Wednesday, March 10, 2010
As the nation struggles with the urgent challenges of checking all Americans have access to quality, affordable care, health insurance plans are building ahead with proposal to progress health care quality through reporting and payment reforms that support value, encourage ongoing improvement, and advance high-quality health care.To acquire an improved sense of the extent and multiplicity of health plan programs and proposals aiming quality improvement, America's Health Insurance Plans (AHIP) surveyed a representative model of commercial and Medicare Advantage member health insurance plans on behalf of more than 95,000,000 covered lives. The survey data, collected in 2009, demonstrate health plan activities and programs that improve quality of care, patient safety, and reduce costs to the health care system.
Health insurance plans are rewarding physicians and hospitals for quality of care provided to ensure patients receive the best care for their individual needs. By measuring and reporting on a standard set of confirmation-based metrics, health plans, physicians, and hospitals are working together to improve the quality of health care and promote accountability.
The new strategies followed by health insurance plan that help physicians and hospitals to improve patient health are,
Pay for Performance Programs: Health plans reward providers for achieving national benchmarks, demonstrating outstanding performance, and making measurable improvements over time.
Centers of Excellence: Health plans review nationally reported data and results from their own analysis to develop networks of facilities with strong track records of quality care, health outcomes, and patient satisfaction.
Targeted Quality Improvement Programs for Physicians and Hospitals: These programs focus on high-value opportunities such as prevention of hospital acquired infections, the patient centered medical home, and disease management, to name a few.
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