Ways in which health plans can support the continued success of the Marketplace.
Eliza’s thought leaders weigh in on the latest developments from Eliza, our clients, and the healthcare industry at large.
When conducting a multi-channel outreach for a large Medicaid plan, those reached by Eliza had a 7.9% greater rate of well-child visits.
Ellen Harrison, SVP Market Strategy and Consulting shares insight on the latest CMS and AHIP quality measures for physicians and how we can implement moving forward.
The Centers for Medicare & Medicaid Services (CMS) proposed to revise the discharge planning requirements that hospitals, including home health agencies, must meet in order to participate in the Medicare and Medicaid programs.
‘Tis the season of annual notice of change (ANOC). 2016 will be especially different than any year prior. We are now a couple years into the federal exchanges, and because of this the uninsured population is shrinking, and in turn, the number of Americans entering into the US health system is rising. Utilization has never been higher. With this rise has come significant premium hikes. Across the country, many plans are raising premiums. The question is, will members and companies come back as the price goes up?
The 2016 Qualified Health Plan (QHP) open enrollment period is fast approaching – with a shopping window from November 1, 2015 through January 31, 2016. What will your outreach strategy be? How will you handle changing market dynamics such as rate increases, new entrants, and the QRS reporting requirements?
Patient experience and outcomes measures make up a significant portion of the overall Medicare STAR rating score. Since patients are the best and/or only source of information for these outcomes and experience measures, this data is collected through the use of surveys, such as Health Outcomes Survey (HOS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS).
We need to start rebranding the experience of getting a flu shot – particularly for adults. The data show that kids are increasingly getting vaccinated for the flu year over year but adults are just kind of ‘meh’. Data also shows that there has been a significant increase year-over-year in overall childhood immunization rates.
If you spend more for something, you expect better quality, right? According to the Commonwealth Fund’s latest view of Medicare spending per capita vs. overall quality score, the data says otherwise for many states.