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What Public Employee Health Plans Can Do to Improve Health Care Quality: Examples From the States
| Content Provider | Semantic Scholar |
|---|---|
| Author | Savela, Terry Joines, Wesley McKethan, Aaron |
| Copyright Year | 2008 |
| Abstract | In recent years, health system stakeholders have experimented with a wide range of efforts to stimulate quality improvement, often combined with efforts to contain costs. In this report, the authors explore strategies that public and private purchasers are using to improve care quality, focusing specifically on the role that states play as employers providing health benefits for public employees and retirees. Examples of innovations used by state public employee health plans include: promoting provider adherence to clinical guidelines and best practices, publicly disseminating provider performance information, implementing performance-based incentives, developing coordinated care interventions, and taking part in multi-payer quality collaborations. This report can be used by public employee health plans and other large purchasers making strategic decisions about how to develop or coordinate quality improvement initiatives. Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and not necessarily those of The Commonwealth Fund or its directors, officers, or staff. This and other Fund publications are available online at www.commonwealthfund.org. To learn more about new publications when they become available, visit the Fund's Web site and register to receive e-mail alerts. Commonwealth Fund pub. no. 1097. CONTENTS About the Authors iv Acknowledgments v Introduction 1 Quality Improvement in Health Care 1 State Employee Health Plans and Health Care Quality 1 Purchaser Approaches to Improve Health Care Quality 4 Data Collection, Measurement, and Performance Reporting 5 Collecting and Analyzing Performance-Related Data 5 Measuring and Promoting Adherence to Clinical Guidelines and Best Practices .7 Public Reporting of Quality-Related Information 8 Performance-Based Provider Incentives 9 Payment Incentives 9 Quality-Related Contract Requirements 10 Patient-Centered Interventions 11 Benefit Design and Cost-Sharing 11 Coordinated Care Interventions 14 Leadership in Public–Private Purchaser Coalitions 14 Conclusions 16 Appendix A. Summary of Quality Improvement Approaches 17 Appendix B. Organizations or Programs Mentioned in This Report 21 Notes 22 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.commonwealthfund.org/sites/default/files/documents/___media_files_publications_fund_report_2008_jan_what_public_employee_health_plans_can_do_to_improve_health_care_quality__examples_from_the_states_mckethan_whatpublicemployeehltplanscando_1097_pdf.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
