Estimating ROI for Medicaid Quality Improvement Programs
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State Medicaid Agencies Approaches to Quality Improvement: Implications for Policy, Practice and Health Outcomes
DEV J. NAIR State Medicaid Agencies Approaches to Quality Improvement: Implications for Policy, Practice and Health Outcomes (Under the direction of Russ Toal, Faculty Member) Medicaid provides coverage to approximately 60 million individuals and is the largest single payer of healthcare for children. Given this scope of the program and the concentration of low-income and minority recipients, i...
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CONTEXT The Center for Public Health Quality and its partner, North Carolina State University Industrial Extension Service, used 2 existing, yet similar quality improvement (QI) programs to provide technical assistance to conduct return on investment (ROI) and economic impact (EI) analyses so that they could estimate their QI projects' financial impacts. OBJECTIVES The objectives of this arti...
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Rising Medicaid health expenditures have hastened the development of State managed care programs. Methods to monitor and improve health care under Medicaid are changing. Under fee-for-service (FFS), the primary concern was to avoid overutilization. Under managed care, it is to avoid underutilization. Quality enhancement thus moves from addressing inefficiency to addressing insufficiency of care...
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INTRODUCTION There are many benefits of multistate collaboratives or networks to states, but at the center is that they allow for the opportunity to learn from other states and experts about the practices and policies states have implemented without the significant time lag of published research. This commentary examines these benefits and illustrates the importance of quality improvement colla...
متن کاملAddressing women's health needs and improving birth outcomes: results from a peer-to-peer state Medicaid learning project.
High rates of maternal mortality, infant mortality, and preterm births, as well as continuing disparities in pregnancy outcomes, have prompted a number of state Medicaid agencies to focus on improving the quality and continuity of care delivered to women of childbearing age. As part of a peer-to-peer learning project, seven Medicaid agencies worked to develop the programs, policies, and infrast...
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تاریخ انتشار 2009