica, : RAND Corporation, 2014 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Final Report [[electronic resource] ] : Evaluation of Tools and Metrics to Support Employer Selection of Health Plans
| Final Report [[electronic resource] ] : Evaluation of Tools and Metrics to Support Employer Selection of Health Plans |
| Autore | Mattke Soeren |
| Pubbl/distr/stampa | Santa Monica, : RAND Corporation, 2014 |
| Descrizione fisica | 1 online resource (92 p.) |
| Disciplina |
368.38
368.38/200973 |
| Altri autori (Persone) |
Van BusumKristin R
MartsolfGrant |
| Soggetto topico |
Health insurance -- United States
Health maintenance organizations -- United States |
| ISBN | 0-8330-8241-8 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| 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 |
| Record Nr. | UNINA-9910812642803321 |
|
Mattke Soeren
|
||
| Santa Monica, : RAND Corporation, 2014 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||