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Health Plans

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NCQA Identifies Opportunities to Implement Measurements to Assess the Quality of Care for Childhood and Adolescent Obesity

November 11, 2008 | Program Result Report

The National Committee for Quality Assurance worked to identify potential quality measures that could be incorporated into HEDIS and used to improve the prevention, assessment and management of childhood and adolescent obesity.

Physician Opinions Sought to Create Report Cards that Rate Health Plans

September 1, 2006 | Program Result Report

Researchers at the University of Minnesota investigated the usefulness of developing physician report cards to complement consumer report cards and other measures of the quality of managed care plans.

Roundtable Calls on Health Plans to Get Pumped for Exercise

October 1, 2003 | Program Result Report

Partnership for Prevention, a nonprofit association focused on promoting health and preventing disease, held an executive roundtable discussion, "Engaging Health Plans in Promoting Physical Activity," on January 24, 2002, in Washington, D.C.

Most State Governments Offer Choice of Health Plans, But Do Not Standardize Benefit Packages Survey Finds

January 1, 2001 | Program Result Report

A team of researchers conducted a mail and telephone survey of 500 public-sector employers to inventory their health plan purchasing practices and estimate the effect of those practices on premiums.

Grading Health Plans and Providers on How Well They Screen for Alcohol Misuse

February 1, 2000 | Program Result Report

FAACT developed a set of performance measures that can be used to hold health plans and providers accountable for the identification and treatment of alcohol dependence, alcohol abuse, and at-risk alcohol use.

Churning Under the ACA and State Policy Options for Mitigation

June 1, 2012 | Issue Brief

To lessen the damage done by churning, it will be important for states to provide consumers with intensive assistance to help them navigate through the involuntary coverage transitions.

Under Workers' Compensation Health Initiative, N.Y. Union Health Center Helps Injured Garment Workers, But Claims Take Long to be Decided

February 20, 2004 | Program Result Report

From 1996 to 2000, the Union of Needletrades Industrial and Textile Employees created a union-based health program to provide more timely access to medical treatment for garment and textile workers in New York.

For the Country Doctor, Substitute the Rural Health Network

November 1, 2004 | Program Result Report

Between 1996 and 2003, researchers at the Rural Health Research Center at the University of Minnesota studied changes in the rural health system and produced and disseminated several publications describing those changes.

Medical Directors Often Apply Different Definitions of "Medical Necessity"

August 1, 2003 | Program Result Report

In this 2000–2001 project, Linda Bergthold, PhD, and researchers at Stanford University, Stanford, Calif., surveyed health plan medical directors in 48 states about medical necessity decision making. The study provides input for policy-making at the state and national levels.

Health Plans Try to Boost Their Grades on Plan Report Cards

August 1, 2003 | Program Result Report

This 1996-1998 project, conducted by Jinnet B. Fowles, Ph.D., and researchers at the Institute for Research and Education in Minneapolis, evaluated how consumer-based reports cards affect institutional behavior in the health care market.

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